Posted by seekinginformation on November 2, 2014, at 1:24:51
In reply to Re: Need thoughts as to where to go next- longer post, posted by Christ_empowered on November 1, 2014, at 22:51:05
Thanks for the information. I am meeting with my doc later this week, and will discuss some options. The OCD and anxiety is frustrating, and I want to get it under control.
I personally wouldnt mind an AP, but the problem I have had with them is akathesia. I tried low dose seroquel years ago, and felt like I was going to blow right out of my skin. I couldn't increase my prozac either without severe issues, and I consider myself to be quite the trooper... I am usually willing to white knuckle the side effects, but those EPS issues floor me. The extreme weight gain also makes them concerning, particularly when there are good SSRIs out there.
I did do well on Zoloft years ago, and was able to ramp up the dose to 100 MGs. I also tried Luvox about 10 years ago. I remember alot of peaks and valleys, but it did help me.
As for my pdoc, she seems like a good doctor, and is compassionate. I think that she is concerned with all the changes made over the past couple of months, and wants to watch over things closely and see exactly what is happening with me before making any big changes.It's wierd, but the Topamax worked wonders... it calmed my mind so much. I miss it. I would be willing to revisit it, but I would drop the Neurontin first, I tried those two together and something did not work out. Another option I've considered asking about is to bump up the Neurontin... the dose is awfully low. Finally, I am going to start taking an AM dose of Klonopin that my doc wants me to take, it should help put out some of that anxiety fire.
I appreciate all the information! If you have any other ideas, please do share.
Thanks again!
> I'd personally see about Luvox, like Phillipa suggested. I'd also see about either increasing the Klonopin or switching to another benzo, like xanax xr, ativan, or good ole valium.
>
> Neurontin can help at that dose. I usually take 100mgs at a time when I need it, which isn't very often. But...I'm on other, stronger anti-convulsants, plus Abilify.
>
> If you're wanting to try a supplement, maybe high doses of Inositol? You'll have to Google dosage for OCD, but it helps some people.
>
> Its weird to me that you were on Topomax. That's beyond off label. Can you get a new pdoc?
>
> Lyrica is sort of like super neurontin. Sufficiently high doses could replace both the klonopin and the neurontin. Its a barely controlled substance (schedule V), so there is a dependence issue sometimes. I think its 2x daily dosing.
>
> Ummmm....for the AD start up and taper off Prozac, maybe a low dose AP? Some atypicals are generic now. Low dose risperidone, olanzapine (Zyprexa), maybe a low dose of loxapine or good ole thorazine, perphenazine, whatever...to ease the transition and maybe help you get some sleep, too. Actually, come to think of it, zyprexa is sold in combo capsules with prozac. Its for bipolar I depression and also treatment resistant depression, but....
>
> ...the zyprexa super charges the prozac and counteracts some side effects. There can be considerable weight gain, but that's not always the case. Just a thought...adding low dose olanzapine might counter some of the problems you're experiencing and get better control of your problems.
>
> Good luck!
poster:seekinginformation
thread:1073091
URL: http://www.dr-bob.org/babble/20141017/msgs/1073101.html