> Hi Lamdage.
>
> I think that as long as you continue to have an open mind and patience, you will eventually figure out how to effectively treat your condition with the minimum number of drugs at the lowest dosages.
>
> Do you have a plan beyond CBD? CBD is an interesting choice. As you know, it has antipsychotic properties. What else does it do? What are your reasons for taking it? I will be interested to see how you respond to it.
Hmm for the antipsychotic properties i probably cant take it due to the cost of the required dosages. I havent thought of it.
I guess i expect some kind of comfortable effects (calming and/or mood lifting).
> Regarding SSRIs, Luvox (fluvoxamine) is supposed to be good for treating psychotic depression. It is also the SSRI least apt to cause akathisia according to what I have read. Your inclinations to avoid Zoloft (sertraline) in particular for fear of akathisia is justified in my opinion.
It may be worth a shot. I wish i knew what the name is in german. They have that med here. With Sertraline i only needed low dosage for the effects (more hopeful, no suicide thoughts). Maybe it is that way with Luvox, too.
> It is too bad that you cannot tolerate higher dosages of Effexor. I would consider taking a look at Pristiq, the active metabolite of Effexor. Lower dosages can produce a robust antidepressant response. I would expect it to help with anxiety disorders, too.
Also worth consideration.
>
> Effexor + CYP2D6 (liver enzyme) = Pristiq
>
> It is possible that you are sensitive to Effexor but not to Pristiq. That is my hope, anyway.
>
>
> - Scott
You mean that Pristiq might have less anorgasmia? This is the big concern for me with Serotonergic drugs.
![[collapse]](http://www.dr-bob.org/images/babble/hide.gif)
this signature | Show by default | Change to hide (next time)supposedly schizo-affective, type depressive
Seroquel 700mg
Zyprexa 12.5mg
Lithium orotate 360mg
Metformin 2425mg
Effexor 37.5mg