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In the hospital, now what?

Posted by hansi555 on December 4, 2012, at 8:21:31

I have been in hospital for 1 week now and today I am finally in the special depression section. I had a talk with the pdoc here and he has not come up with a final proposal yet but I imagine he will suggest to up my dose of Nort to maybe 150 mg - I am currently doing 120 mg and this brings me just inside the therapheutic window, to avoid too many SE I have never gone higher. He has also mentioned to add Lithium. (I have earlier tried Lamictal as supllement but couldnt sleep on even on a small dose of 75 mg and it did not improve stability). I am unipolar and normally cycling within weeks/days between normal and down - NO mania. This time however it never cycled back to normal.

My thoughts:
Could upping the dose of Nort alone bring me out of this dep episode? Pdoc says higher in the therapeutic window => more likely to get relief
Would adding lithium really help?
What should be tried first? Nort up or adding lithium?
I am also taking 15 mg Mirtazapin and 37,5 mg Valdoxan.


All in here are the "problematic" cases, many are doing ECT, they claim it really helps...


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poster:hansi555 thread:1032442
URL: http://www.dr-bob.org/babble/20121130/msgs/1032442.html