Posted by Amelia_in_StPaul on May 19, 2009, at 12:07:13
In reply to Re: Appt with new pdoc Thursday--preparation?, posted by desolationrower on May 19, 2009, at 0:19:44
hey d/r!! thanks for the welcome back. poor house, indeed. feels a little like living a charles dickens novel, crashing against the tides of forces beyond myself. when will my long-gone rich relations make an appearance to save me from the poor house? um, I hope you've read much dickens. otherwise, I'm babbling. ;-)
okay, here's the landscape I was thinking of in terms of meds:
Memantine, in combo with something else?
Provigil, to counter SSRI fatigue and help with ADD?
Drugs low on the antimuscarinic scale
Luvox
Sleep drug with shorter half-life (Doxepin? would like to avoid Remeron, as I ate half a grocery
aisle of junk food in the time I was on it)Last ditch effort--add an atypical AP like Abilify or very low dose Risperdal
Not anafranil or other TCAs that are metabolized by 2D6--my intermediate metabolization means I could be at greater risk, I think, for heart effects (trying to avoid early fatal heart attacks rampant in family)
Guanfacine (not sure about it--I have orthostatic hypotension already)
Lamictal
An AD I haven't tried--Pristiq? Or?
----
It's a fuzzy-headed list, but it's a start I guess. I just know that I can't stand the apathy that occurs once I'm ramped up on fluoxetine. Kills my spirit.
Good to hear from you. How are you?
> well if you don't suggest something, you aren't going to increase your odds of getting it. it kind of depends, i think some docs are more about the 'trust me' and some are more open to discussing. exactly what you say might depend on which drugs are are considering though; whats your list right now? are you sure you'll be seeing her for a while, or are you auditioning her?
>
> also, nice to see you, even though, it is like saying 'welcome back to the poor house!' :)
>
> -d/r
poster:Amelia_in_StPaul
thread:896538
URL: http://www.dr-bob.org/babble/20090515/msgs/896611.html