Posted by pseudoname on July 29, 2006, at 9:56:55
In reply to Help! I'm running out of treatment options!, posted by purplesky on July 28, 2006, at 20:51:41
Hi, purplesky, and welcome to Babble.
I agree with linkadge that Wellbutrin might be a really good choice to try next. It treats a broader spectrum of a person's problems (including several you mention) than those stimulating drugs typically do, and it has a better initial success rate against depression in the literature than Mirapex and ginseng/etc. A stimulant like Ritalin or Adderall might have an immediate benefit, though.
My own experience with Wellbutrin was that it didn't help my depression much, but it was a lot different from the SSRIs & NRI I'd tried. There were no bad side effects, and I *felt* better on Wellbutrin, even if I was still depressed.
I also wouldn't expect it to lead to cravings. A lot of people find it energizing and some take it for attention problems. (But I never slept better in my life than when on Wellbutrin.) Also, there's a good chance it would help with your libido. It really sounds like a good choice for you next.
I assume you mention the anticonvulsant with Wellbutrin because of its seizure publicity? I was worried about that, too. My pdoc insisted that Wellbutrin has a bad rap. I made him get his boss and ask her about it, and she agreed. Neither of them had ever had a patient or heard of any colleague's patient (except in the literature) having a seizure from Wellbutrin. The actual statistics are that unless you have a prior history of seizure or head injury, the Wellbutrin risk is identical to other drugs.
Was the Remeron a horrible experience? It was for me.
poster:pseudoname
thread:671576
URL: http://www.dr-bob.org/babble/20060724/msgs/671726.html