Question:
Are you aware of any physicians treating
BPD medically, as you do? I would appreciate any
assistance you can provide.
Dr. Heller's Answer:
There are a few, but they don't know
which medications to use and they try them all.
There is a false belief that no medications work
well. The literature shows many medications
work somewhat. The BPD needs a combination of
medications.
The Prozac (fluoxetine) / Tegretol (carbamazepine)
combination with as needed Haldol (haloperidol) is
amazing. If the Haldol (haloperidol) doesn't
work, I'll advise another Tegretol (carbamazepine)
dose and if that doesn't work Risperdal (risperidone)
3mg will make all dysphoria (anxiety, rage,
depression and despair) go away 24 hours later.
Unfortunately there aren't any studies with
combinations and as needed medications.
Rarely a BPD patient will respond to an alternate
medication such as Effexor (venlafaxine)
(particularly in high doses), but most don't.
Individuals with the BPD usually have other diagnoses,
especially ADHD, the generalized anxiety disorder,
obsessive compulsive disorders, and occasionally
bipolar. These need to be treated as well
because everything you have wrong with you makes
everything else you have wrong with you worse.
I wish funding could be arranged to study the
protocols I use in BPD treatment. I know they
work, as do my BPD patients and their families.
The literature backs them up individually, and one
in combination (Prozac (fluoxetine) with
Zyprexa (olanzapine) ) which I often prescribe for
the first 3 days. The success rates for this
regimen, including the as needed medications is
truly amazing. The only way that the medical
community can become aware of it is for a good, peer
reviewable study to be performed with that approach.
Millions of people would benefit from this study.
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