Posted by Christ_empowered on August 22, 2016, at 13:21:14
In reply to Many Trials, Always Relapse, posted by Tabitha on August 22, 2016, at 12:29:42
hi. Sorry about all the trials. Can get frustrating, I'm sure.
Have you ever tried adding remeron or wellbutrin? I read a tiny abstract on PubMed or something about Remeron+Cymbalta. It works, although apparently it sometimes pushes people into (hypo)mania :-( .
Other than that...Symbyax? Or zyprexa+whatever dose prozac your doc deems appropriate...I guess there's no need to go for the pre-mixed combo. Or do you not want a neuroleptic? TD is a very real issue, though you wouldn't think so with everybody and their mama being given atypicals.
Have you ever added buspirone (BuSpar) to the mix? Not that great by itself, but I've read that it can help you get more mileage out of an antidepressant.
I don't know what symptoms are involved in your flavor depression, but...for me, Trileptal+Lamictal has helped control the agitation and general misery of my depressions. I take 1200mgs/Trileptal, but I would think you could do with considerably less.
there's also abilify to consider, if you're willing to go the AP/AAP route. I think with most depressive states lower doses are better, but if you get a lot of agitation and such, you might benefit from a somewhat higher dose. Of course...Seroquel...supposedly good for highs, lows, and I think mixed states. Makes my depression worse, but...a lot of people seem to benefit.
Ummm...I don't know your doctor's rules on controlled substances, but Provigil or Nuvigil help some people. The many flavors of Ritalin or Focalin...an amphetamine of some sort...
OK. I'm done now. I hope you and your prescriber can find a winning combination.
poster:Christ_empowered
thread:1091494
URL: http://www.dr-bob.org/babble/20160819/msgs/1091495.html