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Re: Off TMS 2 Week Update! SLS

Posted by PCB on June 23, 2020, at 19:59:04

In reply to Re: Off TMS 2 Week Update! PCB, posted by SLS on June 23, 2020, at 12:02:04

> Would you be able to describe what type of TMS you received (rTMS versus dTMS), how many weeks, how many times a week, and the pulse settings? I am very interested to know if I don't continue responding to my present treatment.
> Thanks.
> - Scott

I did 2 sessions of L unilateral rTMS for 20 minutes initially. As before, I experienced some agitation. I was feeling my girlfriend should have been treating me better and I felt a little more confident (maybe 10% change). I told the pdoc both days and she changed me to bilateral TMS with right sided stimulation for 20 minutes and left theta bursts for 3 minutes. I completed 3 sessions of bilateral. About 20% of my depressive symptoms returned (sleeping all day, cognitive clouding, anhendonia).

If I wasn't dating this woman, or if I felt this woman could tolerate me being possibly severely depressed for 6 weeks (my baseline), I would have finished the rTMS. I think maybe 25 percent chance I would have responded and been able to lower my nardil dose.

Now I was doing it to get off nardil. I though I would taper off nardil and then start a new med like Trintellix and if that didn't work, start TMS. The TMS pdoc said she wanted me on nardil and start a taper nardil at 2 weeks of TMS therapy. I was surprised to hear that. I have never heard of TMS being use to taper someone off a medication that is working, but patient can't tolerate the side effects. So that could have been a reason to for TMS making me worse. When I go too high on any medication, I feel worse. So maybe the addition TMS was almost "too much" medication.

The tech said they have dTMS machine but hardly every use it due to the risk of seizures.

Good luck SLS!




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