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Re: trimipramine versus other TCAs » Ritch

Posted by Chloe on October 23, 2002, at 18:31:36

In reply to Re: trimipramine versus other TCAs » Chloe, posted by Ritch on October 22, 2002, at 22:47:11

> Hi Chloe, how are you doing? You sound like you are doing well. What meds do they have you on after ECT? I am assuming you are done with your ECT sessions, or are your maintenance sessions being spread out? Are you still taking lithium, doxepin, celexa, and diazepam? What do you think about Lexapro? Did you get your TSH/thyroid tests completed? [sorry for the questions!]

Hi Mitch,
Thanks for asking. I am doing really well, but also really badly. I am having weekly maintanence treatments, and I can't seem to make it to the next session. As I wrote to you in the other post, I tend to get very elated after ECT. It lasts for about 3 days, than I start to sink in the mood department. I get SO hopeless, because I think there is no cure for me if ECT doesn't work...But it does...It just doesn't last the whole week. AND, the Tuesday before my wednesday ECT treatment, I have to completely hold my lithium. So by Wednesday, I tend to be edgy and agitated. I wonder if I need to hold the Li the whole day. I am going to ask my pdoc if I can take the dose on Tues. morning...instead of suppertime. That would give at least 24 hours without, and may not make me so edgy by not taking it for over 36 hours.
I am taking
450 mgs Li once a day
1.5 mgs Celexa
5 mgs Diazapam BID
60 mgs Doxepin HS

And the weekly maintanence ECT for the time being. I am not sure how long that will continue. But my pdoc and edoc don't seem in a rush to discontinue it. AND it's so effective for me. (And my insurance is completely covering it! Phew) I have never felt so elated, ever from an AD. This is the best I have felt in years. If I could just maintain it thoughout the week!!!

Oh, and I haven't even considered trying Lexapro. I don't want to mess with (marginal!) success. The celexa seems to be doing the trick so far...It's the only SSRI that hasn't giving me increased anxiety and night sweats-yuck.

>
> I am on too many meds now I think. Me and my pdoc became optimistic about treating my ADHD without cycling probs with WB but I can't hack the anxiety/agitation/insomnia from it. I think I am going to have to quit it altogether (again). I just "freeze" around people and feel panicky. I'm taking Ritalin in the afternoons, and it doesn't cause much anx. or sleep problems, but I don't feel any help in the mood department. I HAVE to have a DA and/or NE med for my seasonal depression coming up soon. I am thinking about going back on nortriptyline with Effexor (instead of WB/Ritalin), but don't know what to do.

I am sorry you are having panic problems with the WB. When I tried that years ago, I had the worst sweats, I would be drenched and so worried for no reason. It sounds like WB isn't being very useful to you now. I do remember you reporting good success with nortrip. And it may help you sleep at night. Maybe with the season changing, it's time to go back to the tried and true. But I know how hard it is to go through med changes. I'm cheering for you and hope you find something that works better than what you have now.
Hang in there and keep us posted
Chloe


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