Posted by bleauberry on May 6, 2008, at 17:47:28
In reply to Fast acting options for suicidal ideation?, posted by Racer on May 6, 2008, at 10:00:21
I pretty much agree with everyone.
Lithium at a low dose 100mg-300mg-600mg...if it is going to help lift depression it will do so fast, like in a day or two. If it isn't doing anything for mood by day 4, forget it. It could in the longrun be a good stabilizer and antidepressant, but that isn't what you are looking for at this moment. You need a quick stepping stone. Low dose lithium when I tried it was oh my god fast. I was looking for longterm, and the stimulation it gave me was too much.
Abilify I have no experience with but I do feel all the APs, especially zyprexa and abilify, have an extraordinary ability to rejumpstart ongoing meds within days.
Not sure what the resistance to prozac+effexor is, but that seems like a decent option. Who cares if someone thinks it weird to combine different ssris. I sure don't. All I care about is what works, and to heck with trying to explain why or justifying it. If it works it works, period.
As you mentioned, Duloxetine is an option. Most people do not see it as being a replacement for effexor though. They are in the same family but quite different. And unlike the previous mentioned medicines, duloxetine is not likely to produce fast results.
Too bad we don't have overseas Milnacipran or Trivastal handy. Though anecdotal on this board and other forums, about 90% of people who tried these felt a lot better within 1 to 7 days.
Damn I wish you weren't feeling so bad. Breaks my heart. I am wishing for you not just a quick fix or some decent meds down the road, but a complete remission.
poster:bleauberry
thread:827471
URL: http://www.dr-bob.org/babble/20080430/msgs/827578.html