Posted by AMD on August 20, 2005, at 10:09:31
Any suggestions for medications useful in reversing the depression and cognitive decline associated with stimulant abuse (primarily cocaine)?
I recently entered an outpatient rehab program for the twice-monthly abuse of (bingeing on) alcohol and cocaine. I'm still feeling, however, the devestating depression of mood that follows their cessation. I can't focus; I want to sleep constantly; I have no energy and no motivation to do things I typically enjoy, such as going to the gym; and I feel, basically, horrid.
I've been off these substances for a week now. I thought that by now any residual effects from my past binge would have tapered. But this depression subsists.
Which makes me wonder: am I on the right meds? Hence this post.
I'm taking Lamictal 200 m.g. and Celexa 80 m.g. daily. I also take fish oil (high EPA-DHA ratio), and a high-potency vitamin B supplement.
Yet presently these aren't helping at all. I've thought about raising the Lamictal to 400 m.g., or 600 m.g., even, as the former has often helped bring me back to a decent mood. But I tried 400 m.g. earlier this week to no avail.
I should note that I've been on Celexa for more than four years now, and Lamictal for almost two years. Perhaps it's time to switch medications.
I'm soliciting advice on psychopharmaceutical options. Any thoughts?