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Re: What to do

Posted by JohnL on April 20, 2001, at 4:40:52

In reply to What to do, posted by Elizashae on April 19, 2001, at 15:41:23

> Hello all. I'm new to this board and am in need of advice.
> I have major depression and Panic. I'm currently taking 15mgs of Remeron(just started), .5 to .75 of klonopin(weaning off) and just finished Paxil at 40 mgs and am jumping over to prozac at 20mgs.
> I guess the advice I'm looking for is I've tried all the SSRI's and they don't do much for me. I've also been on Wellburtrin, Serezone, Effexor XR, trazadone, etc....to much to name.
> I do have problems with eating and sleeping to much when depressed and when on anti-depressants.
> Please....what route do I take now?

It sounds to me like you could do well with either a stimulant, an antipsychotic, or both. My personal preference would be to add Zyprexa to your favorite SSRI so far. Give it two weeks. If needed, then try Risperdal for two weeks as a comparison. On the back burner could be Ritalin and Adderall for future trials if needed.

I mention these two classes of meds because we happen to see a good amount of success stories with them, most especially in patients who have not done well with a variety of antidepressants.
John


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poster:JohnL thread:60484
URL: http://www.dr-bob.org/babble/20010417/msgs/60549.html