Posted by zonked on June 26, 2010, at 22:09:13
In reply to It's happening again! Med suggestions? TRD, posted by Continuous Relapser on June 26, 2010, at 19:35:41
Well, since you did well on Parnate, I'd suggest Nardil...
I don't know much about the serotonin thing you mentioned; Nardil is MAO substrate nonselective so it will increase serotonin levels (but then again, Parnate is also nonselective and that worked for you.)
Lots of Parnate responders have done well on Nardil and vice versa (myself included) when one or the other pooped out.
Have you thought about/used:
Selegiline/Emsam (MAO-B selective at lower doses) or Wellbutrin/bupropion (NE-DA reuptake inhibitor)?-z
> Well hi everyone, I'm going through hell again. I might have a new name but some things never change.
>
> Depression, anxiety, insomnia, over sleeping, loss of appetite, constipation to the runs within the span of 6 hours is back. I have stopped working for the moment, I'm on sick leave with anxiety and depression....etc, you all understand. I've been like this for 20+ years. I've quickly established a medical support network. Great Dr/GP, psychologist and tomorrow I'm seeing a new psychiatrist. SUGGESTION PLS. I can't take anything that touches serotonin at all. So it's been a long and really tricky ride as I only just discovered the serotonin factor around 4-5 years ago.
>
> Here's a list of meds that have worked in the past, for 6 months or longer before pooping out. I think I'll be off label boy from now on.
>
> Provigil-Modafinil, best ever
> Edronax-Reboxetine, good for the mind, bad side effects
> Ritalin-Methylphenidate, 2nd best ever
> Requip-Ropinirole, stopped due to excessive vomiting.
> Rivotril-Clonazepam, it's been 4+ years and still going strong.
>
> Meds that have caused me grief over the last 20+ years
> TCA'S
> Tofranil-Imipramine
> Anafranil-Clomipramine
> Protheiden-Doxepin
>
> SSRI's
> Aropax-Paroxetine, 5 days of pure hell
> Cipramil-Citalopram
> Prozac-Fluoxetine
> Luvox-Fluvoxamine
> Zoloft-Sertraline
>
> SNRI's
> Efexor XR-Venlafaxiene
> Cymbalta-Duloxetine
>
> Mood Stabilisers
> Epilim-Sodium Valproate
> Lamictal-Lamotrigine
>
> Anti Psychotics
> Zyprexa
> Seroquel
> Zeldox-Ziprasidone
>
> Most benzos
> Valium is OK in high doses.
> the others do absolutely nothing
>
> There's quite a few more but I can't remember them all
poster:zonked
thread:952300
URL: http://www.dr-bob.org/babble/20100615/msgs/952318.html