Posted by Dr. Kramer on April 2, 2002, at 11:16:13
In reply to Dr. Kramer: about augmenting drugs after poopout, posted by shelliR on April 1, 2002, at 19:34:58
> Hi Dr. Kramer.
>
> After many successful years nardil completely stopped working for me. I have had two successes with nardil (after poopout) and lamictal. The first try was successful with 200mg of lamictal; the second with 400mg of lamictal.
> Have you seen this need to increase when starting over on lamictal (I got off it because of water retention and before I fully realized that I was treatment resistant.) I am now at 450mg of lamictal and willing to go to 600mg.
>
> Now I am off nardil and the last psychopharmacologist I saw, said he didn't
> think nardil was a factor with my last
> success with lamictal, since nardil had completely pooped out for me and recommended lamictal by itself.
> (Nardil was totally non-effective with every other combination I tried, including mood stablizers,provigal, stimulents, etc.) He advised me not to start nardil again. Would you agree,
> or would you advise me to start nardil again with the lamictal? In other words, does a totally pooped out med really work in combination, or is augmentation only successful with at least partially successful drugs.
>
> One more question: have you seen success with effexor once nardil has
> pooped out? I threw up both a pill and 1/2 pill years ago, but
> maybe this is the direction that might be helpful. Any thoughts, especially on effexor vs remeron. No SSRI has ever worked for me.
>
> Thanks,
>
> ShelliI'd defer to your doc, who knows you better than I, but I would add that sometimes drugs that poop out work again after a long holiday. If SSRI's didn't work, more noradrergic drugs like Effexor might work.
poster:Dr. Kramer
thread:101353
URL: http://www.dr-bob.org/babble/20020402/msgs/101458.html