Posted by Bob on December 16, 2011, at 17:51:20
In reply to Re: Effexor 450 mg? » SLS, posted by Phidippus on December 16, 2011, at 17:41:36
> Describe your depression to me. Negative thoughts, no joy? What?
>
> Something's not right with your picture, you know that. You're on a lot of drugs that provide antidepressant benefit, yet you're still stuck? These drugs aren't working for you, period.
>
> You're stuck with the complexity of bipolar depression, correct? I'm assuming you're bipolar because you take Lamictal and Lithium.
>
> Bipolar depression is a different beast. Living with it I have discovered it does not respond to antidepressant therapy the same way regular depression does. There are drugs, though that have proven efficacious for bipolar depression: Zonegran, Riluzole, Ketamine, Opiates, Mirapex, etc.
>
> The combination you are on is not working for you. Stop going back to medications that may have worked in the past. Try to look at your situation with a different perspective. You don't need all these ADs.
>
> Eric
>
I'm not sure where he would get ketamine, opiates, VNS, or DBS for that matter. The only available outlets are studies which involves some luck for getting into. He does need to reset somehow though I think. Short of ECT which seems just to be too much all at once for some (me included), what about rTMS? It might be a little easier to get some treatment with that modality and it just may change the baseline a little.Of course, if he is able to get any of the the aforementioned treatments, then I personally would go for it. Come to think of it, VNS is FDA approved now, so that might be easier to get.
Bob
poster:Bob
thread:1004067
URL: http://www.dr-bob.org/babble/20111208/msgs/1005063.html