Posted by premed812000 on December 15, 2003, at 14:23:43
Hi,
I am a student with a winter recess approaching and was thinking of giving amisulpride a shot but need some advice.
As far as my background, my dx is "double depression" (w/ dysthymia prob. since 10 or so w/ first episode major depression around 17...currently dysthymic w/ anxiety). As with many of us, I've frustratingly tried pretty much the entire gamut of typical American ads and even lithium and atypical aps. About a year ago I added 10 mg geodon to the paxil (couldn't tolerate any higher g) I had been taking and experienced significant relief of my depression and social anxiety, but since then the effect has gradually waned (although i've never tried discontinuing g so there may be some lingering benefit...also, initial relief may have been partial manic response).
In any event, my pdocs latest idea is to add lamictal to my cocktail of 20mg paxil/10mg geodon. Currently I'm at 62.5 w/ no benefit or side effects. I feel now would be the opportune time to try amisulpride b/c any side effects (i.e. sedation) would be less bothersome during a recess, however I'm concerned about adding amisulpride while i'm titrating lamictal. Basically I would appreciate any feedback on the following questions:
1) Has anyone experienced enduring success with lamictal for my symptoms, (primarily dysthymia w/ anxiety), and if so, what dose? (Currently I receive no benefit or side effects but I am aware that lamictal appears to poop out once a benefit is felt)
2) Anyone experienced enduring success with amisulpride for my symptoms?
3) Do you think I should a) stick it out with lamictal, b) discontinue lamictal and try amisulpride, or c) continue titrating lamictal and add amisulpride (an option I am leaning away from)In any event, sorry for the length and thanks in advance for your feedback.
poster:premed812000
thread:290089
URL: http://www.dr-bob.org/babble/20031213/msgs/290089.html