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Re: tools to offset Serzone cognitive issues?

Posted by Ritch on February 18, 2002, at 21:35:10

In reply to Re: tools to offset Serzone cognitive issues? JohnX2, posted by jay on February 18, 2002, at 17:35:12

> >
> > I may be starting Serzone again as it is
> > the only medicine besides Topamax that alleviates
> > really bad tension headaches and I am having
> > an impossible time tapering off this last 1 mg
> > of Klonopin.
> >
> > Funny, I found Topomax alleviated
> > my myofacial pain that Klonopin seemed to be
> > doing and swiftly weened Klonopin from 6 mg to
> > 2 mg, but from 1 mg downward the headaches have
> > been unbearable.
> >
> > So I'm thinking of maybe restarting Serzone.
> > It totally eliminated these headaches before, and
> > I may be able to take it if only for a short while
> > to chip off this last mg of Klonopin. The major
> > issue is that Serzone caused in the past very
> > bad cognitive dysfunction and it was a bit scary
> > to operate my car.
> >
> > So my question is if people have tried augmenting
> > serzone with other meds to help with cognitive
> > side effects? Any other ADs or stims?
> >
> > Thanks for any feedback.
> >
> > -John
>
> John,
>
> Have you thought about going a 'low-dose' Serzone? That was the only way I could take it.
>
> I also find the tricyclic (the brand name only, strange as it is) for Nortriptyline in the 25mg or so range helps with cognitive performance. I found the stims made me feel 'dumb' at times, mostly because they made me so anxious, I couldn't think straight.
>
> Good luck,
>
> Jay

John, What do you think about just adding Nortripytline instead of Serzone? I didn't get any *confusion* with it, and it even helped focus better than Wellbutrin. And, since it is a TCA-you shouldn't get worsened neuropathic pain. Just a guess. If the NT dose is low-enough you might be "out of the threshold" enough not to worry about hypomania-but possibly "in there" for analgesia and improved focus.

Just another idea,

Mitch


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poster:Ritch thread:94516
URL: http://www.dr-bob.org/babble/20020215/msgs/94559.html