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complex med situation after poop out

Posted by ben on July 16, 2009, at 12:52:30

I was on 3x240mg Noveril (TCA Dibenzepin) along with lithium and 400mg Trazodone at night. This combo wasnt working altough Noveril along with lithium did it during 3 years before I reduced the Noveril dose and it pooped out.
After adding Trazodone first without success Effexor was added - each (second) day 37.5mg more. after 4 days I felt euthymic up to mild hypomanic (I am bipolar II). Noveril was reduced to half during this time. after 10 days they gave me Remeron due to sleep problems. 30mg along with 200mg trazodone at night. Furthermore the Noveril dose was reduced to 2 x 120 mg. The other day i was sad again and 2 days after that I was crying mostly the hole day (sadness and depression came back).
My question is why this improvement? Was it the TCA which was successfully augmented to work again (after the poop out)with Effexor? Did this effect faded away because the TCA Noveril was gradualy reduced to an none working level? And what about the change to Remeron? Now I am on 300mg effexor along with lithium 30mg Remeron and 200mg Trazodone. The Goal should be Effexor alone with lithium and Remeron. How long should I stick to this combo? What about to combine the effexor again wit Noveril?


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