Posted by SLS on January 1, 2001, at 20:11:12
In reply to Re: To Scott, again, posted by Natd on January 1, 2001, at 11:46:09
Dear Nat,
You are making sense. You are not rambling. You are definitely cute.
Thanks for your concern.
I have increased my dosage of Risperdal to 2.0mg. I felt better for having increased it, but I seem to have once again experienced a plateauing and diminishing returns.
I had never thought of adding Mirapex. I'll bring it up with my doctor when I see him in a couple of weeks. Was this your idea? I guess I am still confused as to the extent to which the innovative treatments I see on Psycho-Babble are the result of one's doctor's treatment method or the suggestions of their patients. Do you treat yourself? (Not to be construed as pejorative). At this point, I don't want to assume control over my treatment with my new doctor. I need to give him a chance. However, I am not convinced that he will conceive of the type of strategies such as adding Mirapex to Risperdal.
I definitely need to change at least two of my medications. I want to switch from Parnate to Nardil and from desipramine to nortriptyline. I am even considering adding a small amount of Zyprexa to the Risperdal on a hunch. My hunches are usually wrong, but I am afraid to leave any stone unturned.
Have you tried Zyprexa? Sorry, but I forget a lot of things. It is much less likely to produce galactorrhea and dysmenorrhea. Weight-gain can be a big problem with it, though. Perhaps amisulpride would fill the role of Risperdal if Risperdal becomes intolerable. I know that were I in your position, I wouldn't want to mess with a good thing. If you deem it necessary, you might attempt a switch-over to Zyprexa or one of the other neuroleptics after your remission "digs" in deep. Maybe in six months. By that time, ziprasidone (Zeldox) might be available. It looks like a Zyprexa without weight gain, plus, it possesses pindolol-like effects that would potentiate its serotonergic effects. It sounds exciting. Of course, what looks good on paper doesn't always work out in real life. We'll see.
For now, keep feeling good. :-)
Sincerely,
Scott
poster:SLS
thread:49829
URL: http://www.dr-bob.org/babble/20001231/msgs/50706.html