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Re: Nardil vs. Parnate: And to social phobia? » Jumpy

Posted by cbwarejr on October 28, 2003, at 5:52:41

In reply to Re: Nardil vs. Parnate: And to social phobia?, posted by Jumpy on October 28, 2003, at 3:14:01

Finally figured out the posting process..sorry.

Help !!!

My wife 48 me 49 married Jan 1. I have known her 18 mths and knew she was depressed.

He x (a physician) first treated her 20 years ago. Depression probably contributed to first divorce but who knows. Probably the sexual side effects were the blame for the split but.?

Anyway. Wife has gone the whole medication routing. Side effects of everything seem to be worse with her.

She also has Avoidant Borderline Personality Disorder, major self esteem issues, feelings of guilt. She is size 6 beautiful, sexy, feels she is fat, ugly.

Parnate seemed to work best, but the main s/e is insomnia. She did not gain weight. But she has been taking tamezepam for 5 years almost nightly. I think she is hooked. She also used it to "check out" and to put herself to sleep when things are too much.

This summer because of the sleep deprivation and un-natural sleep she gets from tamezepam/Parnate combo she went off everything. great for 3 weeks, new person, great sleep, but depression kicked back in. Worse ever since...Worst inher life she says.

Went to new Dr. who started her on paxil. bad news, no sex drive, gained weight, felt like she had "no feelings', anxiety kicked back in.

Then went to Wellbutrin SR then Xl. but all this time she has been off/on tamezepam. I think she is going through withdrawl and dependence symptoms of sleeping med and it is masking whether the adepressents are working.

Her father depressed whole life, now on Remeron, Zyprexa and Celexa doing better.

She does not do well on Remeron.

Right now she is on Lexapro 10 mg. on it for just 6 days. but she still takes ambien or tamezepam here and there because of insomnia.

Currently no energy, wants to just sleep all the time, not motivation, life is horrible, life is not worth living, nothing ever changes, she sees her dad and knows that is the rest of her life, has no desire for affection, sex, touching. Does not have energy or motivation to do anything but go to work, come home barely get by. (we have 2 boys 13, 15) Cannot plan on anything because she is too tired. Anxiety is kicking in as is some other stuff. Feels like I am "watching" her. Overly reactive to small stuff, extremely moody, very sad, occassionally talks of suicide. Hides in closet and cries.
Does not want to take meds becasue 'there is no hope".

Probably needs to go back on parnate. Is Nardil less of a problem with insomnia? If she gains weight, or it affects her libido it is a huge problem.

What are the issues with taking tamezepam at therapeutic dosage for years..can you become dependant. Scares me a little to have 60 ambiens or tamezepams around when she talks of life not worth living.

What about Nardil and some other combo with a anti psychotic.

She refuses to go to therapy because "it can't help" affects the whole family though..you know the routine.

Thanks


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poster:cbwarejr thread:272894
URL: http://www.dr-bob.org/babble/20031025/msgs/274179.html