Posted by Ritch on January 28, 2003, at 23:26:54
In reply to Well..No Nortriptaline, posted by Peter on January 28, 2003, at 20:17:45
> Hi everyone:
> pdoc and I decided I hold off on taking the nortriptaline, so instead we titrated the lamictal from 50mg to 75mg @ a week ago. It does seem to have gotten me out of the awful depressed state I was in. But now my Social Phobia is really shining through. I get terrified at even the thought of going out to dinner or meeting new people, etc. Also, like with any other AC I've taken, I go through what I call 'wet blanket' periods-just feeling like there's a weight over me-sedate, spaced-out, losing track of words in the middle of sentences, foggy-headed, etc.. I'm also down to 30mg adderall, and I have no drive or excitement for anything. But my doc said the problem might be the 250mg depakote I'm still taking, so he's having me go off that, and he really thinks the lamictal will end up helping the social phobia! Wow, I never knew it could do that! Does anyone have experience w/lamictal helping SP?
> If the lamictal isn't sufficient for my SP, he said that, if after stopping depakote I'm not too hyped up, we can either increase the adderall again (which he said is safer for me than starting back up on an ssri, even though I've experienced the most freedom from SP on ssri's-that is, before I start cycling). The other possibility, which we've been considering for a while, is an MAOI. He said they're the best-they would take care of my SP, depression, ADD, everything. But I'm just concerned about the food restrictions-what if you go to a restaurant and there's a little tyramine in some food-you gotta go to the hospital from a seratonergic attack? That's the only thing that really makes me wary about taking an MAOI. But he did mention some sort of antidote I can carry with me. So my second question is: What are people's experiences like with MAOI's, especially in terms of the tyramine thing?
> I asked about the TCA route, but he said they do NOTHING for social anxiety. I don't know. I'd love any sort of feedback. Hope all is well with everyone-if not, I'm here to share and help out-so feel free to vent to me as I am to you (-: Thanks a lot,
> Peter
Hi Peter, very interesting post. I have been having cognitive problems lately with Depakote and you said: "But my doc said the problem might be the 250mg depakote I'm still taking". I reduced my Depakote back down from 250mg to 125mg and I feel much better. I was watching the Super Bowl and had no usual enthusiasm about the game at all (until the 4th quarter though). More importantly, a couple of days ago I started to develop transient slurred speech problems. I think I am getting a neurotoxic response to the Depakote. I want to go back on some Neurontin instead. It is true about TCA's and SP, you would have to combine it with an MAOI or SSRI to get an effect there.
poster:Ritch
thread:138033
URL: http://www.dr-bob.org/babble/20030125/msgs/138069.html