Posted by rvanson on March 30, 2007, at 7:56:19
In reply to pdoc tomorrow... suggestions?, posted by wishingstar on March 29, 2007, at 17:15:44
> I see my pdoc tomorrow morning. I have a long history of depression that has so far been completely resistant to any medication. My pdoc is great at listening to me and asking my opinion on things.. and often asks me what *I* think we should try next, since it has become such a guessing game now. I've never gone in prepared with any suggestions that were well researched but I think I'd like to try and have a few ideas tomorrow. Given my history (below) does anyone have any thoughts on things I should look into or suggest to my pdoc?
>
> Meds I've tried:
> *zoloft - no effect
> *prozac - no effect
> *effexor - no effect
> *lexapro - no effect
> *wellbutrin - no effect the first time, incredible brain zaps the second time that I couldnt tolerate
> *celexa - couldnt tolerate
> *cymbalta - couldnt tolerate
> *lithium - small relief of depression at low dose but increased my anxiety to the point that it wasnt worth it (odd, i know)
> *lamical - increased my depression
> *desipramine - couldnt tolerate due to crazy effects on pulse/blood pressure in the hospital
> *adderall - boosted energy at first but after a few days was not useful. didnt effect the depression piece.
>
> Some were also tried in combination as well as seperatly. Still no effect.>
> I'm willing to try just about anything. I realize there arent any perfect meds that meet every criteria I have.. I just wanted to list my concerns to give everyone a full picture.If you are as sensitive as you indicate here, I can almost bet that you wouldnt tolerate Remeron anyway. That &*$#@$#% knocked me out for over three days at a 15 mg, low dose.
There is no way to know for certain unless you were on a trial of it, so this is only an educated guess at best.
I'm no Pdoc, but I have 27 years of depression and psych medications behind me and I notice that you havent been Rx'ed a med like Nardil, an MAO inhibitor.
That would be my next recommendation, if I were a P-doctor.
Unfortunately, it isnt available as a generic even though its been an Rx since 1959, so its going to cost more then you may be able to pay right now.
poster:rvanson
thread:745238
URL: http://www.dr-bob.org/babble/20070327/msgs/745392.html