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Re: Refractory Depression Racer

Posted by SLS on July 23, 2004, at 13:43:28

In reply to Re: Refractory Depression, posted by Racer on July 23, 2004, at 12:20:44

Hi Racer.

> > I'm sure you were presented with the idea of using Florinef (fludrocortisone) to raise your blood pressure. I never really researched the matter too far. What are your thoughts on it?

> Ironically, my thoughts on it is that, if the idea of using Florinef were presented to me at all, it would reassure me about trying either the desipramine or an MAOI...

Hmmm.

> (Heheheh... See why I'm reluctant to try some of these with Dr EyeCandy?)

Yes.

> So far, the only response from Dr EyeCandy -- or any other doctor, for that matter -- has been to say, "Well, if it's causing discomfort, discontinue it..." If any of them would address the problem -- sudden unintentional close up views of the carpet, in this case -- rather than simply telling me to stop the drugs, I would feel a lot more comfortable trying some of these other drugs.

Yes.

You need people with greater expertise in treating difficult cases such as yours aggressively. Aggressive treatment sometimes means using drugs with side effects that are significant enough to require remedial medical treatments themselves. Is there any chance you might want to educate Dr. E. on the use of Florinef? I have found that the hypotensive effects of TCAs and MAOIs decrease over time. Perhaps you would need Florinef for only the first 3-6 months.

Which TCA have you been on the longest and highest dosage of?


- Scott

 

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poster:SLS thread:368434
URL: http://www.dr-bob.org/babble/20040719/msgs/369489.html