Posted by Anna Laura on April 10, 2001, at 4:28:00
In reply to Long term depression :Any advice?, posted by Anna Laura on April 9, 2001, at 14:37:47
I'will try to answer to each one of you writing a single mail, hoping to cover the missing pieces of the puzzle.
My pdoc told me that prozac interact with imipramine by elevating the blood levels of imipramine, thus creating an "additive effect". i.e. : if i i'm taking 100 mg. of Tofranil while taking prozac at the same time, the amount of imipramine, because of the interaction with fluoxetine, would "pile up", sometimes even doubling. The result it would be as if i were taking 200 mg. instead of 100 mg.
As a matter of fact, i was scared of lowering the tofranil dose so abruptly before the prozac could kick in, thus ending up feeling "uncovered". But my pdoc assured me that it wasn't going to be like that. The problem is that i i feel like imipramine ceased working. I lost my appetite, feel more apathetic and insecure and i 'm kind of scared of things again.
I don't feel suicidal, but i don't feel my body anymore : i feel like a ghost again, plus I can't concentrate: right now i have difficulties writing this mail: i hope it won't sound odd or confusing.
I 'm afraid that the so-called "additive effect" might vary a lot between individuals because each one of us has a different metabolism. I probabilly need to augment the imipramine dose, but my pdoc is always too cautious about it. I tried to talk with him yesterday but i couldn't find him. Sometimes i can't contact him for days.
I'm fed up with this. I 'm quite reluctant about seeing others pdoc because some of them tend to suggest hospitalization for medicine testing. I don't see the point because i'm not suicidal (i've never been) nor i'm psychotic (not now).
So why should i hand the stress of hospitalization?
On the other hand my current pdoc is too much "dégagé" and careless. He's always like : "don't worry about it, everything it's fine". Or : "You know, depression is a part of the life process". I need to find "somebody-in-between" these two extremes.
I have got an appointment today with another pdoc, kind of scared, but i'll go anyway.
Perhaps i've just to try and try until i find somebody suitable for me.
Thank you all for answering me.Blesses,
Anna Laura
poster:Anna Laura
thread:59220
URL: http://www.dr-bob.org/babble/20010403/msgs/59288.html