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Significant Medication Interaction?

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Significant Medication Interaction?

Postby MartianRobotGirl » Sun Oct 12, 2014 9:54 pm

I saw the psychiatrist on October 1. She prescribed a mood stabalizer called Trileptal (Oxcarbazepine) and another medication called Buspar (Buspirone).
I was told to start Trileptal first, and once I was done stepping up the dose for that to then start the Buspar.
Thing is, when I looked it up it says that a significant medication interaction between these medications exists. but all I can find about it is that Trileptal can decrease the blood plasma level of Buspar, and Buspar can decrease the blood plasma level of Trileptal. So what I read into that is that they effectively cancel each other out?
Normally I would just not question it and assume the psychiatrist knows what she's doing, but I'm having amazing results on Trileptal. I'm afraid if I add the Buspar that will go away. and you can't just call your psychiatrist at the county mental health department just to ask a question, so I had to leave a message for my case manager over there.
Anyone have experiences to share?
Dx: BPD and MDD Apr 2011
GAD Aug 2014
Med: Trileptal (Oxcarbazepine) 750mg
Clean since Jul 2012
MartianRobotGirl
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Re: Significant Medication Interaction?

Postby SBBro » Mon Oct 13, 2014 7:34 am

If your not in a safe environment such as inpatient or with a handler be very cautious.

We are patients who are known to be good one session MIA the next.

I am meant to be on 150mg zoloft and 10mg abilify or even epilim !

Because my family are worried.

I know that combo will send my manic.

I considered less abilify but I honestly don't need it. Psychiatrists tend to over medicate with anti psychotics.

If you are at the point where you are not comfortable with medication then you need to take other measures. Firstly improve your environment, then improve your lifestyle.

The key to bpd is cbt and lifestyle adjustment not medication.

However if you feel your are not doing well enough right now and you need further medication then take it.

You should be on an an ssri, high dose fish oil, magnesium as a minimum imo.
2012 "just anxiety"
2013 inpatient 'suicidality, MDD etc
2014 "youve been diagnosed with everything under the sun"
BPD
Current meds: Zoloft 25mg
SBBro
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Re: Significant Medication Interaction?

Postby MartianRobotGirl » Tue Oct 14, 2014 6:29 am

Thank you for your reply.
I'm doing what I can to improve my environment the best I can. I'm moving. I've completed DBT and will be starting DBT soon.
As for SSRI's, nooo. I've taken them all at one time or another except Prozack. and the only one that didn't have immediate horrific side effects was Lexapro. but it didn't help enough to make it hurting the crap out of my stomach worth it.
I have stomach conditions the psych has to work around.
I'm doing well on trileptal, a mood stabalizer. I've not been put on antipsychotics. I took Abilify, but only 2mg in combo with Lexapro.
Maybe with the fish oil though.
Dx: BPD and MDD Apr 2011
GAD Aug 2014
Med: Trileptal (Oxcarbazepine) 750mg
Clean since Jul 2012
MartianRobotGirl
Consumer 6
Consumer 6
 
Posts: 418
Joined: Tue Sep 06, 2011 3:52 am
Local time: Tue Mar 19, 2024 3:09 am
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Re: Significant Medication Interaction?

Postby SBBro » Tue Oct 14, 2014 12:15 pm

Sounds like you need probiotics and to start working on diet. Fish oil can possibly get you off the mood stabilizer after a year.
2012 "just anxiety"
2013 inpatient 'suicidality, MDD etc
2014 "youve been diagnosed with everything under the sun"
BPD
Current meds: Zoloft 25mg
SBBro
Consumer 6
Consumer 6
 
Posts: 742
Joined: Sun Oct 16, 2011 7:58 pm
Local time: Tue Mar 19, 2024 9:09 pm
Blog: View Blog (0)

Re: Significant Medication Interaction?

Postby MartianRobotGirl » Sat Oct 18, 2014 10:05 am

In the process of diet management. As in, I can't eat much of anything at all really. I have Gastritis and IBS-C.
The IBS-C is being managed well, but the Gastritis is completely out-of-control.
Won't fish oil be hard to digest and float on the top of my stomach? Being off meds in a year sounds good, highly interested.
What kind of pro-biotic? I've looked into it, but all the one's I found seem to be for people with diarrhea, I have the oppisit problem. Though like I said it's managed well with meds. It's the chronic nausea that gets to me.
Dx: BPD and MDD Apr 2011
GAD Aug 2014
Med: Trileptal (Oxcarbazepine) 750mg
Clean since Jul 2012
MartianRobotGirl
Consumer 6
Consumer 6
 
Posts: 418
Joined: Tue Sep 06, 2011 3:52 am
Local time: Tue Mar 19, 2024 3:09 am
Blog: View Blog (2)

Re: Significant Medication Interaction?

Postby SBBro » Mon Oct 20, 2014 12:58 pm

Based on your diagnoses:

Exercise for previous mdd and bpd.

enteric coated fish oil for bpd
Acidophilus refrigerated pro biotic. Ask your pharmacist.

Also cbt for gad. Get a book on it.

Hmm I know there is stuff for ibs perhaps Google what people on an ibs forum recommend. I just can't remember.
2012 "just anxiety"
2013 inpatient 'suicidality, MDD etc
2014 "youve been diagnosed with everything under the sun"
BPD
Current meds: Zoloft 25mg
SBBro
Consumer 6
Consumer 6
 
Posts: 742
Joined: Sun Oct 16, 2011 7:58 pm
Local time: Tue Mar 19, 2024 9:09 pm
Blog: View Blog (0)

Re: Significant Medication Interaction?

Postby SBBro » Mon Oct 20, 2014 1:14 pm

Were you paranoid with your mdd?
2012 "just anxiety"
2013 inpatient 'suicidality, MDD etc
2014 "youve been diagnosed with everything under the sun"
BPD
Current meds: Zoloft 25mg
SBBro
Consumer 6
Consumer 6
 
Posts: 742
Joined: Sun Oct 16, 2011 7:58 pm
Local time: Tue Mar 19, 2024 9:09 pm
Blog: View Blog (0)

Re: Significant Medication Interaction?

Postby MartianRobotGirl » Wed Oct 29, 2014 6:33 pm

Yes I've suffered from paranoia for a long time. Not sure if it's related to the MDD, but it's been in the picture long before the GAD diagnosis.
Thank you for some of those recommendations.
I moved out early and that is helping. I've started working out on a tredmill for 30 minutes a day, that also seems to be helping with the stomach troubles, as well as insomnia. Going to look into that milk you mentioned.
Dx: BPD and MDD Apr 2011
GAD Aug 2014
Med: Trileptal (Oxcarbazepine) 750mg
Clean since Jul 2012
MartianRobotGirl
Consumer 6
Consumer 6
 
Posts: 418
Joined: Tue Sep 06, 2011 3:52 am
Local time: Tue Mar 19, 2024 3:09 am
Blog: View Blog (2)


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