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Re: Scott how did you come up with this combo? » corafree

Posted by SLS on January 25, 2007, at 5:26:49

In reply to Re: Scott how did you come up with this combo?, posted by corafree on January 24, 2007, at 16:10:48

> Scott I can't find the last discussion I had with you. I think you asked me if I had ever tried Nardil. Can you jog my memory?
>
> tks, cf


Several years of trial and error. I chose to remain on the drugs that gave me a steady partial response. Of course, being on Nardil, that excludes any of the serotonin reuptake inhibitors. Topamax produces positive effect, which might be indicative of the bipolar nature of my illness. Lamictal helps, but only when combined with nortriptyline, and at a dosage of 150mg. The most positive effect of Nardil occurs when the dosage of nortriptyline is brought up to 100mg. I might not need Abilify, but I prefer to attempt its discontinuation when I get stabilized and progress substantially more in my recovery. It initially helped with mental energy and motivation, but I cannot tell if these benefits have persisted. One thing that probably has persisted is an anti-suicide effect. It may not be as potent as Zyprexa in this regard, but I feel Abilify is a cleaner drug with respect to side effects.

I recently ran into complications. I developed hypotension which causes me to fall to the floor and the inability to urinate, which sometimes requires bethanecol to correct so that I can avoid going to the hospital for a catheterization. I have been playing with dosages, but so far have not been able to obviate the problems without reducing the dosages to the point where I lose the antidepressant effect. I'll get it.


- Scott

 

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