Psycho-Babble Medication Thread 1105790

Shown: posts 1 to 20 of 20. This is the beginning of the thread.

 

Help Me with My Med Regimen! Please/Anyone

Posted by PCB on August 19, 2019, at 6:34:40

Hey Everyone,

Everyone has been so amazing and I have gotten such great advise, maybe I should just list my medication experience and see if anyone has some thoughts. I'm in my 40's with a history of depression, panic disorder. My father was Bipolar II, mother depression. These are the meds I have tried. All of these combos I take with 0.5 of klonopin

Prozac 20 mg. Poor
Imipramine 200 mg. Good 3 months, Poop out
Effexor 350 mg. Poor
Imipramine 200 mg + Lithium 900 mg . Good one year.  Stopped working after 2 weeks of night shifts
Wellbutrin 300 mg. Worst
Desipramine 150 mg. Worst
Imipramine 200 mg. Poor
Remeron 45 mg + Lithium 600 mg. Poor
Nardil 60 mg. Good
Nardil 45 mg. Poor
Nardil 45 mg + Ritalin 0.5 mg. Dysphoria
Zoloft 250 mg . Poor
Nortriptyline 150 mg. Worst
Nardil 45 mg + Coffee. Okay
Lamictal 300 mg. Okay
Nardil 45 mg + Lamictal 200 mg. Okay. But my liver enzymes were increased
Nardil 60 mg. Good. 

*Then I wanted to see if I was bipolar and I tried some mood stabilizers
Lithium 450 mg.  Poor
Lithium 900 mg.  Worst. Severe nausea, fatigue
Depakote 250 mg. Worst.  Severe depression, apathy

*Trying to recreate Nardil with new combinations
Zoloft 100 mg + Gabapentin 600 mg.  Poor
Zoloft 100 mg + Gabapentin 600 mg + Provigil 100 mg.  Poor, Palpitations
Zoloft 25 mg + Zyprexa 2.5 mg.  Worst, Apathy, Tongue Twitching
Parnate 40 mg + Lithium 600 mg.  Worst
Nardil 60 mg.  Poop out

*Nardil stopped working so I volunteered for ECT to see if it would get nardil to work again
ECT. Good, Still with anxiety
Nardil 60 mg. Good
Nardil 45 mg + Lithium 450 mg + Coffee. Okay
Zoloft 75 mg + Wellbutrin 100 mg + Lithium 450 mg. Okay

*Closest I would come to recreating Nardil with Selegiline
Zoloft 75 mg + Lithium 450 mg + Selegiline 10 mg. Okay. 75% of Nardil

Nardil 45 mg + Lithium 450 mg + Coffee. Okay
Zoloft 75 mg + Wellbutrin 100 mg + Lithium 450 mg. Okay.  Still with leg edema
Nardil 49 mg + Lithium 450 mg + Lamictal 45 mg. Good

*Finally my current meds
Nardil 49 mg + Lithium 450 mg + Lamictal 45 mg + no caffeine + Fish 2 times a day + no alcohol + strict sleep schedule + meditation + reading 1 hour before bed + exercise 5 days a week + church weekly

Do you think a retrial of lexapro/Effexor with 450 lithium and 0.5 klonopin with no coffee, sleep, omega III would work this time?

Any other combos anyone can thing of?

I know this is a long post. But any and all suggestions are appreciated!

PCB

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by linkadge on August 19, 2019, at 8:13:29

In reply to Help Me with My Med Regimen! Please/Anyone, posted by PCB on August 19, 2019, at 6:34:40

Hey,

I read over your list. A few things that pop out to me...

1) nardil + coffee seems to work fairly consistently with you. Keeping some nardil on board may therefore be helpful / necessary?

2) A short acting, low potency antipsychotic can temporarily block serotonin and dopamine and help to restore sleep cycles. You may look at meds like say low dose Seroquel or perphenazine. They have the added bonus of, by blocking 5-ht2a, they increase melatonin release which may help you adjust to shift changes. For me, 25-50mg of Seroquel completely reversed parnate insomnia and was fairly tolerable overall. The problem with MAOIs is that they bombard your brain 24/7 with serotonin, dopamine and norepinephrine. This can lead to insomnia (mice lacking MAO have severe sleep abnormalities). Lack of REM sleep can cause disorders that resemble bipolar or schizophrenia.

3) Trimipramine and nortriptyline can be combined with MAOIs as they are generally devoid of serotonin reuptake inhibition. The former is very good for sleep.

4) If selegeline worked to some extent, it may be worth revisiting. It has the benefit of fewer interactions than older MAOIs.

5) other cheap supplements (like zinc, folic acid, vitamin D and/or b12) can augment many psychiatric medications

6) abilify can probably be combined with MAOIs and has mood stabilizing qualities.

7) dopamine agonists like Mirapex have antidepressant properties and can likely be combined with MAOIs.

8) PEA (phenylethylamine) is an endogenous amphetamine-like substance with antidepressant qualities. It is broken down in the body by MAO-B. It is linked to the antidepressant effects of exercise. Studies have used it in combination with
selegeline (see below). It is present in chocolate, but can be purchased as a supplement. I can't say whether it is safe to combine with traditional MAOIs, but something to consider:

https://www.ncbi.nlm.nih.gov/pubmed/9081552

What are your most prominent symptoms right now? Depression, insomnia, anhedonia, energy..?

Linkadge


 

Re: Help Me with My Med Regimen! Please/Anyone » linkadge

Posted by PCB on August 19, 2019, at 8:53:02

In reply to Re: Help Me with My Med Regimen! Please/Anyone, posted by linkadge on August 19, 2019, at 8:13:29

I'm actually doing well with my current combination, I feel about 70% of normal. I wish I felt well enough to socialize and make friends. I feel like I have optimized nardil after 20 years of experimentation. Sorry to ramble, but I feel my side effects are my biggest problem. After stopping coffee, alcohol, slept, etc; I actually feel like I have normalized somewhat. I use to have irritability, irritable bowel, poor sleep. 2 years after my lifestyle changes; I started to travel, go to church, going to the beach and actually dated. I now have no diet limitation (except maybe folic acid and lamictal and the typical MAOI diet). I now can tolerate any brand of lamictal, where as I could only take TEVA before.

So now that I feel normal, I almost feel like I should take "normal" pscyh medications like an SSRI/SNRI and maybe lithium augmentation. Even Dr. Quitken The Godfather of Nardil told me he pretty much prescribe Prozac instead of nardil. The last concern I have is most of the medical community don't have knowledge of nardil. It is tough for me, because most of my providers are colleagues of mine. It is embarrassing and a breach of confidentiality to tell my dentist, podiatrist, orthopedic that I have depression and take nardil. And most truly don't know what anesthesia to avoid. I fear a hypertensive reaction.

I use to post on babble years ago and once said, "All I want is a average life one maybe with an average wife, a child, small home. And bring on a divorce, late mortgage payments, difficult children. That would be 100% better then my life now" I tried over 30 medicine combination to try to get that average life and I failed. I am now 47 only with a job, no friend and a family all with depression. Well, now I would love to get on a average medication regimen without all of the side effects. And maybe with the weight loss, normal sleep, normal diet on a regular medication regimen, I might be able to get a friend or date little more.

Thanks Linkage! Your the best!

I have never tried CBD. Think that would help?

 

Re: Help Me with My Med Regimen! Please/Anyone » PCB

Posted by linkadge on August 19, 2019, at 11:03:18

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 19, 2019, at 8:53:02

OK. I see now why you want to switch off nardil.

The problem is that SSRIs are just not really equivalent to nardil. As an MAOI, it increases the level of serotonin, norepinephrine and dopamine, as well as 'trace amines' like phenylethylamine, tryptamine etc. Nardil also metabolizes to a GABA-T inhibitor (gaba transaminase inhibitor) which has the effect of increasing gaba levels in the brain.

Some doctors will try augmenting an SSRI with say Wellbutrin (to get some sort of effect on serotonin, norepinephrine and dopamine), but it is still a different mechanism for doing so and then you potentially have more side effects from multiple medications.

I too live a very boring, lonely life. I have no friends and tend to actively avoid relationships. In doing so, I have become a master of my own misery. That aside, I realize that achieving those things has to come from my own choice and ongoing effort. Often I just say "if only I had the right medication, I would start to make friends", but I know this is just an excuse.

Bottom line is that its your choice, but nardil is a very powerful antidepressant with unique mode of action that may be difficult to replace with other meds. I am very apathetic on Effexor, lithium and venlafaxine and am kicking myself for stopping parnate a while back (as no other meds really replicate the effect and no doctors are willing to prescribe it anymore). Getting on an SSRI is easy. Getting on an MAOI is almost impossible nowadays.

Also, there are a lot of people that don't respond to SSRIs. They can tend to induce apathy and amotivational syndrome in (likely) a high proportion of people who take them.

As far as medical marijuana, I swear by it. I use a higher CBD strain, but still benefit from some THC in it. It works well for insomnia and mood. When its in my system I have complete relief from depression, anxiety and anhedonia. I've been taking it about 1.5 years and haven't really noticed a loss of effect.

The only problem is that I take it only once a day in the evening (to avoid daytime impairment). As it leaves my system, I have lows (can be bad) starting around lunch time till I dose again. Normally, they recommend taking it 2x a day (because of half life) but I can't do this to avoid impairment.

Linkadge

 

Re: Help Me with My Med Regimen! Please/Anyone » linkadge

Posted by PCB on August 19, 2019, at 13:25:20

In reply to Re: Help Me with My Med Regimen! Please/Anyone » PCB, posted by linkadge on August 19, 2019, at 11:03:18

Dear Linkage,

You do say the truth about Nardil Linkage which I am trying to forget. Nardil does so many things including increasing GABA levels, block the reuptake of dopamine, metabolizes to PEA and block the reuptake of melatonin (is this why Nardil causes insomnia???). I agree from what the literature states and my personal experience that no psych med combination can equal Nardil. The closes I came was Zoloft, lithium, Selegiline, Klonopin, coffee and exercise. That was 75% of Nardil.

It is so strange that my clients actually do well with the traditional recommendations. So many patients come in with mild depression and anxiety and do well with therapy, any SSRI and prn Xanax. It confuses me sooo much. How do they do well with one medication trial, while I and so many others on babble struggle after multiple drug, vitamin, lifestyle changes still with depression. And why don't they complain about apathy and lack of motivation on an SSRI/SNRI. I guess I and others on babble have worse disease burden (both parents, 2 grandparent with mood disordered).

So I mentioned I dated. My ex girlfriend has moderate anxiety and mild depression. She had tried Zoloft, Xanax but chooses to smoke marijuana. She works from home and has a great cat. Her life is not that bad. I wonder if that would be a good option for me. I was also thinking of trying weekly therapy.

But Linkage, I do not think it is your choice or fault that you do not feel good. On full dose Nardil, I was a social animal and so remembering that time affects my judgement of my other medication trials (can't compare any psych med to nardil, it is too good). So now I would not expect an SSRI/SNRI/Abilify combo to be like full dose nardil. I think I could life at a combination that is 70% of full dose nardil. So many people married, date, have social lives without any medications. So it is not your fault. If you needed help, I could find you a doctor in NYC to get you Nardil or Parnate.

One thing that helped me a lot is reading and rereading "The Art of Happiness,:" by Dalia Lama. I never thought I would say that in a million years, but embarrassingly it does help me.

I hope we both find some things help us. You deserve to be happy L! Thanks for another great post. Maybe I will accept a lower efficacy drug combination, change my job to a lower stress position and add CBD and continue to meditation. Probably won't work like all the 30 prior trials and I'll be back on Nardil in 6 months.

Be well!

PCB

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by Christ_empowered on August 19, 2019, at 14:21:04

In reply to Help Me with My Med Regimen! Please/Anyone, posted by PCB on August 19, 2019, at 6:34:40


ok. before i developed intolerance to wellbutrin (WTF?!?!), wellbutrin+abilify+lamictal, with a low dose of as needed gabapentin.

no blood work, not too much weight gain, just watch out for the rash of death.

it seems to be a fairly common combination.

i cannot help but notice that you've been put on some hardcore noxious psych drugs. how did you deal with all the blood work and such? i ditched depakote once my blood levels inched up too high, once...

never again. trileptal was a go-to till it made me stoopid and depressed. now, its just abilify+prozac+gabapentin, which...

is actually being good to me, and isn't as Stepford-izing as it might seem at first glance.

my --personal-- and --totally random-- suggestion would be to try to look to less toxic psych drugs and consider 'complimentary' approaches to get more mileage out of whatever the psych prescribes.

wax on, wax off. :-)

 

Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered

Posted by PCB on August 19, 2019, at 14:44:19

In reply to Re: Help Me with My Med Regimen! Please/Anyone, posted by Christ_empowered on August 19, 2019, at 14:21:04

Hey Christ_empowered!

Great idea! I once saw the Head of Columbia Psychopharmacology, Dr. Sandy Glassman, about 12 years ago for a consultation. He was the first to recommend lamictal. He said if it did not work, add Wellbutrin just like you have recommended. Wow! I have found gabapentin good for my anxiety. Lamictal up to 300 mg made me feel okay. I didn't add the Wellbutrin to my Lamictal trial because I had some hard work training coming up and Wellbutrin before worsen my anxiety, panic so I added back Nardil 45 mg to Lamictal 200 mg. But maybe with Abilify and gabapentin, that combo would work! Great, Great idea. I did add zyprexa 2.5 mg once to Zoloft and that made me feel terrible, zombie like with tongue twitching. Would Abilify be okay if I failed Zyprexa???

I did lithium 900 mg for a year with a blood lithium level of 0.6. Since then I only take 450 mg which might be about 0.3. I think my labs lithium level ranges doesn't not register below 0.4. But mostly, if I got a lithium level and then I saw one of my other colleagues such as the orthopedic, ophthamologist, etc. saw that in my medical record, my secret of being depressed would be know by my all my colleagues. That could lead to me getting released by my employer. It really stink seeing the same doctors I work with. It seems unethical. I have though of self paying for lithium levels at an outside lab.

I love the though of getting off these toxic toxic medications. I feel like I am taking medications from the 60's. This is what I have been asking and are getting great suggestions from everyone here! How to get off nardil (and lithium, klonopin would be a bonus!) Thanks so much Christ_empowered! And I have been maximizing my complimentary approaches with no caffeine, no EtOH, sound sleep, exercise, Vitamin D 1000 IU, avoiding television, getting outside in nature, meditation, church and reading Buddhism.

Wax on, Wax off ..... hahahaha! Your the Best too!

Thanks a million!

PS. Does Abilify low dose cause weight gain, diabetes?

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by Christ_empowered on August 19, 2019, at 16:33:16

In reply to Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered, posted by PCB on August 19, 2019, at 14:44:19

hi. i had bad akathisia from low dose zyprexa, but i can tolerate full dose abilify well. i cannot guarantee that its a good idea, or even appropriate for you, honestly. i need a tranq in my life, for the foreseeable future, and abilify is pretty much what i can tolerate.

abilify can cause weight gain, metabolic probs, etc., but it seems to be less common and less pronounced than with zyprexa, risperidone, or seroquel. and...

gabapentin isn't my favorite thing ever, but its probably (?) better than a benzodiazepine, definitely better than a sedating antihistamine, and most definitely beats...nothing.

one thing i read that i haven't heard of anybody's doctor actually doing...taking a very small dose of abilify every 2nd or 3rd day, to keep it from building up and acting more neuroleptic-ish. your psych would know all the details.

hope this helps a bit. is lyrica an option? its a Schedule V, so there is a discontinuation syndrome, but its supposed to be an improvement over daily benzodiazepines, and its 2x daily, not 3+ x daily like gabapentin. just a thought.

 

Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered

Posted by PCB on August 19, 2019, at 16:47:09

In reply to Re: Help Me with My Med Regimen! Please/Anyone, posted by Christ_empowered on August 19, 2019, at 16:33:16

This doesn't help a little. It helps me a lot. I had brought up the idea of augmenting with Abilify with my pdoc during my last two sessions. I have a lot of clients who are on an SSRI, Abilify and as needed Xanax who seem well.

My pdoc is older and willing to give me Nardil. He told me he does not believe the trend of using Abilify to augment. But he is flexible and I know he would be willing to try it if asked him seriously.

A lot of great ideas Christ_empowered. And I would love to get off Klonopin with Lyrica or Gabapentin! I had run out of ideas over the past 20 years, but now you and everyone have given me new hope!

Thanks a million for taking time out of your day to help me with my struggle. It means so much to me!

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by linkadge on August 19, 2019, at 17:58:20

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 19, 2019, at 13:25:20

>and block the reuptake of melatonin (is this why
>Nardil causes insomnia???).

It's not reuptake per-se, but monoamine oxidase type A metabolises melatonin. Blocking the MAO-A would lead to higher levels of melatonin. I think the disruption happens in the fact that it would likely be higher at all times rather than just at night (daytime napping?). Not sure entirely, but the balance with other monoamines would likely impact sleep rhythms too.

As far as MAOIs, I am in Ontario Canada (few hours to your north). I would likely need to find a psychiatrist a bit closer - but thanks for the offer. I also pay out of pocket for meds, which would likely make nardil prohibitively expensive for me. Contrary to popular belief, we don't have universal health care in Canada. The growing number of people without workplace benefits pay 100% out of pocket.

I'm not sure why some people respond (apparently) well to SSRIS.

Linkadge

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by linkadge on August 19, 2019, at 18:00:39

In reply to Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered, posted by PCB on August 19, 2019, at 14:44:19

>I feel like I am taking medications from the 60's.

I think nardil was developed in the 50s :)

But, a lot of meds are older than you think. Citalopram and Abilify, for example, were synthesized in the 80's. Takes decades for them to become available / used.

Linkadge

 

Re: Help Me with My Med Regimen! Please/Anyone » linkadge

Posted by PCB on August 19, 2019, at 18:14:59

In reply to Re: Help Me with My Med Regimen! Please/Anyone, posted by linkadge on August 19, 2019, at 17:58:20

Hahaha! Thanks for the correction on MAOI inhibition and Nardil in the 50's. I am being dramatic. Its not like I being treated with leeches or ice baths :-). And I feel lucky that I have received treatment.

Hey Linkage, I hear a lot about Abilify augmentation. You have any thoughts about it? Sorry for all the questions

PCB

 

Re: Oops! Sorry I see you ask about Abilify above. » PCB

Posted by PCB on August 19, 2019, at 19:28:11

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 19, 2019, at 18:14:59

Sorry!

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by sigismund on August 20, 2019, at 9:26:34

In reply to Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered, posted by PCB on August 19, 2019, at 16:47:09

Lyrica and gabapentin in normal doses make me feel normal and able to function.

They both give me swollen feet. Never found a solution for that. Hydroxyehylrutoside didn't help.

Gabapentin is maybe weaker but with fewer side effects.

 

Re: Help Me with My Med Regimen! Please/Anyone » PCB

Posted by linkadge on August 20, 2019, at 11:27:35

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 19, 2019, at 18:14:59

I haven't personally used abilify for augmentation but it gets decent reviews. It's likely not as good for sleep as say, Seroquel. It has activity as a dopamine agonist (or partial agonist) and supposedly has ability to stabilize dopamine (i.e. increase dopamine function if it gets too low).

It tends to be a bit more on the stimulating side, and a common side effect is akathisia.

Overall, I would recommend trying it as you shouldn't need to reduce nardil.

 

Re: Help Me with My Med Regimen! Please/Anyone » linkadge

Posted by PCB on August 20, 2019, at 19:04:33

In reply to Re: Help Me with My Med Regimen! Please/Anyone » PCB, posted by linkadge on August 20, 2019, at 11:27:35

Hey Linkage!

What do you think about a trial of Effexor and Abilify? Fifteen years ago I tried several Zoloft combinations including Zoloft + Neurontin, Zoloft + Neurontin + Provigil, Zoloft + Neurontin + Amantadine with good improvement in my anxiety but still depressed. Before I returned to Nardil, I tried Zoloft and Zyprexa 2.5 mg for one day. I felt very apathetic with some tongue twitching.

I really want off Nardil. Do you think despite a negative Zyprexa single dose trial; maybe Effexor, Abilify and all my lifestyle changes might get me up to 50 or 75%?

Thank you! No need to answer if your getting tired of my question. Sorry

PCB

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by Christ_empowered on August 20, 2019, at 20:23:29

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 20, 2019, at 19:04:33

hi. i'll jump in here because...well, why not?

i think effexor is a good idea, if you're OK with knowing that tapers can be hell on earth for a lot of people. anyway...

tofranil+abilify worked surprisingly quickly for me. i mean, it was kinda rough, and the shrink wanted me on something "more modern," but...

effexor seems a more modern choice. lower doses for the ssri action; ramp it up, hit other stuff. too much; take the dosage back down. something like that, anyway.

i think there's a patent on zoloft+abilify. true story. they apparently play well together.

do you need abilify? i know its technically approved for add on treatment in MDD, blah blah blah...its heavy artillery.

i just asked mah prescriber about mirapex. she's looking into maybe trying it with me. i was interested because it did well with both "Schizophrenia" and "Bipolar I" (I think there's so much overlap...hence the " "), without triggering extra madness.

maybe...provigil+LOW dose abilify+ neurontin? its like a less euphoric, modern goof ball.

have a nice day. :-)

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by linkadge on August 21, 2019, at 16:39:01

In reply to Re: Help Me with My Med Regimen! Please/Anyone » linkadge, posted by PCB on August 20, 2019, at 19:04:33

I tend to think that abilify is better for depression / less impairing than Zyprexa. Although, it's one I haven't tried so I can't give my direct experience.

Abilify is a bit unique in that it doesn't large-scale block dopamine (like Zyprexa). Dopamine partial agonists like vrylar and abilify have anti-anhedonic effects. I personally like Zoloft better than Effexor, but each individual is different.

I wouldn't think that a poor response to Zyprexa would indicate a negative response to abilify. Even Seroquel (which metabolizes into a norepinephrine reuptake inhibitor) will be different than Zyprexa.

Linkadgde

 

Re: Help Me with My Med Regimen! Please/Anyone » Christ_empowered

Posted by PCB on August 21, 2019, at 18:32:15

In reply to Re: Help Me with My Med Regimen! Please/Anyone, posted by Christ_empowered on August 20, 2019, at 20:23:29

Hey Christ_empowered,

Please jump in anytime! I appreciate everyones input. I would love to try an Effexor or Lexapro combination. I failed Effexor alone, so I think I would need low dose lithium. But I see so many clients getting Abilify, maybe that would a safer augment agent. And I would have to keep my lifestyle changes too.

Go luck with the Miralax! Thank you for your help!

PCB

 

Re: Help Me with My Med Regimen! Please/Anyone

Posted by bleauberry on October 18, 2019, at 16:34:41

In reply to Help Me with My Med Regimen! Please/Anyone, posted by PCB on August 19, 2019, at 6:34:40

This will sound crazy. Those who know me know where I'm going. It's not crazy. It's very common. Way more common than anyone here thinks.

That is, an unsuspected undiagnosed tick born disease. Very psychiatric, and very resistant to treatment.

Since the whole focus on psychiatric meds has not been real fruitful for you, it makes sense, in my world, to at least explore things outside of that limited box. Get out of the box. Start reading about the link between lyme and psychiatry. Go online to check the writings of Horowitz M.D. "Why Can't I Get Better", writings by Burrascanno M.D., and Marty Ross, M.D.

Or just type "lyme psychiatry" into any search box and start reading.

The more you learn about it, the more likely you are to see a light bulb go off in your head. It will totally make sense.

I got cured from 20 years of treatment resistant depression by antibiotics and herbs for Lyme, not from any psych meds. I had tried 95% of the psych meds on the market today.


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