Posted by Racer on June 4, 2004, at 16:22:55
In reply to Re: Any ideas on reducing AD-related hypotension? » Racer, posted by Sad Panda on June 4, 2004, at 14:00:29
None. So far, I haven't been able to tolerate any of them this time around. They've all just been unbearable and we've had to stop them before they'd have had a chance to work. (To be accurate, I just tried three days of Prozac and have to stop it because of the agitation. Misery + apathy + agitation = the new Black Box warning, you know? I'm feeling like I want to punish myself for not being able to keep trying, and feeling like I can't go on living anymore, but haven't been able to come up with a plan because it's too much trouble to come up with one. The addition of Prozac's agitation to that made finding a plan a PRIORITY, so it seems a lot safer just to stop it. Especially since we tried it last fall already, and this just got worse, with no improvements in sight.)
I am taking 100mg Provigil, though, which I started to combat the profound constipation after a Remeron trial. It helped a lot with my mood, although it didn't lift it, it relieved the frantic feeling that comes with depression for me. So, I'll continue that.
Please don't ask me what I've tried: my failure with Prozac means that the SSRIs are all out (although they've never worked all that well for me, anyway); Wellbutrin is contraindicated because the doctor considers me too high a seizure risk; Effexor is out because while it helped before, it was a partial response that didn't last all that long and came with too many side effects for me to consider trying it again; the TCAs I've tried have either been too sedating and not very effective (nortriptyline) or made me fall down (various, including desiprimine); and I haven't tried MAOIs for what seem pretty compelling reasons to me. (Including the fact that every time I think about trying them, the biggest incentive is that a week's worth can be fatal, and so I know they'd be effective in ending my suffering, you know?)
Guess I answered the unasked question anyway, huh? Do you know of anything that can stabilize my BP so that we could try the desiprimine again?
poster:Racer
thread:353748
URL: http://www.dr-bob.org/babble/20040602/msgs/353831.html