Posted by IsoM on January 15, 2002, at 17:59:34
In reply to Re: augmentation..... » IsoM, posted by spike4848 on January 15, 2002, at 17:36:11
Great, Spike! I *know* you know this, but be patient. Do realise you're going to get discouraged & say "this crap isn't doing a damn thing for me!" & just go with the flow. Don't feel guilty about feeling discouraged during this period of finding something that works. Realise that it's perfectly normal to be discouraged & want to give up. Feel it - just don't give in & give up.
Just keep telling yourself that there's others rooting for you that have and/or are going through the same thing. And you're strong for tackling it & not giving up. Then, one day you'll look up & say "hey, the sun does shine after all!"
I think the person who finds a good AD or even a good combo first time off is very, VERY rare. Most of us who are functional or feel good have gotten that way after a long search.
>
> > I'd take the SSRI alone for a short while to make sure you can tolerate it & to see how well it works. Then, if necessary (& it probably will be), I'd augment it with a TCA that's worked well for you in the past.
> >
> > After that's stable & you find a combo that helps (it doesn't have to help 100%), I'd top it with Provigil (or adrafinil). It's used in Europe as an AD too, not just for memory & alertness. After all, the type of drugs they belong to are called eugeroics or good arousal.
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> I think that is exactly what I am going to do .... hey when I treat high blood pressure, I use one or two potent medication and sometimes top it off with a third .... why not do the same with depression. Hit it hard with medication that have different modes of actions ..... I really like the celexa with possibly pamelor or desipramine combo ..... thank isom .... and thank for sticking with me when I did respond to your first post ask my medication history. I was kind of embarrassed to have been on so many medication without sucess .....
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> I will keep you updated!
>
> Spike
poster:IsoM
thread:90162
URL: http://www.dr-bob.org/babble/20020110/msgs/90350.html