Posted by Mags on January 14, 2002, at 23:55:13
In reply to Not sure what to do next ..... » IsoM, posted by spike4848 on January 14, 2002, at 23:41:38
Spike, I have tried many of what you have with similar responses. I am now wondering if we just can't take anything in large or even therapeutic doses. Do you think it makes sense to take small doses of a few differrent meds?.You have taken large doses with minimal response. I was thinking this combo for me.
25 mg lamictal
low dose Neurontin
Effexor 75 mg
Wellbutrin low dose
Your combo is out for me cause of the weight gain and I couldn't tolerate lithium.
Any thoughts anyone?
> > Spike what other ADs have you used in the past besides Nardil?
> Here is the list:
> Imipramine to 300 mg/day - minimal response
> effexor to 350 mg/day - minimal response
> Wellbutrin to 300 mg/day - anxiety
> Imipramine and Lithium - worked ... used for 3 years, side effects of severe memory impairment, sexual dysfunction, tremor, sedation
> Remeron and Lithium - minimal response
> Nardil 60 mg/day - worked ... used for 4 years on and off .... but weight gain, sexual dysfunction, insomnia, memory problems
> Zoloft to 250 mg/day - minimal response
> Pamelor to 150 mg/day - minimal response
> Lamictal to 400 mg/day - minimal response
> Lamictal and ritalin - minimal response
> Lithium to 900 mg/day - minimal response
> * all the above are with 0.5 mg/day klonopin for panic attacks
> So really only Nardil and Imipramine/lithium have worked
> With Nardil my mood is actually 100% .... but I gain 35 lbs, impotent/decreased libdo, memory loss, insomnia (need ambien or no sleep all night) ..... so recently with all the weight gain I was getting afraid of developing diabetes and was tired of all the side effects .... so I tried lithium thinking maybe I am a soft bipolar(failing multiple antidepressants, atypical depression, have one relative with bipolar disease) ..... at 900 mg/day minimal effect .... I tried to go higher but had problems with vomiting
> So now I am considering
> 1. Back to Nardil with its side effects
> 2. Try Parnate
> 3. Try SSRI + lithium augmentation
> 4. Try Pamelor + zoloft
> 5. Provigil
> Don't know which way to turn .....