Posted by Blue Cheer 1 on February 6, 2002, at 21:17:45
In reply to Re: Update on my broken brain and its treatment » Mr. Scott, posted by TSA West on February 5, 2002, at 0:52:52
> Dear Scott, you are not doomed, and here's why:
>
> You can try all kinds of things that are not antidepressants, like:
>
> Buspirone - as effective as an SSRI at 60-90 mg.
>
> All the anticonvulsants - including Topiramate and tiagabine.
>
> Pindolol - not just an augmenting agent.
>
> Selegiline - 60 mg of selegiline (an MAOI-B) is the equivalent of 30 mg of phenelzine according to one of Dr. Bob's colleagues on the Tips.
>
> Pramipexole, Bromocriptine, Ropinirole - dopamine agonists which have been tried in depression and bipolar disorder in the 1980s.
>
> And much more, which I can tell you about. For everyone who insists they have tried them all, there is 5 viable options. That is the great part about psychopharmacology.
>
> Keeping your best interests in mind,
> TSA West-------------------------- :)
These are some good recommendations, but what I see missing is a systematic treatment plan that targets specific symptoms or sets of symptoms. Also, adding one drug at a time is basic psychopharmacology. Third, the lack of response and the side effects Mr. Scott experienced on ADs aren't, by themselves, diagnostic of a bipolar disorder. I really don't understand the rationale for starting all of those drugs together.
Blue
poster:Blue Cheer 1
thread:92893
URL: http://www.dr-bob.org/babble/20020131/msgs/93125.html