Posted by MarkinBoston on September 25, 2000, at 22:51:36
In reply to Re: Social Phobia Cocktail -- WOW!!!, posted by Billb on September 22, 2000, at 16:16:25
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> Any tips on how to state my desires to my Pdoc to trial differnt meds. so that I can quickly identify a cocktail that works for me? Or is finding a new Pdoc the only solution. For me, that would mean driving out of this small town to an urban area.After hearing people's problem's with doc's, I'm glad I have a good p-doc (a good endocrinologist is the opposite story). Over the last 8 years I've been seeing the same 50-something Dutch woman who believes in high doses for treatment resistant depressions like mine and is curious about papers I've read while also adding the clinical experience she and other doctors have at the psyc ward of a hospital where she also works some weekends. She knows I'm not suicidal, addictive, or stupid - so she will usually let me try what I want and may want to combine it with some suggestion. She had given me Klonipin at one time, but I couldn't really feel much effect from that for jitters caused by another anti-d (I forget which one now). This time, when I was really upset after withdrawing from the testosterone patch, I asked for diazapam because I was having some back soreness and Klonipin was just too weak for me. It did the trick, and I have a little extra on hand for when I need it. She is a little reluctant to try non-US drugs, as I havn't exhausted them all, but I may well working on JohnL's cocktail. She'll be ok with that, I'm sure.
Bottom line is that she's seen me for years, and in the past, only for major episodes. 9 months or a year would go by and I'd call her again once I start having trouble sleeping, thinking, and remembering. Otherwise, I'd been acceping of my dysthymia/anhedonia. So, that would make me non-drug seeking too. She's suggested I just stay on meds to prevent re-occurance of the major episodes, but I'm not willing to put up with the side effects full time. This time I told her my plan was to resolve the major episode and then concentrate on the dysthymia/anhedonia. Serzone as an anti-depressant taken at night is pretty free of side effects. Some dopamine agonist in the AM (Ritalin, adrafinil, modrafinil...) would then replace the Effexor XR which I dislike the side effects of sweating, anorgasmia, and apathy.
Now, if I could get an endrocrinologist to give me an estogen antagonist along with the testosterone suppliment I'd be joyous. Unfortunately, the best estrogen agonists are all FDA labeled as breast cancer drugs.
poster:MarkinBoston
thread:36517
URL: http://www.dr-bob.org/babble/20000905/msgs/45292.html