Posted by Continuous Relapser on June 26, 2010, at 23:29:57
In reply to Re: It's happening again! Med suggestions? TRD » Continuous Relapser, posted by zonked on June 26, 2010, at 22:50:29
No probs at all Z. Interesting you mentioned Zoloft though, it's the only SSRI/SNRI that I tolerated for longer than 6 months.
OK, the bizarre unexplainable serotonin factor. Well it's not unexplainable really, it basically poisons my system, either very slowly like Zoloft, or very quickly like AROPAX (Paroxetine) Cymbalta, Efexor XR, or Prozac, etc... middle of the road reactions were luvox and Citalopram (Cipramil). I was never hospitalised but had very, very mild serotonin syndrome from mono therapy on paroxetine, citalopram and cymbalta (duloxetine). After switching pdocs and GP's because they kept prescribing it to me, the new ones keep doing the same thing. This is why I'm asking for advice for my new pdoc appointment tomorrow. I'll tell him, keep quiet and see what he does. If he prescribes one I won't go back.
> > Hey Zonked, thanks for the reply! I've never tried Parnate or Nardil, correct me if I'm wrong but they give serotonin a good workout which would be a nightmare for me.
>
> Whoops! My bad. I misread Provigil as Parnate. LOL.
>
> I would like to know what you mean, specifically, about the serotonin thing--SSRIs for example do NOT work on me (except one course of Zoloft, my first AD), but I've had good luck with nonselective MAOIs which are serotonergic but in a different way.
>
> > NE and DA meds seem to work wonders for me so I'll look into Bupropion for sure. I'll also look into Selegiline too. I've tried a RIMA before which was Aurorix to no avail. Thanks again
>
> No trouble. Good luck!
>
> -z
poster:Continuous Relapser
thread:952300
URL: http://www.dr-bob.org/babble/20100615/msgs/952324.html