Posted by shar on August 15, 2000, at 20:12:57
I've been wondering if there isn't a way to determine what meds might work with whom? That is, some sort of map or matrix that shows if you have trouble with x, and insomnia with y (in an xy combo), and had no effect from a previous try on z, the next step would be to try...a, or a combo of abc.
It seems that there should be some underlying pattern that says that success with x probably means success with y; or success with x probably means trouble with y. Because, even though there is individual variation, the drugs do act on specific chemicals in our bodies (serotonin, others I can't spell). And, depending on how we do on certain ones, shouldn't we be able to approximate a "next step" if we are not being helped?
For example, I used an SSRI that started out great but pooped out really quickly. So, my doc said we wouldn't try any more SSRIs. I thought that was sort of premature, but what do I know?
I did find a site that was designed to help docs figure out what types of meds (SSRI, tricyclic, MAOI) would be of probably benefit based on diagnosis and symptoms. It had you answer questions and depending on answers, would lead you to more questions, ending up (I assume) with recommendations. However, it was too technical for me to get through, had some DSM questions (if I remember) and other diagnostic criteria that I couldn't answer.
I guess it just seems like we end up rolling the dice or something, or choosing meds based on really gross distinctions, and I find it harder to research combos especially if it is 2 ADs, vs. 1 AD plus Ritalin or something.
I anybody knows of some sort of tracking system, or matrix, I would appreciate the info.
Thanks!
Shar
poster:shar
thread:43008
URL: http://www.dr-bob.org/babble/20000811/msgs/43008.html