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Re: Difficult situation - what to augment PROZAC with?

Posted by bipolarspectrum on February 13, 2004, at 15:29:13

In reply to Re: Difficult situation - what to augment PROZAC with?, posted by PsychoSage on February 13, 2004, at 15:19:25

Hi psychosage,
Thanx for the post.. I'm 22 and have been through 28 different medications and 10 ECT treatments.. I only had a manic response to wellbutrin and this was pre-ECT.. Post-ECT, wellbutrin just made me very anxious, with tremors and an insomniac.. My great difficulty is side-effects, they are always hit me very hard.. I've tried all the SSRI's (including serzone), SNRI's, all the MAOIs (I'm a Canadian, therefore moclobemide too), most of the antipsychotics and even bloody SAM-e.. My reaction to all of them is the same, excessive side-effects...
Anywayz, thats my sad story in a nut shell, but at least I achieve partial remission of my depression (which is what i experience 99% of the time) with prozac... I just hope someone has an interesting suggestion(s) for augmentations

> Apathy is the worse symptom. Are you irritable? You can't take most SSRIs or AD if you are bipolar 3? Many bipolars still take stabs at SSRIs or SNRIs even if they have been switched on to mania.
> Did you have any cooccuring disorders or stressful live events during your manic phases for bipolar 3?
> Most manic depressives have more depressive episodes than manic. If you are really switched on by the drugs alone then do you really need them to begin with? Perhaps you need a new diagnosis. Major depression is the first one we generally get before we get the other ones.
> If you start on an anti-convulsant then that can be for anxiety. You will just build a tolerance to benzos before bed and have to increase every few months. They also become a crutch too for those with mild or minor sleep problems. They also made me wake up and eat in the middle of the night.
> Effexor may be a good option as a replacement as the manufacture called it prozac with a punch. Wellbutrin or Strattera may be good as augmenters.
> Are you telling us that paxil and serzone switch you on?
> See, if you don't respond to a whole class then i wonder if your diagnosis is correct or there is missing information unaddressed. There are many options just within the class of antidepressants. Perhaps you should list exactly what you liked or did not like and what you have tried including MAOis and non-SSRIs and all combos before we shoot in the dark.
> I




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