Posted by SLS on September 2, 2009, at 16:13:25
In reply to Re: My medication history 1994 to 2009 » SLS, posted by doxogenic boy on September 2, 2009, at 15:23:32
> > This is what I am currently taking:
> >
> > tranylcypromine (Parnate) 80mg
> > nortriptyline (Pamelor) 150mg
> > lamotrigine (Lamictal) 200mg
> > aripiprazole (Abilify) 20mg
> > lithium 450mg
> >
> >
> > You might want to choose the SRI antidepressant that has worked best and still remains
> tolerable - venlafaxine (Effexor) perhaps - and add a full therapeutic dose of nortriptyline. It would be interesting to add lithium to this if necessary. Once you have established this core treatment, then you can try adding other augmenters like low-dose ziprasodone (Geodon).
> --------------------
>
> Thanks for the advice, I will think about it.
>
> My current combination is:
>
> 1) quetiapine (Seroquel) 600 mg
> 2) liothyronine sodium (L-isomer of triiodothyronine (T3); Cytomel, Liothyronin)
> 20 µg (microgram)
> 3) escitalopram (Cipralex/Lexapro) 40 mg
> 4) tianeptine (Stablon) 150 mg
> 5) clonazepam (Klonopin, Rivotril) 1 mg
> 6) trimipramine (Surmontil) 100 mg
> 7) pramipexole (Sifrol/Mirapex) 0.264 mg
> (0.088 mg X 3)
>
>
> I started with the pramipexole Monday. What could be the first thing to do?
>
> doxogenic
If you haven't tried adding Wellbutrin (bupropion), I would make that the first stop after your trial with pramipexole.Just to let you know, I respond better to nortriptyine than I did with trimipramine.
How would you describe your illness?
I guess insomnia and anxiety are big issues? If they are, then you might want to take this into consideration if you choose to explore Wellbutrin. I would try it anyway. If your anxiety becomes significantly worse, you just stop taking it. No biggie. It is just that I have seen Wellbutrin work particularly well with escitalopram.
I am not big on tianeptine. I haven't seen it bring someone to remission yet. Of course, my only exposure to people who have tried tianeptine is here on Psycho-Babble. Is it worth taking for its neuroprotection? That's a tough decision. Although I am doing better on lithium now, I had intended to take it indefinitely, regardless of response or non-response, just for the neuroprotection and neurogenesis it might afford.
- Scott
poster:SLS
thread:914853
URL: http://www.dr-bob.org/babble/20090902/msgs/915436.html