Psycho-Babble Medication | about biological treatments | Framed
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Re: fired pdoc 1, see new 10-20. Advice til then?

Posted by SLS on October 9, 2006, at 9:06:38

In reply to Re: fired pdoc 1, see new 10-20. Advice til then? » gardenergirl, posted by Meri-Tuuli on October 9, 2006, at 8:48:14

> Hey GG!
>
> > I don't consistently feel better. I recently put all my CEDS scores into a spreadsheet and graphed the totals.
>
> Wow, thats organised!! I wish I could be like that - I have a really hard time trying to objectify my feelings, in terms of better/worse....
>
> >I can't tell anymore that it's making a difference. And I think that's significant.
>
> IMHO, I wouldn't change the nardil (or whatever it was that you can't remember what it was like before) as long as the s/e are bearable....I have made the mistake in the past where I thought a med wasn't working, or it wasn't working enough... and dropped it, quickly to rebound into depression again...and ending up wishing I hadn't changed it!


I think the problem is that the Nardil is working, but only partially. GG appears to be undermedicated. When she attempts to increase to a dosage that would produce a robust antidepressant response, side-effects preclude its continuation. So, the choice is to either continue a life being chronically undermedicated or to explore other treatments, understanding that there will be most assuredly a period of an increase in the severity of depressive symptoms. Hopefully, the Lamictal will allow her to feel better at her current dosage of Nardil, or perhaps even allow for a reduction. I guess it is possible. There is always Lyrica to add. There should be no contraindications with simply adding it. Provigil either. I guess I am just frustrated to hear that anyone should have to settle for something substantially less than remission. I should talk, though. I'd be happy with 50%. At least I could return to work.

GG, is it edema that prevents you from going higher with the Nardil?


- Scott

 

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URL: http://www.dr-bob.org/babble/20061003/msgs/693297.html