Posted by SLS on March 30, 2009, at 8:40:44
In reply to To Scott, posted by Meltingpot on March 30, 2009, at 8:17:43
You certainly deserve more out of life than what you are currently given. Whenever I read your posts, I become frustrated that I can't do something more constructive to help you.
Yes, I do feel you are wasting too much time at lower dosages. As my own personal rule of thumb, you should give each dosage increase 3 weeks to begin working. I don't think it makes much sense to go past that.
As for suicide - whatever mental gymnastics you employ to prevent it earns a gold medal.
Nardil: 75-90mg for at least 5 weeks if tolerated.
Parnate: Yes, there are people whom respond to Parnate whom do not respond to Nardil, and vice-versa. 60-80 for 3-4 weeks if tolerated.
Adding a tricyclic to an MAOI: I seem to be the only one posting who is currently taking such a combination.
You might want to come off of clomipramine for at least a week before beginning an MAOI. Supposedly, it is safer to add an MAOI to an ongoing treatment of a tricyclic than the other way around. Better still is to begin both drugs simultaneously and increase the dosages gradually. I would choose either desipramine or nortriptyline as the adjunct medication. For you, probably nortriptyline with its 5-HT2a receptor antagonism would be the better first choice. This is a property that Zyprexa and nortriptyline have in common.
ECT: There is almost never a long-term remission. Maintenance treatments are usually necessary. One treatment per month seems to be common.
I wish I could do more.
- Scott
poster:SLS
thread:886950
URL: http://www.dr-bob.org/babble/20090330/msgs/887711.html