Posted by Mags on January 14, 2002, at 23:55:13
In reply to Not sure what to do next ..... » IsoM, posted by spike4848 on January 14, 2002, at 23:41:38
Spike, I have tried many of what you have with similar responses. I am now wondering if we just can't take anything in large or even therapeutic doses. Do you think it makes sense to take small doses of a few differrent meds?.You have taken large doses with minimal response. I was thinking this combo for me.
25 mg lamictal
low dose Neurontin
Prozac 20mg
Effexor 75 mg
Wellbutrin low dose
Provigil
Your combo is out for me cause of the weight gain and I couldn't tolerate lithium.
Any thoughts anyone?
Mags
> > Spike what other ADs have you used in the past besides Nardil?
>
> Here is the list:
>
>
> Imipramine to 300 mg/day - minimal response
> effexor to 350 mg/day - minimal response
> Wellbutrin to 300 mg/day - anxiety
> Imipramine and Lithium - worked ... used for 3 years, side effects of severe memory impairment, sexual dysfunction, tremor, sedation
> Remeron and Lithium - minimal response
> Nardil 60 mg/day - worked ... used for 4 years on and off .... but weight gain, sexual dysfunction, insomnia, memory problems
> Zoloft to 250 mg/day - minimal response
> Pamelor to 150 mg/day - minimal response
> Lamictal to 400 mg/day - minimal response
> Lamictal and ritalin - minimal response
> Lithium to 900 mg/day - minimal response
>
> * all the above are with 0.5 mg/day klonopin for panic attacks
>
> So really only Nardil and Imipramine/lithium have worked
>
> With Nardil my mood is actually 100% .... but I gain 35 lbs, impotent/decreased libdo, memory loss, insomnia (need ambien or no sleep all night) ..... so recently with all the weight gain I was getting afraid of developing diabetes and was tired of all the side effects .... so I tried lithium thinking maybe I am a soft bipolar(failing multiple antidepressants, atypical depression, have one relative with bipolar disease) ..... at 900 mg/day minimal effect .... I tried to go higher but had problems with vomiting
>
> So now I am considering
>
> 1. Back to Nardil with its side effects
> 2. Try Parnate
> 3. Try SSRI + lithium augmentation
> 4. Try Pamelor + zoloft
> 5. Provigil
>
> Don't know which way to turn .....
>
> Spike
poster:Mags
thread:90162
URL: http://www.dr-bob.org/babble/20020110/msgs/90223.html