Posted by chad_3 on December 28, 2002, at 11:53:05
In reply to LAMICTAL-END OF MY ROPE-PLEASE HELP, posted by Peter on December 27, 2002, at 3:51:44
Sounds like you have no psychosis or hallucinations - so his idea to slowly taper off the dopamine blocker sounds good.
You have a Dr. who likes to prescribe many drugs.
Question: Have you ever tried an MAOI? These are the most powerful antidepressants overall - and Nardil is the most powerful mediciation for mixed anxiety / depression with features of fear, avoidance, phobia, shyness, neurosis, etc.
With all the chaotic combos of meds he is playing around with hoping for some miracle - why not just try proven effective medications for your condition?
That is - if you have not tried the MAOI's which it sounds like you have not.
Ask him about it at your next visit - his current advice sounds reasonable as though he were preparing you slowly for a new strategy.
Chad
http://www.socialfear.com/
> Hello:
> Here's the deal: for a few weeks I've been experiencing consistent mixed mood states of dysphoria/agitation/depression/irritation, and just hopelesness. I can't leave my apartment. I can't smile or laugh. I feel the worst I've ever felt.
> After being diagnosed with cyclothymia/SP/ 'depressive-anxiety'/ADD in the years since 1997, I've been placed on every anticonvulsant and non-anticonvulsant mood-stabilizer (including lithium), a variety of benzos (I still take klonopin and restoril), every SSRI, stimulants, beta-blockers, moclobemide, effexor, dopamine agonists, naltrexone, you name it. I've gone to 3 different doctors for consultations (other than the one I've been going to for 7 years).
> I'm SO sick of all this. I attempted weaning off of everything numerous times, but symptoms came back. Different pdocs have given me different diagnoses. My steady one thinks everything centers around the Bipolar spectrum, while the last pdoc I went to for consultation said there's nothing suggesting that I've ever been manic or hypomanic and that's it's important to target my MAIN symptoms-anxiety and depression, rather than bog me down with all these mood-stabilizers. But all the SSRI's helped for a time but then heightened my impulsivity & alcohol cravings. So this last consultation doc suggested TCA's for me, which I've never tried. She then spoke with my current doctor and now she respects his opinion and he respects her opinion-BUT WHAT ABOUT ME?!
> Right now, I've been taking lamictal since the beginning of October, slowly titrating to my current dose of 50mg, while decreasing zoloft (now down to 37.5mg) and decreasing depakote (down from 750mg to 375mg). Aside from klonopin and restoril, I also take adderall 40mg and ambien 10mg.
> After telling my normal pdoc of my recent moods, he said something that makes NO SENSE to me: he said these bad feelings CAN be due to the lamictal, but they also CAN be due to my recent REDUCTION of zoloft and depakote (I reduced both of them a bit within the last week or two). Fine. But then he tells me to 'therefore' start tapering off the zoloft and depakote completely!! WHAT!?%&^@* I mean, if the reduction of zoloft & depakote is causing this, then wouldn't FURTHER reducing them HEIGHTEN rather than alleviate these bad feelings? Likewise, if the lamictal itself is the culprit, taking the time to taper off of aoloft and depakote would be redundant and possibly detrimental.
> I don't know what to do. I can't meet with my pdoc again until JAN. 14. He told me all this over the email. I'm the guinea pig ingesting all this stuff-and he's just sitting back and thinking about 'possible', 'reasonable' steps for me to take. I'm sick of it all. Please, any comment or consolence of any kind? I need human interaction. Thanks,
> Peter
poster:chad_3
thread:133324
URL: http://www.dr-bob.org/babble/20021223/msgs/133499.html