Posted by JohnL on January 21, 2003, at 17:51:15
In reply to Advice needed: cocktail not good enough, posted by Lawrence S. on January 21, 2003, at 2:02:32
The antipsychotics can really shine in situations like yours. Zyprexa would be my first pick, Risperdal second. The cool thing is that if they are to be of any good to you, they will do so in a week or less. No long waiting. The whole washout Nardil thing will be very nasty. Instead, just put a little Zyprexa in there for a week, Risperdal the second week, and see if either one helps. If one does, then give it a longer trial.
The newer APs offer so much more than most of the other psychiatric meds. They are quickly gaining in popularity and becoming first line treatments for depression, anhedonia, and mania.
I have a lot of faith in the APs generally. More often than not, I hear positive comments from people who try them a lot more than negative comments. Just my opinion, but I think the APs are better for depression than the ADs are. Especially when the depression is the anhedonic type.
And as a sidenote, Wellbutrin doesn't sound like it is doing much for you. In fact, it may even be making some of your symptoms worse. If any med in the cocktail was to go, I would let that one go away first. And as another sidenote, the APs seem to work best with a small bit of an SSRI in there. You might consider replacing the Wellbutrin with a little bit of Prozac. The Prozac turbocharges the AP, and vica versa. I've never seen that happen with Wellbutrin.
But back to where I started, think about doing some quick trials of APs. You might be surprised.
John
poster:JohnL
thread:136845
URL: http://www.dr-bob.org/babble/20030119/msgs/136922.html