Posted by JohnX2 on December 2, 2001, at 1:09:54
In reply to Re: To John, Chris and others - question, posted by Margit on December 1, 2001, at 14:41:41
Its hard to predict exactly how someone would
respond to meds, but here are a few thoughts:Remeron has a property that inhibits nausea.
Prozac and Zoloft of the SSRIs are probably
the most "acivating" (give more energy, drive).
But both can upset your stomach. Effexor is
another option. Prozac, Zoloft, and Effexor
can all treat OCD. You could pick one of those
meds and if nausea is a problem, add a low dose
of Remeron.My med cocktail is Lamictal 150 mg, Klonopin 6 mg,
Zyprexa 5 mg. But my issues and responses are
vastly different from yours. Paxil was a disaster
for me. Plus I don't have OCD.It seems that both Celexa and zyprexa can have
a drowsiness side effect. Maybe that is what is
making you feel down. Another thought is to
add in a dose of Wellbutrin. This can be activating
too.Your primary risk is that you probably need to
switch to a more activating med, but that may
cause anxiey/panic side effects.just my 2c.
good luck,
john> According to your description I seem to have both anhedonia and apathy. I sit most of the day on the couch, not wanting to do anything and I haven't experienced pleasure and joy in a long time. I suffer from dysthymia, PD, and mild OCD. I take 30mg Celexa; we tried to up it but it makes me more apathetic and tired. My doc upped my Zyprexa from 2.5 to 5 about 3 days ago, but I feel no improvement mood wise. For the PD I take Xanax. Before I was on Pamelor, couldn't go up to a therapeutic level, because of heart racing and other side effects. Then we tried Paxil for 5 months (I had wondeful results with Paxil years ago), but this time no luck. An increase made me more apathetic and depressed. Now I am on Celexa. I feel tired all the time, have no interest in anything and just vegetate my life away. My stomach is also very sensitive when it comes to SSRIs.
>
> Sine you seem to have some knowledge about brain chemistry , I was wondering what you think would be a good approach. Oh, the intital 2.5 Zyprexa helped me some with my depression and panic. But from what I have read, results with Zyprexa are to be noted in the first 3-4 days. I havent noticed anything yet, since we upped the dose.
>
> I have a script for Prozac, but I am afraid to take it (acid reflux). I also take a very small amount of Ritalin, which I cannot increase, because it makes me panicky.
>
> I was thinking about the Effexor; would that help for OCD? I have been in this relaps now for 1 1/2 years and with time passing it doesn't get any better.
>
> Anybody, what are your med cocktails and how would you approach my problem? Thank you for any information you can give me.
poster:JohnX2
thread:85689
URL: http://www.dr-bob.org/babble/20011123/msgs/85793.html