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Dr. Kramer: about augmenting drugs after poopout

Posted by shelliR on April 1, 2002, at 19:34:58

Hi Dr. Kramer.

After many successful years nardil completely stopped working for me. I have had two successes with nardil (after poopout) and lamictal. The first try was successful with 200mg of lamictal; the second with 400mg of lamictal.
Have you seen this need to increase when starting over on lamictal (I got off it because of water retention and before I fully realized that I was treatment resistant.) I am now at 450mg of lamictal and willing to go to 600mg.

Now I am off nardil and the last psychopharmacologist I saw, said he didn't
think nardil was a factor with my last
success with lamictal, since nardil had completely pooped out for me and recommended lamictal by itself.
(Nardil was totally non-effective with every other combination I tried, including mood stablizers,provigal, stimulents, etc.) He advised me not to start nardil again. Would you agree,
or would you advise me to start nardil again with the lamictal? In other words, does a totally pooped out med really work in combination, or is augmentation only successful with at least partially successful drugs.

One more question: have you seen success with effexor once nardil has
pooped out? I threw up both a pill and 1/2 pill years ago, but
maybe this is the direction that might be helpful. Any thoughts, especially on effexor vs remeron. No SSRI has ever worked for me.






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