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Re: hanging in there Elizabeth shelliR

Posted by Lorraine on October 8, 2001, at 10:48:06

In reply to Re: hanging in there Elizabeth, posted by shelliR on October 7, 2001, at 15:08:35

Shelli and Elizabeth:

> > >I have had a horrible horrible weekend. It seems that when I need to go up on the oxy, I don't get a little more depressed, I get totally horribly depressed. You have never gone up on bupe since you have started it? Did you get the idea from Alexander Bodkin that most people don't have to go up on buprenorphine?

Did Bodkin do research on buprenorphine? My pdoc looked it up and seemed to think that it was being used in lieu of clonodine . Does that make sense?

> > >Apparently, I am getting no effect from the wellbutrin or nardil at 30mg. My pdoc said I could go up on wellbutrin (actually up to 450 is sort of an approved dose) but I think I'm going to go up instead of nardil and go for augmentors again. Besides tricyclics do you have any ideas? I feel like I've tried every adjunct. Does Bodkin see in-patients at McLean?

Did you try Desipramine specifically Shelli. I know other TCAs don't work for you--just curious.

> > > My pdoc suggested either effexor

Effexor is hard to get on and off of. The Wellbutrin augmentation or amphetamine might control the weight gain. If you elect to try it, I'd think benzos the first couple of weeks or so would help. There is an initial increase in anxiety on Effexor.

> > > Most people who have a dissociative disorder are both on an AD and klonopin.
> > That makes sense, but why Klonopin instead of any other benzo?

My pdoc favors Klonopin because it is an anticonvulsant as well.





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