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Re: Chemist, wanna muse on suggestions?

Posted by SLS on May 1, 2004, at 16:23:38

In reply to Re: Chemist, wanna muse on suggestions?, posted by Racer on May 1, 2004, at 15:04:37

Gosh. You've got quite a challenging case there. I guess that's almost a comical understatement, yes?

The first thing that occurs to me is that the anxiety should be the first symptom to target. If you have not found an antidepressant that can mitigate your anxiety, then I think you might want to consider one of the atypical antpsychotics or a benzodiazepine like Klonopin. I think Seroquel might be the first drug to try. Anxiety is often the trigger for suicidality. I know these are serious drugs, but you are in a very serious situation. I would have recommended Zyprexa first, but I doubt you would have been amenable to using it due to the almost certain weight gain that would result. Weight gain is possible from Seroquel too, but it is much reduced compared to Zyprexa.

> and treatment for it started last July, with relatively little relief from any of the drugs so far -- except for Wellbutrin, which is contraindicated for me, because of a history of head trauma and a possible eating disorder.

I feel that the risk of seizure from Wellbutrin is often exaggerated. You might want to investigate its use in your case more thoroughly before abandoning it as an option. I can't imagine you not considering Parnate. Have you ever tried it? I know of people who are responsive to both of these drugs who are resistant to most others. There might be a tendency towards cross-responsivity; if you respond to Wellbutrin, you might have a better than average chance to respond to Parnate as well.

It sounds as if you will probably need to combine an antidepressant(s) with an anxiolytic or possibly a mood stabilizer. If you throw enough crap against the wall, some of it is bound to stick. I try to keep telling myself this.

Parnate?
Remeron?
Thyroid?
Depakote?
Lamictal?
Adderall?


- Scott

 

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