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Not sure what to do next ..... » IsoM

Posted by spike4848 on January 14, 2002, at 23:41:38

In reply to Re: How depressed are YOU? » spike4848, posted by IsoM on January 14, 2002, at 20:44:01

> Spike what other ADs have you used in the past besides Nardil?

Here is the list:


Imipramine to 300 mg/day - minimal response
effexor to 350 mg/day - minimal response
Wellbutrin to 300 mg/day - anxiety
Imipramine and Lithium - worked ... used for 3 years, side effects of severe memory impairment, sexual dysfunction, tremor, sedation
Remeron and Lithium - minimal response
Nardil 60 mg/day - worked ... used for 4 years on and off .... but weight gain, sexual dysfunction, insomnia, memory problems
Zoloft to 250 mg/day - minimal response
Pamelor to 150 mg/day - minimal response
Lamictal to 400 mg/day - minimal response
Lamictal and ritalin - minimal response
Lithium to 900 mg/day - minimal response

* all the above are with 0.5 mg/day klonopin for panic attacks

So really only Nardil and Imipramine/lithium have worked

With Nardil my mood is actually 100% .... but I gain 35 lbs, impotent/decreased libdo, memory loss, insomnia (need ambien or no sleep all night) ..... so recently with all the weight gain I was getting afraid of developing diabetes and was tired of all the side effects .... so I tried lithium thinking maybe I am a soft bipolar(failing multiple antidepressants, atypical depression, have one relative with bipolar disease) ..... at 900 mg/day minimal effect .... I tried to go higher but had problems with vomiting

So now I am considering

1. Back to Nardil with its side effects
2. Try Parnate
3. Try SSRI + lithium augmentation
4. Try Pamelor + zoloft
5. Provigil

Don't know which way to turn .....

Spike


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