[a / b / c / d / e / f / g / gif / h / hr / k / m / o / p / r / s / t / u / v / vg / vm / vmg / vr / vrpg / vst / w / wg] [i / ic] [r9k / s4s / vip] [cm / hm / lgbt / y] [3 / aco / adv / an / bant / biz / cgl / ck / co / diy / fa / fit / gd / hc / his / int / jp / lit / mlp / mu / n / news / out / po / pol / pw / qst / sci / soc / sp / tg / toy / trv / tv / vp / vt / wsg / wsr / x / xs] [Settings] [Search] [Mobile] [Home]
Board
Settings Mobile Home
/adv/ - Advice


Thread archived.
You cannot reply anymore.


[Advertise on 4chan]


File: file.png (130 KB, 557x606)
130 KB
130 KB PNG
So, I've been taking this Auvelity medication for a few months, and I totally went apeshit manic and overdosed on these two times in one week after discovering the dissociative effect from these. (serotonin syndrome n' shit)
My psychiatrist, wife, medical doctor, etc are all aware of what's going on and I've been taken off of these, and the rest has been thrown away.
The problem is, this is the only anti-depressant that has EVER helped me out, and I've tried basically every SSRI/SNRI/SDRI/tricyclic out there.
I have to meet with my psychiatrist on Thursday, and embarrassingly have to bring my wife as well. How do I get them to trust me to take these as indicated again since this is a unique formulation I will not be able to get through some other medication? I truly think I will be suicidal without this when I eventually crash (they're trying to bring me down with olanzapine but I'm not taking it).
This shit is $1200/mo without insurance so I really don't think I'll be able to use this shit without doctor approval. I'm also worried my insurance will flag this shit if I doctor shop to get it again, but it's not a controlled substance so maybe that's not a big deal.
>>
>>33604364
I'll be honest anon, I had no idea that even existed, and when I saw the label my first reaction was "What the fuck." I'm impressed that it was even approved, since you can't be the only patient it does this to. That drug might be a future "voluntary withdrawal from market" waiting to happen.

But let's talk about your personal case. You had a bad manic, and possibly psychotic, reaction to the medication. You and the psychiatrist are in a dilemma since they're probably aware the other pills don't work for you (they don't work for me either), and they probably know that giving you an antipsychotic (eg olanzapine) at the same time as the drug is not a solution since it has one million side effects and is directly counterproductive to treating depression. Taking bupropion alone is also probably pointless, and I assume you've tried that (if not, then try that, of course. Wellbutrin is the name.)

You can doctor shop if you want and tell another psychiatrist "this is the only one that helps me", and see if they'll roll the dice again. Maybe they will. But you will probably just be back here again, won't you? Dextromethorphan's a deliriant. What's stopping it from doing this to you again?
If you want to convince your psychiatrist that going back on this is the best option, try to convince me, first. What is your plan to avoid another delirium reaction from this drug?
>>
>>33604488
I just want the effects as indicated. I was manic causing me to experiment with double/much larger doses. Experiencing serotonin syndrome 2x in one week and seeing the same staff in the ER both times is enough of a deterrent to ever do this again. I *might* try dissociatives in the future again, but I will sure as fuck do better studied ones like ketamine or something rather than go through the embarrassment of fucking up a 3rd time. Nobody in the ER had ever heard of this drug and poison control had never heard of anyone overdosing on it, so I guess I am a trailblazer of some sorts.
>>
>>33604505
Well, you know, your doctor may have some doubts, but at this point, you may as well try the drug again and this time, commit to being a good boy.
Honestly, I have no better ideas right now, and given the nature of this problem, even if it happens again, it's not like it will be the last time you have a medication side effect/reaction. Try to convince your current doc to go back on, and good luck.
>>
>>33604364
>DXM and Wellbutrin put together
Who told shrinks about robotripping?
>>
>>33604364
>How do I get them to trust me to take these as indicated again
They won't.
>since this is a unique formulation I will not be able to get through some other medication
No, it isn't. It's Wellbutrin coupled with a low dose of the active ingredient in OTC cough syrup. Are you retarded?
>>33604505
>Nobody in the ER had ever heard of this drug
They'd never heard of DXM and Wellbutrin put together? Are they retarded?
>poison control had never heard of anyone overdosing on it
They'd never heard of people going apeshit after taking too much Wellbutrin? Prisoners do it to get high all the fucking time. Are they retarded?
>>
>>33604488
>Dextromethorphan's a deliriant
It's a dissociative. Deliriants are things like datura or high doses of diphenhydramine.
>>
>>33605157
>No, it isn't. It's Wellbutrin coupled with a low dose of the active ingredient in OTC cough syrup. Are you retarded?
Nope, not retarded, it is in fact the only wellbutrin + dxm combination on the market. I'm aware of the individual components, but I think you're jumping the 'retard' gun here a bit.
>They'd never heard of DXM and Wellbutrin put together? Are they retarded?
Again, only wellbutrin+dxm combination drug on the legal market, and it's relatively new.
>They'd never heard of people going apeshit after taking too much Wellbutrin? Prisoners do it to get high all the fucking time. Are they retarded?
I went apeshit from mania, not from the drug. I can see reading is not your best skill.
>>
>>33604364
>i'm a naughty boy and they took my stuff away
get fucked idiot
>>
>>33605224
Have some compassion for your fellow anon.
>>
>>33605188
>it's the only combination on the market!
You're acting as if Welllbutrin and DXM are crazy exotic drugs that nobody's ever heard of, and it's even more crazily doubly wildly exotic to put them together. They're very common drugs. It's been known for decades that dissociatives ease depression. Retard.
>it's a new combo and the only one on the market
Still, they'd never heard of people getting high/manic on Wellbutrin? They'd never had a kid come into the ER while robotripping? Again, are they retarded?
>I went apeshit from mania not the drug
I don't think you went apeshit from mania because your doctor had you on SSRIs. They're almost never prescribed for people with bipolar disorder or manic disorders because they precipitate manic episodes. I think you were trying to get high on DXM, thought the only place you could get it was your Auvelity because you didn't know it was the active ingredient in OTC cough syrup, and wound up OD'ing on Wellbutrin, which caused a manic episode. I know this is what happened because I did the same thing when I was prescribed Wellbutrin. As a result, they took away my Wellbutrin prescription, which is almost certainly what they're going to do to your Auvelity prescription. You can buy RoboCough on Amazon with your credit card. Retard.
>>
>>33605275
I was prescribed Olanzapine, Depakote, Auvelity, and Pristiq. I quit the Olanzapine and Depakote and kept going with the others, leading to my problems most likely.
>>
>>33605284
Wait, you were on four medications, half of which were prescribed for the express purpose of STOPPING manic episodes, discontinued the anti-manic ones, and kept taking the one that precipitates mania + purposefully OD'd on the one that causes mania when you OD on it? And you're surprised that you had a manic episode?
>yeah the fire department told me to not throw gasoline everywhere and not light a match and keep a lot of water around and cover everything in flame-retardant material
>so I got rid of the water and I got rid of the flame-retardant material
>Then I decided to cover everything in gasoline and light a match
>Anons now my house is on fire and they don't want to give me gasoline anymore what do
Before I was calling you a retard because you were asking stupid questions but now I think you genuinely might be retarded
>>
>>33605309
They were not intentional _overdoses_ in the sense that I was intentionally trying to die or intentionally trying to induce serotonin syndrome, I was intentionally trying to dissociate and overdid it or got into a state where I was unable to tell how much I was dosing.

You act like these types of decisions/actions aren't par for the disorder. It's quite common for bipolar people to quit their medication, maybe not half, but that's what I did. It was stupid, I feel stupid, outside of this I have been stable for over a decade without major incident.

I just want to not feel depressed when it comes back and I was hoping someone could give me some tips to word this to a doctor or make a request so I would be able to once again take this medication.
>>
>>33604364
>(they're trying to bring me down with olanzapine but I'm not taking it).
Why not? Ignoring the doctor's advice with your other meds, and presumably lying about it, is not going to get them closer to trusting you.
>>
>>33605338
Have you ever taken Olanzapine?

It:
>Causes brain shrinkage
>Causes metabolic disorder (high a1c, diabetes, massive weight gain)
>Causes brain fog
>Causes you to sleep 14+ hours
>Causes permanent movement disorders like Tardive Dyskinesia
>Causes temporary movement disorders like Akathisia
>Causes sexual side effects

They are literally fucking poison and there's not a damn person with bipolar who would voluntarily take the chemical lobotomy to cut short a period of massive productivity.
>>
>>33605326
>not intentional _overdoses_ in the sense that I was intentionally trying to die or induce serotonin syndrome, I was intentionally trying to dissociate and overdid it or got into a state where I was unable to tell how much I was dosing.
You know nothing about drugs. You had a medication. You took more of it than prescribed to get high. It caused severe adverse effects. That's an overdose. You overdosed. Christ, what's not clear here? Do you think you're not an ODing drug user because you don't have a needle filled with heroin in your arm?
>I'm just so impulsive because I'm bipolar
It sounds like everything was well-managed until you decided to fuck with your meds to get high. That's not mania. That's you being a retarded druggie. No hate against druggies or getting high, I enjoy both, but I'm not a fucking retard about it like you are. Again, 2mins of googling and you would've found RoboCough on Amazon.
>tips to word this to a doctor or make a request so I would be able to once again take this medication
This isn't going to happen. I've been telling you what's going to happen for several posts now, and you've been ignoring it because it's not what you want to hear. If you were retarded enough to tell your wife that you were trying to get high, they're taking you off the Auvelity. If you were gigatarded, which is a possibility, then you told your shrink you were trying to get high, and now not only will they take you off the Auvelity, they are going to write "ADMITTED DRUG USER" in your file and they will never take anything you say seriously again. If by some miracle you told no one you were trying to get high, they're still going to take you off the Auvelity because they think it caused a manic episode or because they already suspect you abused it to get high. All this could've been avoided if you had stopped to think about the best way to get high for 2 minutes, but no, you decided to be a retard about it instead, and that's not attributable to mania.
>>
>>33605326
>I was hoping someone could give me some tips to word this to a doctor or make a request so I would be able to once again take this medication.
The issue here is risk management. What you need to formulate is how you will prevent this happening again. "It sucked last time and I pinky promise" won't cut it. You didn't mention a counselor, so that would help your case to have something you are actively doing. Maybe enroll in some sort of program for drug abuse/addiction. You don't have to identify as an addict. It's just to demonstrate your willingness to prevent this.

>>33605353
Does your doctor know you're refusing to take it for those reasons?
>>
>>33605361
that's not a bad idea about the counselor, I think it'd probably be best if I asked about the counselor the next visit, and keep my "could you please let me back on it" for future visits after demonstrating responsibility to right wrongs.

I had a police interaction where they blamed my mental illness for some stuff, and 2 overdoses with ER visits/hospital admissions all in the past week, the only reason I've been able to stay out of a mental hospital is by promising I'd take the olanzapine, so nope, not saying shit about it.
>>
>>33605359
Sure, you're probably right, it's just I only do marijuana and don't even drink, I'm pretty straight edge, but perhaps everyone with a problem would say that.

I was unaware of the dissociative effect and was merely doubling up because it made me happy and somewhat euphoric. I have felt dissociation before but under much less ideal conditions, it was just an unexpected reunion.

You're probably right about being banned from it, I guess we all have to live with our mistakes.



[Advertise on 4chan]

Delete Post: [File Only] Style:
[Disable Mobile View / Use Desktop Site]

[Enable Mobile View / Use Mobile Site]

All trademarks and copyrights on this page are owned by their respective parties. Images uploaded are the responsibility of the Poster. Comments are owned by the Poster.