Posted by Amelia_in_StPaul on May 19, 2009, at 12:20:05
In reply to Re: Appt with new pdoc Thursday--preparation? » desolationrower, posted by Amelia_in_StPaul on May 19, 2009, at 12:07:13
after reading http://www.dr-bob.org/babble/neuro/20090129/msgs/895324.html
I am definitely thinking strongly about memantine (Namenda) and Lamictal, and/or Neurontonin. With OCD and PTSD, images, sounds, thoughts, do imprint on my memory--not to the point of hallucinations, but nearly so.
> 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/896619.html