Posted by pedr on November 18, 2019, at 11:07:01
In reply to What do TRD patients take without an MAIO, posted by PCB on November 10, 2019, at 18:06:06
> Hey Everyone,
>
> Still plodding my way to find an alternative to nardil. Many psychiatrist do not prescribe MAOIs. Less then 1% of the prescribed antidepressants in the US are MAOIs.
>
> So most likely a majority of treatment resistant patients are never are offered Nardil, Parnate. Do think they end up on ECT, TMS? How can so many of us only respond to MAOIs, yet they are rarely prescribed?
>
> PCBHey PCB,
so I'm 25+ years severe TRD and TR OCD (and other stuff). I've tried north of 80 medications, both alone and mostly in combo. I once felt actually good on Nardil+Ritalin but the PDoc got cold feet and stopped prescribing the Ritalin and back down I went. ECT, dTMS (42 sessions...) had no effect at all.
My current regimen is (in mg) 40 Fetzima, 30 Lexapro, 30 Ritalin, 60 Adderall, 2.5 Abilify, 45 Buspar, 300 Lyrica, 150 Trazodone, 40 Percocet (for Chronic Pain).
The key meds are Ritalin (obtained "illegally"), Adderall and Percocet. When I take a Percocet and an Adderall dose, I feel mostly human, from feeling totally worthless, empty and a "bad person".
I do not know why - and nor does my excellent PDoc - why this is.
The other meds basically act like a "base" to stabilise me, upon which the stims can firmly plant themselves.
Anyway, the TRD team at Mount Sinai, NYC want me to do Ketamine therapy. When that fails I can do VNS or DBS, which I'm slightly optimistic about as the stats are quite good for them.
Anyway, I hope this helps in some way.
PeteI love the smell of Abilify in the morning. The smell, you know that chemical smell. Smells like victory. Some day this war's gonna end...
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Atypical Depression, OCD, IBS-C, GERD since '96
poster:pedr
thread:1106750
URL: http://www.dr-bob.org/babble/20191019/msgs/1106826.html