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Suggestions for further medications

Posted by Deepreason on April 29, 2011, at 10:04:28

Brief history:

36 year old male
OCD, SAD, GAD leading to depression since early twenties.
Deterioration in condition 2.5 years ago that led to an incident of serotonin syndrome. Struggled mentally ever since.

Medications tried: 5+ SSRI's in my twenties/thirties. Pregabalalin. Quetiapine.

Mirtazapine 30 mg + Venlafaxine 300 mg for the last 2 years. Good response when Sodium Valproate 1200 mg added to the Mirt + VFX combo. Zolpidem 10 mg as a sleeping aid for last 2 years.

I have recently gone through a full washout from the Venlafaxine/Mirtazapine combo whilst staying on the Valproate/Zolpidem combo, in order to switch to Phenelzine. The reason for this is that the VFX was making me feel too "wired". It was a painful couple of months but the thought that Phenelzine could be the answer to my problems sustained me

I have only been on the phenelzine at 60 mg for 3 weeks but have just seen my pdoc who wants me to try reducing the dosage to 30 mg as my anxiety levels are increased in the last week. I'm scared that I'm heading towards yet another failed drug trial and that this is now the end of the road with nothing else left to try.

Thankyou for reading my story and I'd be unbelievably grateful if anyone can offer any suggestions / hope that there might still be options out there for me. I'm terrified that at my next appointment my pdoc will say we've run out of things to try and this is how my life will remain.


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Psycho-Babble Medication | Framed

poster:Deepreason thread:984054
URL: http://www.dr-bob.org/babble/20110418/msgs/984054.html