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Doctor thinks I need a phenylpiperazine? Help!?

Posted by SouthernFarmer on October 14, 2016, at 18:14:30

Hey, everybody!

I'm not currently on a primary antidepressant. I just got off of Effexor 150mg-- it was hard to do. I just felt like it wasn't working and the sexual side effects were too much-- its friend Pristiq did the same thing. So, I'm undecided about a SSRI/SNRI.

But, I'm depressed!! :( I have a diagnosis of chronic, low-grade dysthymia from an old PDOC of mine.

My current doctor is one of the best in the southern United States. He specializes in general health and is not a PDOC, but he knows more than a lot of PDOCS I've been to

This is what I take:

Psych Meds:

Rexulti 3mg in the morning

Aplenzin which is fancy Wellbutrin 348mg in the morning

Nuvigil 150mg in the morning

Belsomra 10mg at night of course

Gralise which is gabapentin, three time-released 600mg tabs with dinner

Klonopin 2mg twice a day 

Mirapex ER 0.375mg in the morning

Desipramine 150mg at night

Deplin (l-methylfolate) 15mg with breakfast

Buspar 15mg twice a day

Lamictal ER 100mg at night (not bipolar, this helps with depression at this dosage, above this gives me a zombie effect)


Health Meds:

Metformin 1,000mg twice a day

Benztropine 0.5mg twice a day

Byvalson (nebivolol/valsartan) 5mg/80mg night

----------

Rexulti 3mg
Aplenzin 348mg
Nuvigil 150mg
Belsomra 10mg
Gralise 1,800mg
Klonopin 2mg twice a day 
Desipramine 150mg
Deplin (l-methylfolate) 15mg
Lamictal ER 100mg

Metformin 1,000mg 
Benztropine 0.5mg
Byvalson (nebivolol/valsartan) 5mg/80mg 

My doctor thinks a phenylpiperazine would be appropriate due to having less sexual side effects-- nefazodone which is Serzone, Brintellix, or Viibyrd. He said I might have a good reaction to one of these because I did well when Rexulti was added and it is in that class of pharmaceutical chemicals.

Which phenylpiperazine should I add to my meds to help with my chronic, don't want to get out of bed depression? It's better than what it was, I just need more motivation and energy to be honest. I'm 4X better with the meds I'm on. If not a phenylpiperazine, what med should I be on or not be on?

Any help would be greatly appreciated! :)


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poster:SouthernFarmer thread:1092616
URL: http://www.dr-bob.org/babble/20160928/msgs/1092616.html