Posted by IsoM on January 15, 2002, at 1:13:52
In reply to Not sure what to do next ..... » IsoM, posted by spike4848 on January 14, 2002, at 23:41:38
Spike, I'm not in a position to advise anyone but you haven't given the SSRIs much of a try. Any reason? Some of them didn't work for me & some of them had side-effects too, too strong for me to tolerate, but right now Celexa is doing nicely (along with adrafinil).
For me, Celexa has been the best - lowest amount of side-effects (actually none I know of) & a pretty rapid response time. The adrafinil (for you, Provigil) is a wonderful addition to really make everything good. It seems to have over-all brain metabolism boosting power. (Sounds like some detergent commercial.)
If there isn't a reason you haven't tried more of the SSRIs, why not?
> 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
poster:IsoM
thread:90162
URL: http://www.dr-bob.org/babble/20020110/msgs/90242.html