Posted by zeugma on August 9, 2005, at 18:54:04
In reply to Re: Perphenazine (Trilafon) - to zeugma » zeugma, posted by ed_uk on August 9, 2005, at 13:26:59
> Hi Z!
>
> >prozac
>
> I can't remember whether you've tried any other SSRIs. Perhaps you could try citalopram for your anxiety, starting at a very low dose - say 2.5mg..hi Ed,
yes, that's the plan, if it comes to that- if I need further augmentation. I mentioned a good while ago that my pdoc gave me Lexapro samples in response to my suggestion about clomipramine. He told me 2.5 mg would be the place to start with those.
It's just that I have this feeling that more meds = multiplying s/x, and that my body is near its limit of reasonable toleration, with 100 mg nortriptyline, 200 mg Provigil, 30 mg buspirone, and 1 mg clonazepam daily. I'm substituting 30 mg Ritalin LA for the Provigil for the time being, because of an interaction with an antifungal, with reasonable results (I don't have to work long hours in the summer, so I can deal with Ritalin's ridiculous half-life as an annoyance).
As a matter of fact, my pdoc had to twist my arm to take buspirone, which is nearly side-effect free. And the buspirone does 'take the edge off'.
but yes, the plan is to take lex as the next AD, if needed. But I really don't want to take more meds.
by the way, my anxiety has improved after switching from Provigil to the low dose of Ritalin. I think the modafinil was building up in my system,due to the interaction with clotrimazole, causing it to become as anxiogenic as 60 mg Ritalin, if not more so. It suggests that 200 mg Provigil is my limit for anxiogenicity. Of course, being underdosed with a stim causes a horrible anxiety of its own, owing to the fact that I am in such a wretched haze. I think I'm finding a therapeutic window for stims, which is a good thing.
oh, and I tried Zoloft when it came out- AWFUL AWFUL AWFUL. I was in a nauseated fog.
-z
poster:zeugma
thread:535356
URL: http://www.dr-bob.org/babble/20050803/msgs/539766.html