Posted by Temoigneur on August 14, 2002, at 4:20:43
In reply to Re: Complicated OCD, MAOI?, posted by jsarirose on August 14, 2002, at 0:33:28
> > >
>
>
>
"Don't forget about the option of augmenting your drugs. I was on Prozac and had initial success. My doctor added some other drugs (unfortunately it was quite a while ago and I don't remember what) and it seemed to boost the effect."
Hi Jessica, thnks so much for your input, I really appreciate it. I've tried augmenting the prozac with a number of things - benzodiazepines, valproate (sp?) acid, buspar - with the klonopin I had dramatic, very short term relief, but gained rapid tolerance to it."what is his reasoning to conclude that you can never have complete remission? .... or is it just that he feels it's better to have okay short term gains than really good long term gains"
- I wonder, and this is highly speculative, but I think that because my situation was so acute, I wonder if he just basically wants a break from the instability, before he tries other agents. On the other hand, it could very well be he doesn't believe I can acheive full remission, and I'm best to accept this, and try and manage the best I can.
However, I still have the memory of the four months in my mind, when my medications where working well, and life was terrific, and can't persuade myself to accept that this is "as good as it gets"
The fact is, that I have tried many agents and they have been unsuccessful - but I've never tried MAOI's - and ironically I've never given clomipramine a fair trial.
> I agree it's best to give the drug a good run if you can stand it, making sure to go up to the maximum dosage before deciding it doesn't work. I've noticed I seem to need the highest dose for most drugs to get any benefit.
I have given the four ssri's a full run, again, with the initial success of prozac, and then more success with luvox over a shorter period, I've been on Tryciclics except clomipramine, thinking back, which did strange things to me, I should think about it perhaps the dose was raised to quickly, at any rate, I've been now on the Zyprexa for nine weeks, and while the "gears in my head" are shifting noticieably easier, I'm always exhausted, and the OCD is still there, I really doubt a five fold improvement will come from waiting a few more weeks. - (not that you were specifically suggesting that in this instance).
The upshot is, I've tried almost every class of drug, and I'm scared, don't know where to turn, if it wasn't for my faith in God I'd be gone.
> I'm currently on Parnate and Lamictal. I have major long term depression and minor OCD. The OCD doesn't sound nearly as serious as yours, but the Parnate has helped me all around.
>
> -JessicaThanks again for taking the time to share that with me, your input is so appreciated, I need to get a spectrum of opinions from people like yourself, before I think about what's ahead
If Anything I've said resonates I would be really grateful to hear about itThanks again,
Ben
poster:Temoigneur
thread:116312
URL: http://www.dr-bob.org/babble/20020814/msgs/116354.html