Posted by theo on March 14, 2005, at 9:13:51
In reply to Anti-depressant to prevent relapse?, posted by med_empowered on March 10, 2005, at 20:46:30
> Hey! Is it ever appropriate, or desirable, to RX an anti-depressant not to TREAT a CURRENT depressive episode, but rather to PREVENT a relapse in those who would otherwise be destined to experience one? I've had depressive episodes, normally about 2 a year, since I was 11 (I'm 20 now). I'm doing the mood-stabilizer, AD thing now, but my AD has simply stopped working...I'm definitely not depressed, but there has been a very noticeable "dip" in effects, if that makes any sense. Anyway, since I cannot do Lamictal unless I OK mixing it with Depakote (shrink's idea; data for this kind of mix is sketchy at best, and I HATE depakote), would it be appropriate for me to switch anti-depressants in an effort to prevent a depression relapse (I'm BP NOS, and my depressive phases sometimes have psychotic features, so this is a BIG concern), or is it better to wait until I become depressed, if that happens ? If it is preferable to do preventative medication, how would I rate efficacy of the med(s)? What med/meds would be preferable? I was thinking Wellbutrin+Remeron, hoping to hit up neurepinephrine, dopamine, and serotonin while maximizing my adderall...also hoping that the adderall+wellbutrin combo would help minimize Remeron weight-gain. Thoughts? Suggestions?
Why do you hate Depakote?
poster:theo
thread:469447
URL: http://www.dr-bob.org/babble/20050312/msgs/470810.html