Posted by SLS on October 7, 2006, at 21:32:05
In reply to Re: HELP, posted by fca on October 7, 2006, at 13:17:53
> stay on the Namenda
You feel Namenda 40mg is effective for OCD? I have heard of people trying it for this and that some clinical trials were underway, but I was not aware that there was much evidence for it yet. Results from the NIH clinical trial for depression were disappointing. Maybe this will be different. I found 40mg to be a bit intoxicating after my first few doses upon dosage increase from 20mg, so I decreased back to 20mg. I felt pretty wierd. I probably should have pushed it. The Stanford study is using 20mg.
http://www.clinicaltrials.gov/ct/gui/show/NCT00264238
Actually, with the exception of Depakote, I don't think the cocktail looks that bad except that it is obviously not the right one for BIGDaddy. I don't think you can convict a medication regime based upon whether its number of drugs exceeds 3 or 4.
If one judges BIGDaddy's treatment to be a complete failure with no historical information to indicate the efficacy of any of the drugs currently being administered, then I guess it makes sense to dismantle the regime - perhaps completely. If Paxil at 50mg ain't doing it now, why would it do it later? How about Effexor maybe? Of course, if Effexor has already proven unacceptable, then maybe take a look at others. Nardil would cover a lot of angles if other drugs have already been tried.
Yes. Monotherapy is a neat package to build a life around if you need to be on drugs at all. Try a few. If it becomes evident that you are not a remitter to the first 3-4 drugs, take note of which of them you responded best to. You might have to return to it and use it as a base to build on. So, adding augmenting drugs is a likely scenario here. It may be that comorbid conditions exist that need treatment using different medications. I'm not saying that some psychiatrists don't make a mess of people's brains. However, what I am saying is that in difficult cases, the best psychiatrists have no better choice than to use one or two handfuls of drugs to treat a single patient.
- Scott
poster:SLS
thread:692628
URL: http://www.dr-bob.org/babble/20061003/msgs/692861.html