Posted by g_g_g_unit on December 28, 2012, at 6:44:44
In reply to Re: feel finished - GGG » g_g_g_unit, posted by SLS on December 27, 2012, at 20:29:37
> > Nardil helped too, but the insomnia was terrible and it made me a little hypomanic.
>
> Perhaps you could combine Nardil with a stimulant and Klonopin. Nardil is the ideal MAOI for your depression and anxiety. The stimulant would help with depression and ADD. The Klonopin would help with anxiety, insomnia, and possibly mania. The mania from Nardil usually starts early in treatment and is self-limiting. Trileptal can be used as a mood stabilizer if necessary. If insomnia is an obstacle to feeling great on Nardil, then it is incumbent on your doctor to treat that insomnia aggressively as if it were your primary illness. Failure is not an option. Use Halcion along with another benzodiazepine if you have to. Perhaps 25 - 50 mg of Seroquel? Find a way.
>
> If I recall, you have problems with antipsychotics? Saphris and Latuda are interesting drugs. Saphris can actually be energizing along with being anxiolytic.
>
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> - ScottThanks for the suggestions. Nardil + d-amphetamine is something I would love to try, but I have very little hope of having it prescribed. As I've mentioned before, I e-mailed a self-described specialist in treatment-resistant depression who claimed he was aware of studies indicating the usefulness of the combination, but considered it far too dangerous to utilize in practice.
There is a "professorial" unit at the hospital I would be going to, so I don't know if they would be more amenable to exotic treatment ideas, but the psychiatrist I contacted was also a professor at the same university with ties to the clinic.
As far as anti-psychotics go, Seroquel induced akathisia at the lowest possible doses (prescribed for sleep), Zyprexa and Risperdal increased anxiety.
poster:g_g_g_unit
thread:1033817
URL: http://www.dr-bob.org/babble/20121217/msgs/1034050.html