Posted by Bob on September 14, 1999, at 14:37:44
In reply to Re: obsessions & concessions..., posted by dj on September 14, 1999, at 11:12:57
> Bob,
> You've probably written someplace in this miasma of commentary on what combo. of meds you are using and what you are using them to deal with but perhaps you could repeat that once again as I find my curiousity aroused by a your posts.Let's see how parsimonious (what a long word for "keep it short"!) I can keep this ;^)
(1)zoloft, then off for several months. (2)zoloft. (3)paxil. (4)wellbutrin. (5)wellbutrin/perphenazine. (6)prozac/wellbutrin/perphenazine. (7)cogentin,ativan(followed by zyprexa)[ER visit]. (8)prozac/clonazepam. (9)prozac/lithium/clonazepam. (10)zoloft/lithium/clonazepam. (11)zoloft/nortriptyline/clonazepam.
That's the list to date, prescribed for major depressive disorder & panic disorder. My pdoc has wanted to keep me away from TCAs because I seem to have a hair-trigger for side effects, so we're looking at augmenting SSRIs. The clonazepam has been a godsend for the panic. The cogwheeling (woodeness) was a reaction between the prozac and perphenazine, again, normally seen at levels at least 20x the dose of perphenazine I was on. Moving beyond it? Simple. Stop taking perphenazine. But that meant stop taking wellbutrin, because of the rages it induced (thus the need for an anti-psychotic med). Cogentin in the ER was a muscle relaxant, and I kept that up for a few days to help erase months of build-up. Zyprexa was the ER pdoc's follow thru on the ativan, and once that supply was out my own pdoc put me on the clonazepam.
As for any SSRI vs. other-AD undertone (didn't mean it, but after rereading I guess it *is* there) ... I'm quite fed up with my lack of response to SSRIs. Nortriptyline was a pretty big boost for me, so I would like to look a bit more closely at TCAs, particularly after reading some recent stuff about how TCA-non-responders often respond to SSRIs and, in my case maybe, vice versa. What's stopping me right now can be summed up quite succinctly: ADA and Job Action (how about that for a thread?). I can't afford any instability that a change in meds would cause right now.
Cheers,
Bob
poster:Bob
thread:11448
URL: http://www.dr-bob.org/babble/19990914/msgs/11563.html