Posted by socialdeviantjeff on January 25, 2004, at 19:18:49
In reply to Re: When do you decide to go to the hospital?, posted by SLS on January 23, 2004, at 23:48:24
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> What do you mean by saying that "this has been done before"? Done by you?
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I guess what I meant was the "when to hospitalize" question has been done before. I'm just not much for lurking through the archives.> > I'm still on Perphenazine and starting Lamictal.
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> What's the game plan?
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Beats me. I think my pdoc may put me on Parnate.
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> There is often a cost versus benefit decision that must be made. Unfortunately, it might be a rough ride before you find an optimal treatment regime.
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Very true. For me the benefit has been a little more self-control. I'm still alive. The cost, though, has been tremendous as far as health and finances.>
> Things might get worse before they get better, especially since it takes so long to titrate Lamictal to a therapeutic dosage. If you're lucky, you might see some preliminary improvements occurring at 50-75mg.Hope so.
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> > Delusions and hallucenations worsening.
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> That's not cool.
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> Do you have psychotic depression? I know of someone who does very well with Wellbutrin, Neurontin, and Risperdal. She might have a bipolar thing going on with her. I guess that's why she is taking Neurontin.
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> I think you should speak to your doctor ASAP, and tell him that you have become seriously / severely depressed and are experiencing delusions and hallucinations. This is an urgent situation. I don't think perphenazine is particularly good for depression. It might be worth investigating Zyprexa or Risperdal for immediate relief and work from there. Probably Risperdal.
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Thanks, however I'm allergic to both Wellbutrin and Neurontin (prozac too). I was getting some relief from the Perphenazine, but I think it's pooped out. I talked to my pdoc about Risperdal, but at the time the Perphnazine was working somewhat. Because of the reactions I've had, he's worried about TD. I will bring it up again with him. I do have psychotic depression.> > Side effect-wise, I'm too tired to do anything at all. loads of cognitive and memory problems.
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> Those sound like symptoms of severe depression. I wouldn't place all the blame on the medication. The anxiety can certainly come from Effexor withdrawal.
>I definitely agree onthe anxiety. I reallycan't tell if the drugs I've tried have exascerbated the symptoms or if they sre actual side-effects. Probably both.
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> If you were your own best friend, I bet you would do anything to convince your friend to get to the doctor IMMEDIATELY.
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> > Sooo.. I'm afraid of calling my pdoc.
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> Why?
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> > I don't think he'll listen.
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> I know it can be difficult to "impose" on your doctor. But I'm sure he would want you to call him/her.
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> > Just not sure what to do. At what point would it be good to consider admitting myself?
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> It sounds like you are getting close. If you are having suicidal or homicidal thoughts that are becoming overwhelming, you certainly need to speak to your doctor and let him help you decide what to do.
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> I wish you all the best.
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> - ScottThanks, Scott. I haven't been able to get a hold of him, but will try on Monday. I do appreciate your advice.
poster:socialdeviantjeff
thread:304860
URL: http://www.dr-bob.org/babble/20040122/msgs/305409.html