Posted by jamie on December 19, 1999, at 2:45:44
In reply to Selegiline Expertise Needed Again, posted by Judy on December 18, 1999, at 14:19:35
Sorry Judy, I'm no expert. But I remember other people here that have taken selegiline reported a fairly long lag period. Something like 5 weeks or so. I read that somewhere too. If you can, you might want to stay with the 60mg for another full 2 or 3 weeks. If you go that long with no improvement, then I would say you gave it a solid trial. The highest dose I've heard about is 80mg.
Only the experts or the brave would augment the maoi. That's tricky business and potentially dangerous or deadly. I bet if we asked your question in a survey of pdocs lithium would come up as the top choice. Probably a few would suggest adding a small amount of a tca (but not clomipramine). That would help with sleep too. I guess wellbutrin might be possible, but then sleep would be even worse. I think I remember reading that 80mg was the maximum dose of selegiline used in depression. Maybe even a touch of pindolol might do the trick. But anything you do is potentially very scary if done without extreme caution. Your situation certainly warrants ECT treatment, if you haven't done that already.
There's nothing left you haven't tried? I don't know. I don't think an entire lifetime is long enough to try everything. What have you tried? Maybe if you give us a history of your diagnosis, treatment, doses, reasons for discontinuing, etc, we might be able to come up with some ideas. Can you share with us your history? I bet some good ideas will come up. jamie
poster:jamie
thread:17103
URL: http://www.dr-bob.org/babble/19991212/msgs/17119.html