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Re: Need help-Meds for anxiety+irritability+depression » SpreadDaAloha

Posted by micro on January 24, 2004, at 18:42:44

In reply to Need help-Meds for anxiety+irritability+depression, posted by SpreadDaAloha on January 22, 2004, at 13:02:32

> I am experiencing a depressed mood, anxiety, and extreme irritability. I have had the best luck with Neurontin (Gabapentin). I take 900mg per day (3 x 300). I plan to keep trying higher doses because it's the only thing that has noticeably helped.
> I have a prescription for Wellbutrin, but I quit taking it because it increases my irritability some, but it DID help with energy. I have taken Topomax, Keppra, Lamictal, Depakote, and most Benzos. I took Zoloft and it seemed to help with my mood.
> I'm thinking about trying Remeron, Lexapro, or Effexor. I really don't know what drug to try next. I want to decrease my anxiety, depression, and irritability, without making me lethargic like Keppra did. And I HATE sexual side effects (Zoloft had bad sexual side effects).
>
> Any ideas for a next step? I need to help my doctors because they don't seem to take much time thinking about what to do...
>
Dear Spread,
Please try to find a psychopharmacologist if your current Docs are lost! Remeron may be a reasonable request. See "Review of the results from clinical studies on the efficacy, safety,and tolerability of mirtazapine for the treatment of m. depression" by Jan Fawcett, J Affect Discord 1998 Dec;51(3): 267-85. The abstract is enough for you to read . I think you will find fairly rapid relief from the above mentioned symtoms. However, The article does not discuss Neurontin. Good Luck. Micro


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