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Re: augmentation

Posted by cybercafe on December 27, 2002, at 2:15:28

In reply to Re: augmentation, posted by Dave1 on December 26, 2002, at 20:16:37


i believe pindolol augmentation is to make it work faster, not better

other standard methods like lithium augmentation
and T3/T4 augmentation have been questioned (though i'd give them a try)...
compared to just continuing to raise your dose
(lithium is thought to add to serotonin reuptake effects)

adding a stimulant sounds like a good idea, though
i worry about tolerance (i have zero knowledge on this matter)

adding an antipsychotic sounds like a good idea for
mixed states, though i would stay low dose low potency and only as a last resort
(zyprexa has been good to me)

of course i'm assuming you've tried an MAOI

> Most of the doctors I see are idiots. They don't know how, or don't want to give anything except one basic antidepressant with nothing else.
>
> I did try clomipramine with LI which worked partially for about a week. I was really surprised that a med. could actually help me.
>
> Last session I brought up thyroid hormone and the doc said maybe we could try that with a TCA.
>
> It seems like augmentation has mainly been documented with the TCAs. Anything with an SSRI is undocumented, although I did see some research on adding a drug could PINDOLOL to an SSRI. For some reason I think it will work. But, the doc says no. I've also tried SSRI + neuroepileptic which failed.
>
> I did add remeron to effexor, but not long enough. I also add wellbutrin to something but again not long enough.
>
> I have to look into that drug in the first post. I'm not familiar with it.
>
> Thanks,
>
> Dave
>


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Psycho-Babble Medication | Framed

poster:cybercafe thread:133228
URL: http://www.dr-bob.org/babble/20021223/msgs/133317.html