Posted by SLS on September 1, 2000, at 9:11:45
In reply to Re: Vagus Nerve Stimulation (VNS), posted by Diane E. on August 31, 2000, at 13:16:07
Hi Diane.
I don't feel inclined to try VNS at this time. It is a difficult decision to make.
I just began taking a combination of Parnate + desipramine. My condition had deteriorated to a dangerous point, and I decided that it made sense to get some relief as soon as possible. Over the last ten years, this combination has produced only a mild improvement for me. However, in 1987, it produced the only sustained robust remission from depression I have ever experienced. Unfortunately, my doctor at the time decided to discontinue the combined treatment because I began to experience mania. When I relapsed fully into depression two months later, he wanted to try Prozac, which had then just been approved. A new toy. No luck. He should have immediately restarted me on what had worked the first time, given my history of treatment-resistance. For me, severe depression began in 1977 (age 17). His decision has cost me more than words can describe.
If you folks haven't explored MAO inhibitors in combination with other drugs, I think it makes sense to head in that direction should you choose not to go for the VNS.
1. Lithium
2. Tricyclics
3. Stimulants
- Adderal
- Dexedrine
- Ritalin
4. Dopamine agonists
- Mirapex
- Pergolide
- Parlodel
5. Lamictal
6. Other mood stabilizers
I am to see a new doctor in two weeks. I tried very hard to remain "clean" and give him a clean slate to work with. Hopefully, he will have some new ideas on how to augment Parnate. If he decides to have me discontinue it should it prove inadequate, at least my system will be in a better state to handle another period of ineffective treatments.Combining Effexor with Remeron is emerging as being a particularly effective treatment in difficult cases.
Good luck.
- Scott
poster:SLS
thread:44020
URL: http://www.dr-bob.org/babble/20000822/msgs/44228.html