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Re: any experience/knowledge of augmenting MAOI's?? SLS

Posted by shellie on October 15, 2000, at 23:21:34

In reply to Re: any experience/knowledge of augmenting MAOI's?? shellie, posted by SLS on October 15, 2000, at 22:08:39

> Dear Shellie,

> Out of curiousity, what made you choose Serzone?
> It is a logical choice. I wish you well.
> If it works, you better let me know!!!
> !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Hi Scott. I'm so happy to hear from you. How are you?

I went back to my last pdoc--the new guy was scheduling two (TWO!) patients every fifteen minutes and instead of working out an overall plan, would just say, "okay, up the serzone, make an appointment for the end of the week." So, I was sinking, fighting (because of work) not to go into the hospital, and felt he didn't even know who the hell I was by the end of the week.

Despite what I felt were some poor decisions on her part (to encourage me to keep taking topomax after two weeks of sleeping all day and no depression relief, and the last straw--giving me serequel as a stand alone med which I took for one day and changed pdocs), I know my pdoc knows her stuff and knows me, and really cares about me. She did have an explanation about the serequel (she thought my thought processes were difficult to understand), but christ, I was DEPRESSED and exhausted.

So I send her a two page fax, saying that I wanted my strategy to be well planned out (benefit/risk ratios, etc.) and I wanted to go back on either nardil or start parnate. We looked over all my combinations over the years and I had success on serzone and nardil before (her idea, about five years ago). But it ended up not working out, because I had such a large drop in BP and despite our best efforts, couldn't counter it, without really bad side effects.

So why try again? (you might ask). I was so desperate, I didn't want to try anything new. Even if it just got me through my Christmas rush, it seemed like a good place to start again. since it worked really well on the depression. I have very low blood pressure and am not a big salt fan, so we decided I had the latitude to indulge in salt pills, and see how that worked. I have not added serzone yet, but the last two days my depression has lifted ; I don't even know why, and assume it's temporary. But what a relief! I actually went to the movies last night and mowed my lawn today.

So, that's my saga. Has your new pdoc come up with any ideas that you haven't come up with yourself? Anyway, what do you think about your new guy and really, how are you doing? I've missed you. Shellie




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