Posted by Roslynn on March 13, 2013, at 15:33:20
In reply to Re: Anyone else fail trials of the MAOIs? » Roslynn, posted by SLS on March 13, 2013, at 7:00:43
Dear Scott,
Thank you for your response. I'm going to put my answers below your questions...
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> How do you react to lithium?I'm on 675mg and not seeing any benefit but have never been able to go higher due to side effects.
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> If you haven't tried combining drugs, it might be time to consider some aggressive polypharmacy. It is not rare that someone will need 4 - 5 drugs to obtain a robust therapeutic effect. I have my own favorites based upon my personal experience and what I have observed in others. When a MAOI is contraindicated, I think the following combinations are worth considering.I'm also on Seroquel (which just puts me to sleep) and ativan. My most recent med prior to trying the MAOIs was clomipramine which lost effectiveness. Best response within the last few years was to a combo of Prozac and clomipramine which eventually pooped out.
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> (Effexor or Pristiq) + Wellbutrin + Lamictal + Abilify
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> (Effexor or Pristiq) + nortriptyline + Lamictal + Abilify
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> (Effexor or Pristiq) + nortriptyline + Remeron
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> If it is determined that Lamictal is helpful, but not sufficient, adding minocycline may produce a more robust response. There is very little overlap in the actions between these drugs. If Remeron makes you feel worse, substituting it with prazosin might be worth a try.
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Lamictal drastically dimishes my cognitive abilities. Wellbutrin gave me facial tics. No real history on Effexor or Pristiq. With Remeron I would be very concerned about the possibility of gaining weight....Abilify made me feel agitated. Nortrip I tried on its on with no luck but it might work in combo..
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> What other medical conditions have been screened for to explain your depression? Thyroid? Cortisol? Prolactin? Lyme? PCOS? Food sensitivities? CFS? Lupus? Diabetes? Kidneys? Estrogen? Progesterone? B12? Beta-blockers? Cortisone? Calcium?
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These are all good questions. Thyroid, diabetes, kidneys ok for now. Am not on beta-blockers. The rest of these questions probably need to be examined. Thank you for bringing them up and for your med suggestions!-Roslynn
"You'll remember me when the west wind moves
Upon the fields of barley
You can tell the sun in his jealous sky
When we walked in fields of gold."
poster:Roslynn
thread:1040142
URL: http://www.dr-bob.org/babble/20130308/msgs/1040239.html