IS THERE A MEDICATION COMBINATION THAT WILL WORK? Ask The Doctor Dr. Leland Heller Biological Unhappiness IS THERE A MEDICATION COMBINATION THAT WILL WORK? Question: I am 23, a single mom, my son is three. I live with my mom. I need help. I was hospitalized sept 04 and Dx with Borderline Personality Disorder. They put me on some meds and I was doing pretty well for a few months but now I think my meds need changed. I am getting messed up again. I can’t think. I get moody and angry. I hurt myself. I am in paramedic school and I don’t want this to ruin my life like it almost did last year. I got fired and wrecked my car and, hurt myself. right now I’m not that bad but I don’t want to get worse I want to get better for myself and my son. I’m not sure of all the meds they put me on in the hospital but I’m currently on Seroquel 25mg, Lexapro 20mg, Klonopin 1mg all at bedtime. I also have Ambien 10mg but I don’t take them every night. I feel like I’m headed downhill fast and I don’t want that. What med combinations are good for me? I know that’s hard bc you don’t know me. I wouldn’t consider myself severe, but I don’t think my meds are working anymore. I don’t want to hurt myself anymore. My Dr. is a PA and doesn’t know much about this sort of thing. I live in a small town and don’t think there is anyone around that can help me. Please, Please, Please Reply. Dr. Heller’s Answer: Seroquel is great for sleep, although you’re on a minimal dose. It rarely has any positive effect on the BPD. Klonopin (clonazepam) can help with restless legs syndrome and is reasonably safe at night, but can cause a worsening of losing control of one’s behavior. Lexapro (escitalopram) has been disappointing for BPD treatment. It helps some people, but is not as effective as Prozac (fluoxetine). Ambien (zolpidem) helps many individuals with sleep but doesn’t have much effect on the BPD, although the BPD gets worse with sleep deprivation. The Prozac (fluoxetine) / Tegretol (carbamazepine) combination is unsurpassed in terms of effectiveness and lack of side effects. Prozac (fluoxetine) with Zyprexa (olanzapine) is very expensive and causes significant weight gain.http://pks.947.myftpupload.com/bpd.htm explains how I treat the BPD and why, particularly the as needed medications for dysphoria (anxiety, rage, depression and despair):http://pks.947.myftpupload.com/dysphori.htm 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home MENU: Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (TM) Start here to find it FAST!(TM)