Posted by Noa on November 22, 1999, at 20:03:53
In reply to Re: Still struggling..., posted by Phil on November 22, 1999, at 18:45:01
I just saw my pdoc tonight. He gave a list of possible changes, including an MAOI, increasing the serzone, increasing the effexor, increasing or changing the stimulant, starting on lithium or lamictal. I think to start I am going to increse the serzone a bit. I don't think this will be sufficient but it might help a little, and it might help more with the sleep problems. The MAOI is still out, because I am dependent on my nasal cpap to breathe and sleep, and if I have a cold, I have to use decongestants. Adam, lasar surgery has been explored, and I am not a good candidate. It might help a bit, but it would not likely eliminate my apnea. I am already supposed to have an increase in my ritalin, from 30 to 40 mg per day because I will be starting on the susained release. I also think I will go with the lithium or lamictal. I will be seeing my internist tomorrow. I am concerned about the swelling in my ankles, and whether this is a problem for starting lithium. My pdoc recommends the lithium over the lamictal as a first start with mood stabilizers. He thinks I am cycling, and have a cyclical depression in the bipolar family of depressions. He also wants me to check my thyroid and estrogen levels first before making any changes. I'll do that tomorrow.
poster:Noa
thread:15525
URL: http://www.dr-bob.org/babble/19991108/msgs/15643.html