Posted by Enigma on August 13, 2007, at 14:11:08
In reply to Re: Still no cure for my depression - tried everything » Enigma, posted by Jedi on August 11, 2007, at 23:52:45
Thanks for the info. I'm cutting a pasting everything you guys/gals are suggesting for my next appt with my doctor.
> ...
> > I'm thinking of going back on the horrible Nardil, which was about the only drug that produced some AD effects, but not without pretty massive side effects. The SE's usually win and I quit taking the drug. This would be my 4th time trying to tolerate it.
> ...
>
> Hi Enigma,
> The side effects of Nardil can be really bad. I've been off of it four times in the past ten years trying to find something that would work without the side effects. I started Nardil again one week ago.
>
> I am assuming that you only get a partial remission from Nardil, or the side effects would not matter to you. IMHO there is nothing worse than the pain of treatment resistant depression.
>
> What have you augmented Nardil with?
> Some I have tried:
> clonazepam(still using it, currently at 2mg)
> nortriptyline
> bupropion
>
> Some I haven't tried, but are on my list:
> lithium
> lamotrigine
> modafinil
> methylphenidate
> concerta or ritilan sr(generic)
>
> Opioids have always made my depression better. Alas, the legal issues. If I could just get a MD to prescribe buprenorphine, I think I might be OK.
>
> Another option, similar to the "California Rocket Fuel" of venlafaxine combined with mirtazapine; would be duloxetine (the newer SNRI) combined with mirtazapine. Just shooting in the dark here.
> Reference:
> http://www.ijpm.net/content/pdf/327/casemg.pdf
>
> Good Luck,
> Jedi
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poster:Enigma
thread:775476
URL: http://www.dr-bob.org/babble/20070808/msgs/776020.html