Posted by SLS on August 6, 2006, at 5:39:33
In reply to Re: 5HT2a receptor variation and adverse reactions » SLS, posted by Jay on August 6, 2006, at 0:37:38
> :( Serzone with Effexor *was* helping me,
You are the second person I know of for whom this combination was the only thing that helped.
> Does Remeron have enough 5HT2a receptor blocking that it might be a good combo...or does it have too much..or..?
Remeron might be exactly the right drug for you or exactly the wrong drug for you for precisely the reason Linkadge describes. I would definitely try it. Remeron + Effexor is the ultimate California Rocket Fuel as is promoted primarily by Stephen Stahl, MD. It would be the conservative thing to do to discontinue the nortriptyline. However, if it were me, and I were *sure* that it was contributing significantly to my feeling better, I would keep it. I found nortriptyline + Effexor to be a partially effective combination. Still, I advise caution. If upon adding Remeron, anything weird starts happening (tremulousness, mydriasis, palpitations, tachycardia, diaphoresis, etc.), you'll need to discontinue the Remeron. At this point, you can discontinue the nortriptyline, and then restart the Remeron if you still want to pursue trying it. I doubt this would be a problem, though.
You are on a lot of junk. You might have to rethink your current strategy and justify each drug at some point by attempting to withdraw those you suspect are not contributing to your wellbeing.
Rapid cycling? Where is Lamictal?
Why Zyprexa? If this component is necessary, why not Abilify? I imagine the Zyprexa helps with the feelings of dread. If it doesn't, what does it do? Anti-manic?
Have you tried to d/c the Prozac? 80mg? OCD issues?
- Scott
poster:SLS
thread:673918
URL: http://www.dr-bob.org/babble/20060802/msgs/674220.html