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re: Has your copay for medications gone up? BTW, what are you prescribed?

Posted on 1/23/14 at 7:57 pm to
Posted by Southern Farmer
Greenville, MS
Member since Jul 2012
3070 posts
Posted on 1/23/14 at 7:57 pm to
I know, man! Crazy expensive. My Aplenzin on GoodRx is like $1,075 and all it's just a knock off Wellbutrin, just a different salt of bupropion.

Another Latuda fan! I see both you and Paige take higher doses than I do. I've read that 40-80mg. is the effective range and doses higher than that have negligible effect. In fact, one of the selling points for reps is that you can begin titration at an effective dose of 40mg.

Paige, have you noticed if there is any effect of Latuda's D2 antagonism on the effectiveness of your amphetamine usage? I think it has a negligible -- but definite -- impact on the potency. I definitely have more positive effects from the Dexedrine now since I decided switched from Abilify to Latuda. Which is strange. The main reason I chose Abilify initially was because I thought its D2 *partial* antagonism wouldn't really effect the amphetamines much, but lurasidone's complete antagonism allows me to feel so much more.

Basically, I have complete control over what I get prescribed. It was my idea to switch from Abilify to Latuda, generally the dosages are my idea, etc.
This post was edited on 1/23/14 at 8:03 pm
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 1/23/14 at 7:59 pm to
quote:

Prescribing such meds at double the recommended doses is another story though.


Thinly-veiled fat joke?
Posted by northshorebamaman
Mackinac Island
Member since Jul 2009
38339 posts
Posted on 1/23/14 at 8:01 pm to
quote:

I know, man! Crazy expensive. My Aplenzin on GoodRx is like $1,075 and all it's just a knock off Wellbutrin, just a different salt of bupropion.

Another Latuda fan! I see both you and Paige take higher doses than I do. I've read that 40-80mg. is the effective range and doses higher than that have negligible effect. In fact, one of the selling points for reps is that you can begin titration at an effective dose of 40mg.

Paige, have you noticed if there is any effect of Latuda's D2 antagonism on the effectiveness of your amphetamine usage? I think it has a negligible -- but definite -- impact on the potency. I definitely have more positive effects from the Dexedrine now since I decided switched from Abilify to Latuda. Which is strange. The main reason I chose Abilify initially was because I thought its Dw *partial* antagonism wouldn't really effect the amphetamines much, but lurasidone's complete antagonism allows me to feel so much more.



Posted by Southern Farmer
Greenville, MS
Member since Jul 2012
3070 posts
Posted on 1/23/14 at 8:01 pm to
It's just two medications that exceed the established guidelines-- only one is doubled. Toxicity from armodafinil is not much of an issue.
Posted by Grilled Bald Eagle
Baton Rouge
Member since Jun 2008
1069 posts
Posted on 1/23/14 at 8:03 pm to
quote:

Another Latuda fan!


All i know is it relaxes me enough to sleep and doesn't make me all out of sorts like the seroquel did. 40 of the Latuda didnt do it but the 80 seems to be doing alright for the time being.
Posted by Southern Farmer
Greenville, MS
Member since Jul 2012
3070 posts
Posted on 1/23/14 at 8:07 pm to
quote:

All i know is it relaxes me enough to sleep and doesn't make me all out of sorts like the seroquel did. 40 of the Latuda didnt do it but the 80 seems to be doing alright for the time being.


60mg. is just right for me. I went from 40mg. which I didn't effective either straight to 80mg. which I did find effective. I was going to stay at 80mg., but I decided to see if 60mg. was just enough to be effective as well, and it is. I'm thinking about perhaps going up to 80mg. and staying there now that I'm fully acclimated to the medicine and it seems dosages past that are not any more effective.

Surely you're not using it as a sleeping aid? Terrible choice, if so. Yeah, Seroquel is a heavy hitter I've heard!
Posted by illuminatic
Manipulating politicans&rappers
Member since Sep 2012
7039 posts
Posted on 1/23/14 at 8:10 pm to
What are you prescribed for attention whore disorder?
Posted by Jake88
Member since Apr 2005
79985 posts
Posted on 1/23/14 at 8:11 pm to
quote:

#150 Dexedrine Spansules (dexamphetamine) 15mg. [75mg.]
#90 Xanax (alprazolam) 1mg. [3mg.]
#90 Lyrica (pregabalin) 300mg. [900mg.]
#60 Nuvigil (armodafinil) 250mg. [500mg.]
#30 Latuda (lurasidone) 60mg.
#30 Trokendi XR (topiramate) 200mg.
#30 Aplenzin (bupropion hydrobromide) 522mg.
#90 Oxtellar XR (oxcarbazepine) 600mg. [1,800mg.]
#30 Fetzima (levomilnacipran) 80mg.
#45 Brintellix (vortioxetine) 10mg.
#30 Namenda XR (memantine) 21mg.



It's difficult trying to treat a personality disorder and substance abuse by labeling it bipolar disorder, Generalized Anxiety Disorder, ADHD, Major Depression, Fibromyalgia while tossing meds at it because no one wants to state the real issue.
Posted by SW2SCLA
We all float down here
Member since Feb 2009
23069 posts
Posted on 1/23/14 at 8:13 pm to
quote:

It's just two medications that exceed the established guidelines-- only one is doubled. Toxicity from armodafinil is not much of an issue.



True, but that's with a slew of other drugs including benzos, amphetamines, and anti-psychotics. I just think it's a heavy regimen and that all of those drugs probably aren't necessary. Your statements describing the near high you get from some of them, along with you claiming to pretty much pick your drugs and dosages are the most concerning to me.
Posted by TheIndulger
Member since Sep 2011
19411 posts
Posted on 1/23/14 at 8:16 pm to
Yikes. I'm not gonna be one of those people who tells you to eat right, sleep and exercise and you don't need all those pills..but goddamn that's a lot. How old are you?
Posted by Grilled Bald Eagle
Baton Rouge
Member since Jun 2008
1069 posts
Posted on 1/23/14 at 8:16 pm to
quote:

Surely you're not using it as a sleeping aid? Terrible choice, if so.


Notsomuch a sleep aid but something to relax my brain so that I can rest in the evenings. I feel better on the trio than I did without, thats all I know right now
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
72482 posts
Posted on 1/23/14 at 8:17 pm to
quote:

Lisonopril


That med made me cough something ridiculous.
Posted by Southern Farmer
Greenville, MS
Member since Jul 2012
3070 posts
Posted on 1/23/14 at 8:17 pm to
quote:

It's difficult trying to treat a personality disorder and substance abuse by labeling it bipolar disorder, Generalized Anxiety Disorder, ADHD, Major Depression, Fibromyalgia while tossing meds at it because no one wants to state the real issue.



Just curious, you think I have a personality disorder? I don't have fibromyalgia btw.

I would say schizoid or borderline?
Posted by Paige
Vice President of the OT
Member since Oct 2010
85640 posts
Posted on 1/23/14 at 8:18 pm to
My pharmacist told me over a thousand when I lost mine & considered paying out of pocket for the month

Yeah, farmer. Latuda isn't as good as abilify for me but doesn't cause weight gain. It has zero side effects
Posted by Southern Farmer
Greenville, MS
Member since Jul 2012
3070 posts
Posted on 1/23/14 at 8:18 pm to
32
Posted by northshorebamaman
Mackinac Island
Member since Jul 2009
38339 posts
Posted on 1/23/14 at 8:18 pm to
quote:

That med made me cough something ridiculous.

Yeah, I had a pretty bad cough for the first week or so.
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
72482 posts
Posted on 1/23/14 at 8:20 pm to
Losartan and half of a fluid pill ftw now.
Posted by bencoleman
RIP 7/19
Member since Feb 2009
37887 posts
Posted on 1/23/14 at 8:22 pm to
quote:

SW2SCLA
You are wasting your time, He is out of control and apparently out of his mind. SF I am sure you are a nice guy but you should try to exert some control.
Posted by LSUballs
RayVegas LA
Member since Feb 2008
40383 posts
Posted on 1/23/14 at 8:22 pm to
I know who you is.
Posted by Paige
Vice President of the OT
Member since Oct 2010
85640 posts
Posted on 1/23/14 at 8:23 pm to
Ok I don't know what all that means but my adderall had to be upped from 20x2 to 30x2 on abilify.

No probs on latuda til I went up to 120. I had to go back up to sixty adderall because I couldn't drive. I kept wrecking

And I told my dr when he suggested 120 that I heard it was no more effective than 80 but he said that wasn't true & I could tell I was a lot calmer
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