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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by john Henry on July 31, 2003, at 8:31:44
I am done using SSRI'S,right now I am weaning from Zoloft.I'm currently on these also:
-klonopin 6 mgs.
-Remeron 15 mgs for sleep.
-RITALIN 40MGS as neededI'm thinking on what to add as a mainstay,I have panic disorder,dysthmic depression and social phobia.
Here's what I was thinking:
-Effexor is questionable because I cant deal with sexual side effects
-Higher doses of Remeron in a more theraputic range.Not sure how it will work though.
-Serzone
-Selegiline or Nardil
-Wellbutrin,Ive used this to augment ssri for about a month at 150 mgs a day,didnt feel much off it...what would higher doses do?
-Depakote-heard it was used for panic
-Lamictal-heard it was good ADCan someone comment on their experiences with these for similar diagnosis I have?
I've tried with no success;
paxil,celexa,Inderal,desipramine,zyprexa,seroquel,neurontinI'm ready to finalize my cocktail.
I need:1-A good anti-depressant-still looking but one with no sexual sides.
2-A good anti-anxiety agent-happy w/klonopin
3-A good stimulant-maybe need something stronger than Ritalin
4-A good sleep aid-Remeron works perfect at 15 mgs.but am open to other sleep aids.Can someone give me opinion's on what kind of cocktail I can come up with? I would be very greatful!!!!!
Posted by yesac on July 31, 2003, at 9:45:25
In reply to Help with med combo...., posted by john Henry on July 31, 2003, at 8:31:44
> I need:
>
> 1-A good anti-depressant-still looking but one with no sexual sides.Well, I haven't as of yet found a good antidepressant for me, so I'm not sure about that one. Except that I don't think the sexual side effects of Effexor are really a problem for most people, but I could be wrong. I think you could try a higher dose of Wellbutrin... people go much higher than 150 (I went up to 400), and also going longer than a month might result in some efficacy.
> 2-A good anti-anxiety agent-happy w/klonopin
Don't know much about benzos, but Wellbutrin and Effexor are both used for anxiety as well as depression.
> 3-A good stimulant-maybe need something stronger than Ritalin
I've never been on a stimulant, but I'm looking into them too. I can't take them right now because I am on Parnate.
> 4-A good sleep aid-Remeron works perfect at 15 mgs.but am open to other sleep aids.
I use trazodone. I've used it for 2 years and it's been good all along. You can tweak your dose as you need to, and I usually don't have any problems feeling tired or drowsy the next day.
I know this isn't all that helpful, but I just wanted to give you my thoughts! Good luck!
Posted by Ame Sans Vie on July 31, 2003, at 11:17:37
In reply to Re: Help with med combo.... » john Henry, posted by yesac on July 31, 2003, at 9:45:25
I'd recommend keeping the Klonopin and Remeron, switching the Ritalin to Desoxyn or Dexedrine (which are not only better stimulants, IMO, but also have a much greater effect on mood), and adding Wellbutrin, Strattera, Pamelor, Norpramin, Effexor... you get the idea, some type of stimulating anti-depressant. I only mention Effexor because the side effects can be overcome with Buspar, Wellbutrin, bethanechol, cyproheptadine, and stimulants (not to mention Viagra, yohimbine, and gingko biloba).
These are all just off the top of my head--good luck!
Posted by Bill L on July 31, 2003, at 15:01:57
In reply to Help with med combo...., posted by john Henry on July 31, 2003, at 8:31:44
2 options are:
1) higher dose of Remeron
2) stay on 15 mg Remeron and add Effexor. Remeron often counteracts the sexual side effects of other antidepressents.
This is the end of the thread.
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