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Re: What do TRD patients take without an MAIO

Posted by undopaminergic on December 11, 2019, at 9:05:54

In reply to Re: What do TRD patients take without an MAIO undopaminergic, posted by pedr on December 10, 2019, at 13:33:39

> Hey undopaminergic,

Hello pedr.

> I had 24/7 suicidal ideation for the 2 weeks I was on Reboxetine. It was possibly the worst med I've ever been on (and that's a lot of meds to beat). I also suspect I have too much noradrenaline flowing around. What meds do you think would be good for such a situation?

Guanfacine without question, or failing that, clonidine. Possibly prazosin or doxazosin.

You can combine (one of) the former 2 with (one of) the latter 2.

> My current rx is (in mg) 40 Fetzima, 30 Lexapro, 30 Ritalin, 60 Adderall, 2.5 Abilify, 45 Buspar, 300 Lyrica, 300 Trazodone, 40 Percocet.

That's quite a cocktail!

If you haven't already you may wish to experiment to find the right ratio of Adderall to Ritalin. Ritalin can (dose-dependently, to a degree) inhibit the action of Adderall.

If you have trouble with opioid tolerance, I recommend trying memantine or opioid rotation.





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