Posted by bleauberry on January 6, 2008, at 18:31:58
In reply to Anyone Know why a Med will Poop out for some?, posted by Phillipa on January 5, 2008, at 20:29:02
I agree with SLS. Nardil and Klonopin. Others in my mind that might fit the bill are zyprexa or TCAs.
For TCAs there is a test you can do to help pinpoint which one you would respond to. Not completely accurate, nothing is, but it stacks the odds greatly in your favor. It is called the Methylphenidate challenge. You take up to 20mg Ritalin during a day. If Ritalin perks up your mood noticeably, that is predictive of a response to Desipramine. If Ritalin does not do much for mood, that is predictive of a response to Nortriptyline. If you need more sedation, then Imipramine instead of Desipramine, or Amitriptyline instead of Nortriptyline. All of them are real workhorses on depression and anxiety.
You have a narrow field to choose from, which is good. No overwhelming choices and confusion. Nardil, Klonopin, Zyprexa, Nortriptyline, Desipramine.
I know insomnia off Luvox is a problem. That is to be expected. Expect it. Do not use that as a reason to start taking it again. It will take in my best guess 3 to 5 weeks for that to resolve partially on its own, and maybe 3 months to fully resolve. Your biochemistry is so accustomed to that molecule it is going to take some time.
Just do something. Get on the phone and call around. Have a friend or a relative do it for you. Find a doctor who will see you quickly and who is not afraid of MAOIs or TCAs.
The only other option is to choose to keep suffering and waste time. That is something that is chosen, not something that is forced upon you.
poster:bleauberry
thread:804537
URL: http://www.dr-bob.org/babble/20080105/msgs/804683.html