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Suggestions for treatment-resistant depression?

Posted by lars1 on February 6, 2005, at 6:23:56

In reply to Re: OPIATES FOR DEPRESSION? » lars1, posted by medhed on February 6, 2005, at 5:34:08

Hi again!

I am in no way qualified to recommend anything for you, but I am hoping others will have some ideas. I did notice that you don't list any of the MAO inhibitors, which lots of people seem to have good results from after everything else has failed. If you had a partial response to any of the anti-depressants you tried, then another option might be to go back to that and augment it with the Wellbutrin.

Best wishes,
Lars

> I am diagnosed:
> Major Depressive-cycling/treatment resistant
> OCD (currently under control)
> Post Traumatic Stress Disorder
> ADD/Adult
> Dual Diagnosis-- History of substance abuse (30yrs.)
>
>
> Drugs that were prescribed for me:
> (in the last 30yrs.)
> Desoxyn, Dexedrine, Ritalin, Concerta,
> Elavil, Nortryptoline, Imapramine,
> Temazapam, Valium, Ativan, Klonapin,
> Cloral Hydrate, Librium, Xanax,
> Prozac, Zoloft, Paxil, Luvox,
> (in the last 18mos.)
> Welbutrin, Adderall, Abilify, Gabitril, Neurontin, Seroquel, Geodon, Strattera,
> Effexor.
>
> I'm currently taking Welbutrin 300XR (for 6yrs.)and Effexor down from 300mgXR to 150mgXR. I like Welbutrin but I can't tell exactly what it's doing for me except that I don't experience side effects and that I would probally miss it if I discontinued it. Effexor brought me out of suicidal depression back in May 04 but I don't like the side effects. I'm numb in my extremities, profuse sweating (day and night), apathetic and tired, sexual... I tryed to quit cold turkey last month and had withdrawl symptoms. I'm not sure when I will try again, I am between pdocs now.
>
>
> My 'substance abuse', what I call self medicating, at this time is periodical and controlled. There are substances that I now abstain from, alcohol, cocaine, street heroin, tobacco (I still use nicotine as a nicotrol nasal spray), research chemicals, and disassociatives.
> I don't believe in total abstinence of ALL drugs due to my own experiences involving substance abuse treatment and 12 step groups. Drugs don't kill you, it's trying to find drugs- that's what kills you!
>
> Drugs I've used in the past 18mos. without a prescription or Dr.'s consent:
> codiene, hydrocodone, oxycodone, morphine, hydromorphone, valium, ativan, xanax, soma.
>
> Illegal substances in the past 18mos:
> LSD, mescaline, MMDA, LSA, marijuana/hashish, poppies- opium/tea, crystal meth.
>
> I know this is starting to look like it should be posted in substance use so let me get to the point. I want meds that I can rely on to make my life bearable on a daily basis AND I want to be able to augment these meds with the occasional vacation from life that opiates and benzos give me. Or the elation that I get from psycedelics. And the contentment of mind and body I get from cannabis. These are some of the things that make my life bearable, things I look foward to.
>
> I've drank 2 cups of tea and I feel great! Too bad its so fleeting. I have enough experience to not get physically addicted but I do find myself looking foward to my little sessions on the weekend...
>


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poster:lars1 thread:453574
URL: http://www.dr-bob.org/babble/20050202/msgs/453896.html