What is the max dose per day for Lamictal? I've read up to 400mg, but nothing definitive.
Height 6''1.5" Weight: 302
Oh wait!!!!!! One more questions for the guys.....anyone had trouble "finishing" while on Latuda and/or Prozac? It took me 45 minutes to wear myself out and give up last evening...........nuff said......View Thread
Thanks to the last two who replied. Yes, I am under the care of a clinician, I'm just curious cuz 200 calms me very well at night, I just wondered if perhaps 100 during the day might be a good thing to ask my clinician about.
Any input on the sex question anyone? It concerns me that I can essentially go full bore for 45 minutes and not achieve orgasm, regardless of the pleasure. Could this be med related? Diabetes related perhaps (although it's controlled by 2000mg/day of Metformin with good numbers).....how about Latuda or Prozac---can they cause this. I had a similar problem with a fibromyalgia med that they used on me for pain one time who's name I forget.
Ok, so my counselor of 1.5 years, who followed one of 10 years, is going to cash only, which I cannot afford at present.
She gave me the name and contact info for someone who takes my primary insurance, but dang, changing like this is a HUGE stressor!!!
I mean, dude I saw actually over 10 years died. Then I start seeing this lady, hit it off with her, and all was going pretty good, making progress, etc., now I feel like I'm being thrown to the lions, even though my current counselor recommended one for me.
My main concern at first was "Do they do CBT? (cognitive behavioral therapy)....but now my fear, after seeing a glorified one, is "Are they just a social worker?
I have multiple diagnoses, and a social worker could in no way handle my needs. Sorry, they just can't.
Now, I've just read about this new lady, and apparently she has a "holistic" approach style...I'm not even sure what the heck that means?
So, I took the first step and contacted this new lady, giving my current lady as a reference, and asked for a new patient appointment. After looking at her website, it appears that she is the ONLY one I'd want to see in her practice.
Now, I'm gonna take some meds, have a cigar, and then lie on the couch in misery while I watch TV. Yee friggin haw, Ain't life grand! View Thread
Okies, I saw the therapist. It went ok. I told her up front about the volunteering thing. Things went well with the visit, and I think, hopefully, I may be able to mesh with and work with this lady. Whew! OMG what a relief.
As per usual, I blew things wayyy out of proportion and was ready for war with her over the first wrong word. So, when I went in, I told her I had no problem stating if I didn't want to talk about something or if I had a problem with her. I'm glad I did that.
Hopefully this issue is resolved, and I've got a good therapist, but only time will tell.
She's gonna love the answers on the 8 page questionairre she gave me hehehe. This woman won't live long enough to straighten me out. Hell, I'm not sure I will.
All I know is that if she gets out of my comfort zone with any part of a discussion, I can say so, and the convo will be terminated.
I see her again Friday I think. Yee ha, It's quite a bit further drive than I'm used to, and her office was hard to find, but I think I got it down.
Anyway, for now I am, well, ok with it all. We'll see how it progresses.
Thank you ALL for the comments and stuff. Truly appreciate it!!!! Grace & Peace ~SeanView Thread
I talked OTP to my new "lady" today, and she told me that the only difference between her and a PhD Psychologist was that the PhD could do diagnositcs......I think this is bogus. But is it? This is yet a different LSWS/?? something or another.
Well, I see her tomorrow morning, and will be observing her as close or closer than she is observing me. She says she has experience in dealing with people with my diagnoses, which she got from an email I sent to her supervising Psychologist, so we'll see what happens.
I swear, the moment she tells me to "go volunteer and do something" I'm outta there and will demand to be put on her boss's waiting list. Yeh, if I were able to DO ANYTHING, I would not be disabled 70% (VA) for major depression 30% for a very traumatic injury, have PTSD, Anxiety, Bi-Polar 1, and borderline personlity d/o. Sure, hell, why don't I just go get a job like I've wished for years I were able to do?
I was a friggin working engineer with a good salary, and now I prefer to be on a fixed income? Gimme a friggin break!
I'd go back to work right now IF I were ABLE. But I'm not, so I need to deal with the issues I have, and make the best of my FUBAR life.
My God, I've got a spinal cord stimulator generator in left abdomen, a pain pump in the right, and wires to C-7 for the SCS, plus an intrathecal catheter to C-7 for the pain pump.
I WISH I could post a pic of my damaged right hand at the time it was injured, with all the black burn, dead skin, and charred bone....hell, before they resected my right index ray, the ER people at my home AFB didn't even think I'd keep the hand.
So, they resected the index ray & metacarpal, and used the good skin on the back of the finger/hand, flapped it over my palm for a skin graft, and sent me merrily back to work in the USAF. I was then diagnosed with PTSD one day, and the diagnosis withdrawn the next day when they found out I was filing for Disability Retirement, which my injury warranted. Could this have to do with my prior nuclear level security clearance??
Whatever. Point is, I can not work, and volunteering isn't an option. What if I volunteered somewhere and someone triggered me in a really bad way and I went bi-polar and their a**?? What a scene that would be. On my last job I chased my boss to his office with a pipe wrench. Yep, I'm fit for high stress situations....that's me.
Now, that's just the tip of the iceberg, and doesn't account for childhood abuse & a TON of family dysfunction as I "grew up". Hell, my wife raised me and taught me how to behave with some class. Before that, I was a misfit, white trash redneck sort of late-teen (we got married at 19 & 18)....and Praise God I have learned that her opinions are always better than anyone else's, and I'm better off to listen to her more than anyone else, cuz she has no agendas, and loves me unconditionally, has kept ALL of her wedding vows, and saw me through a war when she could have easily gone a bunch of other directions. But I've digressed.
Suffice it to say, I'm disabled with a badass attitude, a princess wife, and the heart of a teddy bear, but the mind of an ex-combat soldier. That's more than enuf about ME. Back to the topic. Ya all wish me luck/pray/meditate/whatever for things to go well for me tomorrow, and/or that my path in life will head the right direction from this point forward. Thanks and have a blessed Day!! ~SeanView Thread
I am waiting like a dog on a chain for 9 a.m. to get here so I can call this "new" person. My therapist HIGHLY recommended her, so I know she must be capable.
I've also had more time to peruse her site, and IF she can't handle me, there are a few others in her practice that may be able to do so. I'm one of those "complicated/multi-diagnosis" people that probably make the therapists as nervous as they do me initially LOL.t
Today I am feeling better and more confident, and your reply just added to it. I WILL find someone, and even if they have to do a sliding scale cash thing, then ok. And, my now past Psychologist said she would see me for half hour sessions for $40, whereas new patients pay $160/hour, so I do have that going for me. No way on earth I could afford full price. I'm on a fixed, meager income and just couldn't. I suppose I could explore what is available on the Air Force Base, but it is a heck of a drive from here. I can't go to the VA for various reasons we shan't get into here.
Hell, the base may actually be a good option.......I'll call 'em just for sh**s & giggles.
My psychiatrist wrote me a script for Haldol, 30, 5mg tabs. I was supposed to split them, and take 2.5mg, twice per day.
Well, the pharmacy filled the prescription as 30, 1mg tabs, and the bottle instructions said to take half of a tablet twice per day....meaning .75mg, 2xday INSTEAD OF 2.5mg 2xday.
Do the math, and that is 1.5mg daily, vs 5mg daily, or right around 18% of the ORIGINALLY PRESCRIBED DOSE.
Now, I had an appointment with the CNP that works under this psychiatrist today, and i told him it was helping SOME, but that I felt that I needed more. He balked on me, and made every excuse in the book to not have me take more than .75mg/day (when in fact I was supposed to be taking 5mg/day), and told me that since I had only been on Latuda at 80mg for about a week, that I needed to wait and let that build up.
I was about to fire the guy, but instead, I called the pharmacy, who admitted error, and will have me a free bottle of 5mg Haldol tabs at some point tomorrow.
Now, I really don't give a crap about what my CMHNP has to say about it at this point, but I'll be taking the originally written dose, and he can shove his minuscule little doses of .75mg 3 x day straight up where the sun don't shine.
oh my God I am soooooo pissed off at the pharmacy, and also at my CNP for not listening to me when I told him something was mixed up. I left his office irate, but politely.
People who deal with psychiatric meds really need to have their s*** together, ya know?
Check and double check your prescriptions between what the doctor says, and what is dispensed. Heck, voice record your meetings about meds for future use if necessary.
Whatever the case, pharmacies and doctors are NOT always right, and they need someone to watch them too. I imagine if I had not called the pharmacy, the error would have went on, and I'd be back to the ER again this week, with anxiety out the roof, yet again.
Just saying.....watch EVERYTHING to do with ALL of your MEDS. If YOU cannot, have someone else do it for you.
Ok, I'm done ranting. It's a very good thing I can't get hold of my MHCNP right now cuz I'd surely to goodness choke his a**! Tell me what I had was enough.....and me knowing it wasn't....SOB. OUT ssmiddyView Thread
No, not fed up with the pharmacist. Am ticked at the CNP who swore up and down that the pharmacy was correct, when the original prescription, it turned out, was quite different than the CNP was allowing for, even after I told him that 0.25mg, 2xday, although it was helping a little, could probably stand to be upped more than a little, and then he treated me like I was an idiot.
My anger stems from the psychiatrist practice's practices, not from the pharmacy's error.
By the time I left my CNP's office I was ready to just go off like a rocket on him for his lack of caring attitude, and his arrogance towards me, and NOW turns out HE was totally wrong, NOT me.
So, this morning I called and advised the office of the pharmacy error, and told them I'd be taking the originally prescribed (correct) dose. They were, at that point, all kind and understanding and all that crap.
Now today, I open my mail from yesterday, and there is a "no-show" charge letter from this office, and I have never missed an appointment with this dude. THEY have erred this time. I keep immaculate calendar records, and I looked at the date I allegedly missed, and there was no appointment or note about any such appointment.
I guess I'm either going to have to "work the kinks out" with these people, or just look elsewhere for care. I'll give it some more time and consideration, and make sure I'm making a good decision based on logic and not feelings.
We'll see how it goes I reckon. But, so far, they don't impress me much. ~SeanView Thread