Answer

Thanks for the reply .

 

Well, although you have been diagnosed with 3 psychiatric conditions , such as Bipolar disorder , OCD , and Social anxety disorder , but your current treatment regime entails a lot many drugs , some of which are unnecessary and most probably your present symptoms of Tremor are a result of overloading with too many medications , that is Iatrogenic ( drug induced )Tremors.

 

You see you have been currently placed on all 3 types of Anti depressants such as TCA anti depressants ( clomipramine ) , SSRI s ( lexapro ) and SNRI s ( effexor ) , and such type of Poly pharmacy , not only will make you resistant to all the anti depressants , thereby leaving very few or no option for treating your depression , but also it puts you at a risk of a life threatening condition , which occurs due to the overlaoding with too many anti depressants , which is called as Serotonin syndrome .

 

Also, you have been placed on 2 mood stabilizers such as Lithium and Lamotrigine, which i feel is not required , as Lithium can very well control your mood symptoms of bipolar disorder and prevent occurrence of a manic episode.

 

So, i will suggest that you ask your doctor to review the current treatment regime , as it is due to the excessive medications , that you have developed tremors , and this may not limit to tremors and may lead to other distressing side effects also.

 

As far as the drug which may help you in controlling your tremors is called as Requip ( ropinirole ) . Requip , is basically FDA approved for treating Restless leg syndrome ( RLS ) , but is also very effectively used in treating Parkinson's symptoms , in which tremors is one of the symtpoms .

 

Another drug option for controlling your tremors , is use of Anti cholinergic drugs .These may also control tremors.

 

So, you have got two new drug options for controlling your tremors , namely Requip and Anti cholinergic drug , but i will suggest that you give Requip the first try , as although it is unconvental for its use , but is more likely to help in controlling your tremors.

 

So, below i am mentioning a revised Treatment regime , in which i have edited some drugs which are just overloading your system , causing more harm than good , whie their action is well performed by another drug in the regime.

 

1) Clomipramine -- continue in present dosage , it is the drug of choice for treating OCD , and is also very effective in treating depression.

 

2) Lithium -- continue in present dosage ,as i am suggesting discontinuing of lamotrigine , as lithium alone can be sufficient tot take care of your present symptoms.

 

3) Diazepam -- continue in present dosage , this is a very good drug to be used to control tremors.

 

4) Synthroid -- continue in present dosage.

 

5) Dexedrine -- continue in both spansule and tab forms , in the prescribed dosage.

 

6) Seroquel -- as of now continue in present dosage , but you may ask your doctor to slowly bring you off this drug , as once stabilized on lithium , you may not require such an anti psychotic .

 

7) Requip / Anti cholinergic drug -- i will suggest you ask your doctor to start you on requip first , and decide on its dose and time of intake. Anti cholinergic drug is a second option.

 

So, i suggest you to discuss this revised treatment regime with your doctor , and get started on it , and hopefully your tremors will be taken care of , and you will eventually get a relief from them. I have suggested to stop 3 drugs form your current regime-- lexapro , effexor and lamotrigine ,as they are just overloading the system and their actions are well performed by other drugs.

 

I am mentioning below a few links which will throw more light on th drugs i have suggested to treat your tremors.

 

http://en.wikipedia.org/wiki/Anticholinergic

 

http://www.drugs.com/requip.html

 

http://en.wikipedia.org/wiki/Serotonin_syndrome

 

I wish you best of health. Take care . God bless..

 

I hope my answer serves your query according to your satisfaction.

 

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Regards...