Psycho-Babble Medication | about biological treatments | Framed
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pdoc tomorrow... suggestions?

Posted by wishingstar on March 29, 2007, at 17:15:44

I see my pdoc tomorrow morning. I have a long history of depression that has so far been completely resistant to any medication. My pdoc is great at listening to me and asking my opinion on things.. and often asks me what *I* think we should try next, since it has become such a guessing game now. I've never gone in prepared with any suggestions that were well researched but I think I'd like to try and have a few ideas tomorrow. Given my history (below) does anyone have any thoughts on things I should look into or suggest to my pdoc?

Meds I've tried:
*zoloft - no effect
*prozac - no effect
*effexor - no effect
*lexapro - no effect
*wellbutrin - no effect the first time, incredible brain zaps the second time that I couldnt tolerate
*celexa - couldnt tolerate
*cymbalta - couldnt tolerate
*lithium - small relief of depression at low dose but increased my anxiety to the point that it wasnt worth it (odd, i know)
*lamical - increased my depression
*desipramine - couldnt tolerate due to crazy effects on pulse/blood pressure in the hospital
*adderall - boosted energy at first but after a few days was not useful. didnt effect the depression piece.

Some were also tried in combination as well as seperatly. Still no effect.

My diagnosis is unipolar depression. Anxiety is not usually a significant problem for me. I already have low energy/motivation so I dont do well on things that are additionally sedating. I also tend to get nauseaus very easily to the point that I've had to discontinue a few meds because I was just unable to leave my bathroom for days while on it.

Cost is also a concern. My insurance does reimburse for some of the cost, but not for several weeks after the purchase and I'm still often left with a significant cost myself.

The last concern is about weight gain. My dr suggested remeron at one point but decided against it due to the weight gain side effect. I have a history of restricting and tend to slip back into eating disorder behavior pretty easily when I start gaining weight. I am in therapy and trying to get over this, but its still an issue.

I'm willing to try just about anything. I realize there arent any perfect meds that meet every criteria I have.. I just wanted to list my concerns to give everyone a full picture.

Thanks everyone!




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