Doctor insights on:
If by doctor's order: If you're taking these medications on doctor's order then, I cannot tell you NOT to take either one of them or any of them. But if what you're asking is whether or not it's SAFE to take ADDERALL (dextroamphetamine and racemic amphetamine) with all the other medications or whether or not it's really NECESSARY for to take ADDERALL (dextroamphetamine and racemic amphetamine) given the rest of the drugs you're taking then, that discussion should really be with your prescribing doctor. ...Read more
Depends: on your treatment goals. Typically doses can go higher (200 mg +) if treating depression. But there is a wide dosage range that is therapeutic, in my experience, since every person is different. If you feel better on 100 mg. and have no side effects, that's the best dose for you. Don't worry about a "standard" dose. Take care. ...Read moreSee 1 more doctor answer
Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?
So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more
Lot of medications: I'm not sure whether these are all prescribed by the same physician? It sounds as though your bipolar disorder (from the additional info you supplied) may be quite hard to manage, and meds have been added but none removed. Perhaps you'd benefit from a second opinion about your case and possibly simplify your regimen. It could also be that your symptoms demand high intensity measures. ...Read moreSee 4 more doctor answers
Seroquel (quetiapine): Maximum FDA recommended dose for Seroquel (quetiapine) is 800 mg daily. Physician/prescriber can use a higher amount off-label if it is believed a particular patient will benefit & the patient is fully informed that the dose is higher than shown to be effective. It is not known if chronic use of this dose is harmful, but it is unlikely that a one time use of this amount would cause serious toxicity on its own. ...Read more
Cymbalta (duloxetine) 60/tegretol 600/lamictal 100/klonopin 2.5..Terrible racing thoughts..Cannot take lithium and diabetic...Any thoughts?
Possibly: Lexapro (escitalopram) affects serotonin, a neurotransmitter in the brain that modulates mood as well as anxiety. Lowering the dose of Lexapro (escitalopram) could increase anxiety, especially if it was done too quickly. Please discuss this with your prescribing physician. ...Read moreSee 1 more doctor answer
Yes but: This seems a bit much for anyone. Is there a way that you can speak to your doctor about streamlining your meds. The doc is treating you for bipolar issues,anxiety, depression, and sleep disorder. I suggest that you see if this doc or another can put you on a regimen that might help you sleep and still take care of the problem. Have the doc consider remeron (mirtazapine) ...Read moreSee 1 more doctor answer
Varies by response: Bupropion comes in several verstions--immediate release, twoce daily dosage form, and once-daily doseage form. Typical ranges are 200 to 450 mg a day. 450 mg is the maximum recommended doses because there is an increased risk of seizures above that dose. As with all antidepressants, the dose any individual needs varies and depends on condition being treated and side effects. ...Read moreSee 1 more doctor answer