Posted by SLS on August 17, 2009, at 15:57:15
In reply to Not doing so well right now...but pushing, pushing, posted by uncouth on August 17, 2009, at 14:13:26
Hi.
It is good that you have discontinued Strattera. I doesn't have a very good track record for treating depression. It really does work for ADD/ADHD, though.
It has been my observation that the majority of people who react to bupropion by exhibiting anxiety and agitation do not do well with it in the long run. However, I would still give it a few days to see if these things begin to abate. Trial-and-error is a methodical exploration of alternatives. I doubt anyone can be certain that you will not respond to this drug. Your best bet is to give the drug just a bit more time.
If you discontinued Strattera abruptly, perhaps some of what you are experiencing is withdrawal.
I hope things turn around for you quickly. At the very least, it would be nice not to be made worse by a drug.
3) Faith, a very weak faith however,> that God loves me
He does.> knows my sufferings
He does,> and wants the best for me
He wants what he wants. This is often left unknown.> and that in some unimaginable way, this is part of his plan.
Of course it is.
> Luvox CR 200mg
Interesting that you will be on an SSRI + bupropion. This is often a good combination. I am just not convinced that Luvox is the best choice unless the depression is secondary to OCD. I think excessive ruminations is depression and not OCD. Tricyclics are usually good for rumination. Luvox is probably the least effective SSRI for depression. If you can tolerate the bupropion, you might want to swap out the Luvox for Lexapro or Effexor.> Aplenzin 344mg
It can work well, but many people react to it with anxiety and agitation.> Namenda 5mg (tapering off)
I have never seen it work, but still think that it is potentially helpful. I have tried it twice. Both times, I felt better in the first week, and worse thereafter.> Lithium 200mg
Go to 300mg> Rilutek 100mg
Unless you need to take it for ALS, I don't see how this drug can benefit you. If it is not working - which it is clearly not - dump it.> Deplin 7.5mg
It seems to work early in treatment, than fades. I think 7.5 might actually be too high a dosage. It might be adding to your anxiety / agitation. If it were going to help, you wouldn't be feeling so bad.> Geodon 120mg
I would reduce the dosage to 40-80mg if you are using it for depression. One caveat: If you are going to go on an MAOI, you might have to discontinue Geodon so as to prevent serotonin syndrome. Geodon is a serotonin reuptake inhibitor.My doctor likes combining Lamictal with bupropion. If your doctor favors an antiglutamatergic approach, adding Lamictal is a reasonable choice. Riluzole and memantine are both antiglutamatergics. Also, a combination of Lamictal and lithium has shown good results in bipolar disorder to prevent both phases of the illness.
So... Are we having fun yet?
:-)
- Scott
poster:SLS
thread:912607
URL: http://www.dr-bob.org/babble/20090810/msgs/912619.html