Posted by Elizabeth on June 28, 2001, at 0:06:24
In reply to Re: welcome back » Elizabeth, posted by shelliR on June 27, 2001, at 13:43:57
> My understanding from my doctor is that the OC is a permanent part of the developing cocktail--not for just temporary use while changing ADs.
OK, good then. FWIW, I've heard of a number of case reports where people used oxycodone, morphine, and in one case oxymorphone (!) for depression and were able to stay on a constant dose -- no tolerance.
> It will be interesting to watch my pattern, i.e., if I will need to go up in time, or if I am able to keep the 10mg bid dose. The time release of OC is a solid tablet. If I tried to get off, I would probably switch to hydrocodone first, so I can taper the dose.
Oxycodone comes in an immediate-release formulation too. (It's just oxy: you don't need to use Percocet or anything like that.)
About my AD combo plan:
> Wow, are you going to start them all at the same time?No, but I'm not going to wait a whole month before adding the next one. The order (for me) should be, I think: Remeron, Meridia, Wellbutrin SR, Provigil (or possibly Cylert, since that's helped me in the past and isn't as expensive), and then maybe Lamictal (might try Neurontin instead since it's a better anxiolytic). I'll probably need Klonopin too, at least to start with, because some of the newer ADs can exacerbate REM sleep parasomnias. Remeron probably won't hurt, but it might not help either (TCAs and MAOIs do help).
> I've thought about wellbutrin as a base AD; lamictal was good for me, and provigil made me sleep for two full weeks, 18 hours a day.
Oh, that's just weird. < g >
> I never tried remeron because I was afraid of weight gain.
I didn't gain any weight on it. I started out at 30mg and rapidly increased to 60. The H1-blocking effect seems to be overwhelmed by the NE-autoreceptor-blocking effect as the dose gets increased.
-elizabeth
poster:Elizabeth
thread:67801
URL: http://www.dr-bob.org/babble/20010625/msgs/68170.html