Psycho-Babble Medication | about biological treatments | Framed
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Re: Inquiring minds want to know! Noa

Posted by JohnL on December 3, 1999, at 14:10:44

In reply to Re: Inquiring minds want to know! Bob, posted by Noa on December 3, 1999, at 12:02:00

> Hey, John, how did your pdoc appointment go?
> Thinking of you...Noa

Hi Noa. Very nice to hear from you. The appointment was interesting, but a little more reserved than I was hoping for. One step at a time he tells me.

The first step is removing the Remeron. My pdoc seemed to think my theory of receptor-blocking drugs preventing full response made sense with me, based on my history of lousy response to receptor-blocking drugs like Remeron, Serzone, Trazodone. And my more favorable responses to drugs that don't block receptors. He admitted that was a rather atypical way to look at it, but that since everything else about me has been atypical, it made enough sense to take action on it. He suggested replacing the Remeron with a benzo. After agreeing on the fact that there's probably no way to know in advance which benzo is better for me, especially considering my atypical responses to other meds, we decided on Xanax as a first try. For sleep only, as needed.

I wanted to do more, like either replace the Prozac altogether or add something else to it. But he was pretty firm in going one step at a time. He said if my theory is correct, I might find removing the Remeron might make all the difference in the world. He wants to try that for a couple weeks first. He seemed to favor staying with Prozac since it was, in atypical fashion, enhancing my sex life. He said in the old days he had a lot of success with Desipramine and we would likely try adding that one in a couple weeks if needed. He also mentioned Reboxetine and maybe Effexor, though he seemed reluctant that Effexor might be problematic in sex. He agreed that for melancholic depressives like me, those old tricyclics worked great. So we might try Desipramine in a couple weeks. We'll see. He really seems to like Desipramine.

For now, I'll be satisfied with a good night's sleep. Don't know if Xanax will agree with me, but I guess I'll find out real soon, like tonight. Maybe I'll feel better when the Remeron is washed out. If not, the chase goes on. Again though, nice to hear from you. Hope your med is going smooth so far. JohnL




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