Posted by bleauberry on August 20, 2010, at 15:29:39
In reply to Re: Depressed Again. Haven't been here in years. » bleauberry, posted by simcha on August 19, 2010, at 20:43:12
I don't know, you kind of have to do whatever your doc wants.
The best way to learn about LDN is to do a google search on it. That will bring you to the LDN (low dose naltrexone) home page and other good sources of info as well.
With heart problems, TCAs might be off limits except in small doses. But combined with SSRI, they don't need to be any more than small doses anyway. I don't like the idea of lamictal, but I'm not the doctor.
If you do try DLPA, ignore the instructions on the web or the bottle. Instead, make custom size doses starting at 60mg (divide the powder into 8 roughly equal size piles), and do just one pile in the morning between meals. Then gradually build up. You can stir it in water, juice, or make your own custom capsules from empty size OO gel caps.
The clinical trials on DLPA were back in the 1970's and 1980's. They were small and probably not as controlled as trials today. In those trials response was very good, as good or better than drugs. Their doses were 75mg to 200mg per day. The internet folks are pushing for 1500mg a day or more. I am sensitive and so stay low on dosing, and I trust those trials more than I trust someone selling DLPA.
If your doc is from the old school or has an expanded knowledge base outside of his formal training, he'll know about DLPA and its potential. If he doesn't, he will shun it simply because he doesn't know about. They can tend to be critical of things they know nothing about, whether that thing is a miracle or not doesn't matter.
> Thanks Bleauberry, I responded to you about why I can't take the Ritalin in the other thread titled "Monotherapy vs. Polytherapy." (electrical heart issues)
>
> Perhaps I could try the DLPA. I could ask my pdoc about using it to see if it reacts with anything I'm taking now.
>
> I'm not sure what LDN is or what it does. Can you explain this please?
>
> Also, I don't know about TCAs. I may be able to take Nortriptyline if it doesn't interfere with my heart medicine, Sotalol, or my heart rate. I know TCAs are good medications for some people with treatment resistant depression. Perhaps that's what I'll try next if Lamictal doesn't help.
poster:bleauberry
thread:959064
URL: http://www.dr-bob.org/babble/20100811/msgs/959255.html