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Re: Depression moclobemide narcolepsy

Posted by SLS on January 17, 2004, at 11:14:49

In reply to Re: Depression moclobemide narcolepsy, posted by MARKED on January 17, 2004, at 9:39:25


> What is your situation with what medications, and treatments you are (or have) used ?? And what seems to be the major frustration now while being on moclobemide??

I became severely depressed at age 17. At age 22, I was diagnosed as having unipolar depression at Columbia Presbyterian Hospital. I began with the tricyclics and MAOIs. Prozac hadn't been approved yet. At age 27, I was successfully treated using a combination of Parnate + desipramine. Unfortunately, I became severely manic after experiencing 6 months of remission. It was my first manic episode and it seemed to be medication induced. Because of this reaction, I was later diagnosed as having bipolar depression. My doctor at the time elected to have me discontinue the antidepressants and added lithium. I relapsed into depression two months later. The combination treatment did not work subsequently, and have been stuck in the depressive state ever since.

Right now, I am taking:

Lamictal 300mg
imipramine 300mg
Zoloft 200mg
lithium 300mg
Abilify 10mg

I just added the lithium. Although I have tied it in the past at dosages up to 1200mg, I have never used it as an augmentor to Lamactal or Zoloft. As an augmentor, I would like to keep the dosage below 600mg

I tried moclobemide seven years ago. It made me unimaginably worse.

With most people, moclobemide produces an improvement during the first week and at low dosages < 300mg. Thereafter, it takes higher and higher dosages to maintain the antidepressant effect. Dosages as high 1200mg are sometimes necessary. This is a common scenario, and I don't think the drug is used as a first-line treatment.


Best wishes,
Scott

 

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