Posted by uncouth on May 3, 2009, at 21:26:32
Yes, things have gotten bad, very bad. I didnt think things could "feel" any worse, well that was before the depression snuck its way into my "feeling" abilities themselves....if that makes any sense. I feel qualitatively worse than I did since Wed, my last ECT treatment before we decided to spread them out a bit further; my next one is on Tues. But im not sure if i'm going to make it another 24 hours, to be honest. But I think I can manage to pull together one last round of med cocktail adjustments to give me a tiny bit of HOPE. Because thats what left me the past few days...my sense of hope. You don't realize how much we as depressed people rely on hope to get through the day, and to function reasonably well. Hope embuues everything. And when it left me, my emotional, cognitive, memory, mind state, well they all qualitatively changed for the worst. Thus the WHOLE I have found myself in.
I think i can muster up the hope for onr last set of med changes. So asking for advice here, (seeing my doc on Wednesday as well).
Here's what i'm currently on:
> Ixel 100mg (milnacipran)
> Rilutek 100mg (riluzole)
> Nortriptyline 200mg
> Agomelatine 50mg
> Lithobid 600mg
> Lunesta 3mg
> Geodon 120mg
> Selegiline 4mg
> Namenda 40mg (memantine)
> Deplin 7.5mg
> Adderall 10mg
> Armour Thyroid 1 grainHere's what I'm thinking. Drop the Ixel, decrease Geodon to 80 or 60mg, drop the Rilutek.
Add in X to the Nortriptyline as my primary A/D. I should note i've only been on 150-200mg of Nortryptilne for alittle over a week now, so perhaps it hasn't had its chance to do its thing. Nevertheless, during that time, things have gotten terribly worse.
I'm thinking X could be one of the meds i've tried and had partial repsonse to in the past: Effexor at 450mg, or, and this is where I need help from you folks, Parnate at 80mg. Can someone tell me what the protocal is for MAOI + TCA combinations? I know its technically a no-no, but it has been done before. Scott, bleu? Someone?
Love,
A.V.
poster:uncouth
thread:894125
URL: http://www.dr-bob.org/babble/20090426/msgs/894125.html