Posted by mtdewcmu on December 30, 2009, at 22:21:57
In reply to Re: Trying a different tack, posted by Phillipa on December 30, 2009, at 10:53:18
> I wish you luck why did you decide this? Just curious. Phillipa
I have been on Prozac for three weeks, and I started taking 40mg a few days ago, and I am feeling no better now than I was three weeks ago. I know that you're supposed to wait longer than 3 weeks for meds to work, but I have run out of patience with this process. Also, I read a study that showed that if you don't see improvement after 2 weeks on a med, your odds of ever seeing any improvement are slim.
I am thinking that the Remeron and Prozac are canceling each other out. Part of the way Remeron works is to block serotonin receptors, and Prozac increases extracellular serotonin, so it seems like I'm forfeiting the benefit of blocking 5-HT2 by taking Prozac. I want to see what Remeron is like by itself. I have actually felt better each time I have increased the Remeron.
Moreover, I am looking ahead to what other meds I might try. I have just about given up on SSRIs. If Remeron by itself if not sufficient (along with WB, possibly), then I would like to maybe try some nortriptyline and/or lithium. I'll see if my pdoc has any suggestions.
poster:mtdewcmu
thread:931562
URL: http://www.dr-bob.org/babble/20091227/msgs/931694.html