Psycho-Babble Medication | about biological treatments | Framed
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Need an Antidepressant--please help! (long)

Posted by madeleine on October 5, 2001, at 1:20:55

I have been seeing the same psychiatrist for the past three years for the treatment of major depression and anxiety. Paxil was the first medication I tried, did little for my depression but improved the quality of my sleep immensely, so much so that by the end of 10 months I was squeezing in 12-14 hours per day. So, off the Paxil and onto Prozac (20 mg), which I detested at first, felt painfully awake and jittery. Asked to be taken off of it at least once a week. Much preferred relaxed and sleepy even if not conducive to productivity. Also took T3 (25 mcg) to augment and Ativan prn for anxiety. At some point added Remeron, 7.5 mg to start and eventually up to 15 mg. The Remeron seemed to help immensely, felt calm, relaxed, better almost right away. Switched the Ativan for Klonopin (.5 mg) which gave me the first real relief from anxiety I had ever experienced. Decided to eliminate the Prozac since it seemed to have little effect, however, once it was gone the Remeron (still 15 mg) became quite a monster and I found myself ravenously hungry. Eliminated the Remeron. Tried a short course of Wellbutrin SR but found it to be the equivalent, in my case, of an emotional lobotomy. So now I am on Klonopin (.5 mg tid), T3 (25 mcg), and Seroquel (25 mg bid). So in sum, I am not at all anxious (hurray!), the Seroquel seems to reduce irrational/unproductive thoughts, BUT I am basically still depressed and at the moment not on an antidepressant. My psychiatrist has suggested either Serzone or Celexa. I am reluctant to try Serzone because of its possible link to liver damage (see my previous post) and I am dubious about Celexa since neither Paxil nor Prozac seemed to help. I am frustrated that the one antidepressant that seemed to really help--Remeron--made me so uncontrollably hungry. So I am at a loss. Please help!




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