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Re:considering ECT- Follow up questions for people » Dave1

Posted by Jumpy on January 11, 2003, at 7:33:44

In reply to Re:considering ECT- Follow up questions for people, posted by Dave1 on January 11, 2003, at 0:22:42

> Jumpy - I'm sorry you relapsed after your ECT. I had a similiar experience. I had an incomplete course of ECT and had no follow up. I got partially better, but then relapsed after about a month. I was wondering if you had any maintenance to try to prevent a relapse.

Hey Dave,

Yeah, I wanted to start pamelor during ECT and lithium augmentation right after ECT to prevent relapse. Unforunately, I was in a study and they did not allow for meds to be started for 1 week after ECT. So I have yet to begin any medications. But the only study of medications post ECT is Sackeim's study in JAMA showing pamelor and lithium combo to be the most effective. I have also heard that effexor and lithium combo is good as well as a maintainance med. I think more research has to be done to determine what the best treatment option is. We will see what "STAR*D" turns up as far as the best treatment approach to treatment resistant depression ... but that won't be finished til 2004 and who knows when the data will be published.

Sincerely,

Jumpy


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URL: http://www.dr-bob.org/babble/20030106/msgs/135301.html