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Zoloft, Luvox, Pdoc recommnendations

Posted by Dinah on October 24, 2001, at 12:57:27

I had an appointment with my pdoc today. We are going to try doubling my Depakote from 62.5 to 125 mg and continue my Klonopin of .5-1 mg as needed. So far so good. He has suggested adding a pediatric dose (or even half a pediatric dose) of Zoloft. I am "exquisitely sensitive" to meds (in his words).
My question is this. I was on Luvox at 100 mg for four years for OCD and depression. At one point I was up to 300 mg. I finally got tired of the apathy, poor memory, slowed thinking, limited emotional range, and sexual side effects. I now see SSRI's as a last resort. Would such a low dose of Zoloft cause the same side effects?
Now for the history. If you don't want to be bored senseless, you can stop reading here.
Every two or three months (I guess - I need to chart). I have an "episode" that goes something like this. I will get extremely upset about something that has happened many times before and will happen many times again without bothering me. For some reason, I go into a tailspin over it this time. I become non-functioning, or barely functioning, as I spend days ruminating about the terrible calamity as I rock, or curl up in bed, or hide in the closet (to reduce sensory input). I will be anxious, agitated, and sad. I will obsess about self injury or suicide. It lasts for two or three weeks. Then I will have a couple of days of INTENSE ruminations where my mind feels absolutely stuck in a rut. These ruminations aren't usually related to the previous ones, and can be about anything, even a good enthusiasm. After the obsessive period, I feel somewhat unstable for another few days or so. Then I am fine until the next episode. By the way, these episodes also occurred on Luvox, although less frequently and less well defined. However, I was more likely to self injure while I was on Luvox (possibly because I am more out of touch with my feelings.)
My pdoc says these are depressive episodes. My therapist doesn't seem to understand it and just tries to avoid setting me off. I really want to understand it. If anyone has any ideas why I might do these things, please feel free to speculate.
Thanks for bearing with me.

 

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poster:Dinah thread:82198
URL: http://www.dr-bob.org/babble/20011015/msgs/82198.html