Posted by Elizabeth on February 7, 2002, at 21:47:02
In reply to prozac/general meds query, posted by kreedi on February 7, 2002, at 1:11:54
Hi there.
I think you should definitely try going higher on the Remeron. My pdoc says he always starts people at 30 mg and he's found that they tolerate that better. You know your fear is irrational, right? :-) Seriously: do you ever talk to your analyst about the way that you jump from one med to the next? I think that could be very destabilizing, and it might be contributing to your problems.
BTW, I think that while psychoanalysis might leave you upset after a session, in the long term it's more likely to help you feel more stable and at ease than to worsen your depression. I'm assuming that you have an analyst you're comfortable with, since you've been doing it for three years.
> My questions are: (1) Should I stick with the Prozac? Lower the dose to 10mg (lowering the dose seems to help some people, right?) or increase to 30mg?
If the side effects are causing problems at just 20 mg, maybe you should try going down to 10. That's my opinion. A lot of people need to start taking SSRIs at low doses.
> (2) Should I/Can I combine Wellbutrin and Remeron?
I think Remeron might be good to add. It can help alleviate some of the side effects of SSRIs, such as anxiety, insomnia, weight gain, sexual dysfunction, etc. You could also combine WB and Remeron. But TSA West's advice -- don't mix things until you've figured out what the first thing does -- is good, and you should definitely heed it.
> (3) Try the tricyclics or even MAOIs? Mood stabilizers? (Some of the newer drugs aren't available where I live yet.)
It depends what sort of depression you have. "Depression" covers a lot of territory, and I'm not sure what you're dealing with.
You should probably try the newer ADs first, since they're generally safer. (MAOIs and TCAs aren't anything to be afraid of, but they're no longer first choices, that's all. It's pretty easy to manage the side effects of the TCAs and follow the dietary restrictions of the MAOIs.)
Welcome to Psycho-Babble. :-)
-elizabeth
poster:Elizabeth
thread:93157
URL: http://www.dr-bob.org/babble/20020131/msgs/93257.html