Posted by Christ_empowered on August 8, 2018, at 16:14:24
In reply to ECT or switch up medication or stay put, posted by CheckTest on August 7, 2018, at 22:05:04
hi. i read a small study from the late 90s which found that adequate doses of stimulants helped about as much as ECT. maybe ask about increasing the ritalin or a switch to some sort of amphetamine?
other than that...I think in Europe, doctors go up to 90 or so on Remeron. Not saying think about it or anything, just mentioning that there might be some room to go up there, too.
I see that you're already on 4 psych drugs. As much as I've personally never really enjoyed extensive cocktails, maybe add Lamictal or mirapex? In Bipolar I, 200mgs/Lamictal seems to be what shrinks (read: my shrink) aim for..but I think there's a lot of range, from 100 up to 600 (that's how much a former shrink told me he'd go up to...-shudder-).
id personally avoid ect, if you can. Mine was not voluntary (long story...), and...the ill effects were horrible, and pronounced, for a while there. Clearly, I've made it thru...now I've even regained IQ points, and I have a whole new personality, "Zen and The Art of Motorcycle Maintenance" style.
seriously, though; ECT can be rough, the relapse rates are high, and its usually expensive. I'd try adding lamictal, increasing the stimulant...something, anything else...first. ((personal opinion, clearly)).
hope this helps.
poster:Christ_empowered
thread:1100159
URL: http://www.dr-bob.org/babble/20180728/msgs/1100170.html