Posted by jonhed on May 27, 2016, at 12:06:52
In reply to Re: MAOI + super high dose AP???, posted by Lamdage22 on May 27, 2016, at 7:50:02
I feel with you lamdage22..
Nowadays i can't start up new medicines at home because it always, 100% of the times, end up with me being paranoid and discontinue it after a maximum of 4 days.
That is 4 days without sleep, without food and severe panic attacks.I think you're doing the right thing to check in to a clinic if you have that opportunity, there you are in a safe environment and even with side effects you can still reassure you that if something happens, you are at least in a hospital!
If you decide to do so, i have some tips for you that i want you to consider to talk about your doctor about.(and just as a fellow sufferer, not an expert).
This is just tips, not rules or guidelines.1. Please tell him about the severity of your depression and that you don't want to try things you've already have tried and that you very much like to be a part of the discussion about your medications.
If you want to try a high dose of luvox, then stand your ground!
You have rights to.2. If you don't already have tried it - High dose of amitriptyline, 250mg at least, with quick titration (2-3 weeks).
3. Zyprexa IM 10mg 3 Times in one or two days. That is if you're experience a psychotic depression.
It is in my opinion the far best AAP/AD combination medicine i know.4. As for benzodiazepines in the beginning of an AD treatment, i would suggest nitrazepam 10mg, two times daily, as it is a full agonist of the benzodiazepine receptor and works far better than alprazolam in the short term.
5. Ask your doctor about what he can tell you about "TMS - Transcranial Magnet Stimulation".
I have no experience from it or anything really, but in a few moth i am going to undergo TMS-treatment.
The only thing i know is that it is not acute dangerous and does not require any Anesthesia or convulsions like ECT.6. Ask your doctor about it's experience of nmda-antagonists as adjunct to other medicines that does build up tolerance. Maybe that can help you to maintain the initial antidepressant effect from various anxiolytics without upping the dose.
I've heard that Memantine can be used.
Ask your doctor about Amantadine. I've heard good things about it.7. As last resort, ask your doctor to consider high potency opioids with long half life. Methadone or Buprenorphine.
Even if it's not recommended in your country, he/she can still prescribe whatever he/she wants, for whatever he/she wants.
It's not recommended in sweden either but as i have said, there is some very prominent evidence for it's AD effect.8. Start up CBT-therapy in the long term.
I hope this is to some help for you because i care about all you guys and would not write this just for fun.
It took me one hour due to the fact that i'm not english speaking./J
poster:jonhed
thread:1089211
URL: http://www.dr-bob.org/babble/20160501/msgs/1089272.html