Posted by ben on March 5, 2001, at 11:54:21
Hi babblers
My depression started in the autumn of 1999 after a mononucleosis. First I tried Trimipramine (Surmontil) up to 150 mg and it worked well for my sleep but not for my melancholic mood. I went off it because i felt too much sleepy during the daytime. Then I tried Citalopram (Celexa) which worked a little while (4 weeks). I increased the dose up to 40 mg but nothing happend. My doc added Effexor to the Celexa (up to 150 mg) and it worked good on my mood but I experienced awful headaches. Then I decreased the Celexa and after 2 weeks I pooped out. Then i changed the doc who found the Celexa/Effexor combo very strange. He suggested me to come off the Effexor and increasing the Celexa to 100 or more mg a day (he had some good responders on higher doses of Celexa)
I tried this option but i felt loss of drive and sleepy during daytime (small doses made me nervous and gave me drive). Then my doc added a small amount of lithium to 100 mg Celexa. I experienced nausea, nervousness and anxiety, so we stoped
this trial after 2 weeks. The next step was adding Remeron. I took 7.5 mg to 60 mg of Celexa and after 2 days my mood improved, but I felt very sedated and my head was all the time drugged.
After a week I couldnt tolerate this side effects and
we stoped the Remeron. 2 weeks ago I started to add 1 tablet of Deanxit (Flupentixol 0.5 mg + Melitracene 10 mg) to 60mg Celexa and after 3 days I remarked an improvement. My doc told me to increase the Deanxit to 2 tablets but I didnt feel a difference. Today (after 10 better days) I felt more depressed again, it comes over me like a dark cloud who brings storm and blizzard. What should i do next?
1) increasing the Deanxit (flupentixol+melitracene)?2) adding Risperdal or Amisulpride (Solian)?
3) adding a noradrenergic agent such as nortryptiline or dibenzepine ?
4) changing to a RIMA/MAOI like moclobemide ?
5) changing the ssri (I think serotonine alone is not the way to treat such a depression ?!)
There are many options but I dont know which could be the best to my depression type: melancholic mood, loss of self esteem and interests (anhedonia).
I hate being an object of trial, all these med changes make me sick. Is it possible to feel depressed because nof the meds ? It is said that they change your vision of living ?!Any ideas or suggestions ?
Many thanks
ben
poster:ben
thread:55621
URL: http://www.dr-bob.org/babble/20010302/msgs/55621.html