Posted by yesac on December 10, 2006, at 17:15:34
In reply to Re: Tricyclics » yesac, posted by Quintal on December 10, 2006, at 13:41:42
> Having a bad response to Parnate doesn't necessarily predict a poor result with Nardil. Nardil has quite a different profile and may be beneficial.
Well, I'll keep it in mind for the future then. I'll probably try something else first, because like I said, I'm not so excited about the diet. I feel like my psychiatrist has been the one to NOT mention Nardil, so I guess I just got the idea that if Parnate affected my badly, so would Nardil.
> Perhaps try Zoloft up to the max dose then?I guess Zoloft is what I'm leaning towards for my next trial, or a TCA. I've now gone off of Abilify (I have been trying it for the past few weeks, but it's causing some akathesia and extreme tiredness)... so I'm ready to move on to something new. Sigh...
> Lamictal being widely recognised as an augmenter. I was hoping you would find a greater response that AD (I was assuming of course you had found at least *some* small benefit from at least one AD in the pharmacopoeia).
Okay, I'll keep that in mind too. I've always liked the *idea* of Lamictal, always wished that it would work for me. It didn't cause any side effects. Sometimes I've wondered if maybe I didn't push the dose up high enough. I think I got up to 150mgs, but I've read about people going quite a bit higher than that.
> Lamictal has been effective as an augmenter for some treatment resistant patients. There are references I could find to support this, but it's a pain in the *ss to go and dig them out. I don't pretend to know the exact pharmacological mechanisms of this cocktail, I'm not sure anyone does know for sure, I'm just trying to provide what I think may be helpful suggestions to people who are trapped between a rock and a hard place. Obviously if you think a particular idea is rubbish feel free to disregard it.No, I didn't mean to suggest that I think it's a bad idea. On the contrary, I'm intrigued and your suggestions give me hope. I would love to be able to think that putting two drugs together that didn't work alone could be effective, because that would mean that I have a lot more options available. I guess I just don't understand it and I wonder about why my psychiatrist has never mentioned it... although he did mention the Effexor plus Remeron idea last week.
I'm just lost and confused because, like I've said, I've tried *most* antidepressants (and other types of drugs as well) by themselves. And I'm getting down to the wire, just trying to figure out what to do at this point. Trying to decide if I should try going back on things that I've already been on in the past and combining them with other things, or what. It's all so damn complicated. I just wish that I could get on something and stay on it and have it work and not have god-awful side effects. I've been going through this drug merry-go-round for years and I'm really sick and tired of it.
By the way, I'm currently on lithium and Seroquel, which is the drug combo that I've been on the longest: Seroquel for almost 2 years and lithium for about a year and a half. They help a tiny bit, but I'm dying to get off of Seroquel because it makes me sleep 10-12 hours a night. I tried to switch it with Geodon and now Abilify, but I can't tolerate either.
Anyways, thanks for your thoughts/suggestions.
poster:yesac
thread:711506
URL: http://www.dr-bob.org/babble/20061206/msgs/712238.html