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Re: Which meds to keep and which to discontinue » Racer

Posted by llurpsieNoodle on October 23, 2007, at 11:04:59

In reply to Re: Which meds to keep and which to discontinue, posted by Racer on October 23, 2007, at 9:33:00

Hi Racer :)

> If you're looking to "scale back" just because you don't like being on so many medications, I'd advise rethinking that. You've had three relapses in 18 months, and a few episodes that are at least hypomanic, if not fully fledged mania, and you've been on this regimen for about three months. (In fact, I'd check very carefully to see if this wanting to scale back is part of a bit of hypomania starting up.)

Interesting idea. I have had enough energy and mental wherewithall to work a 75 hour week last week, but this week is much more tame. In fact, for the next 2 months I will only be working 3 days a week. I don't like the idea of being underoccupied either.
>
> Three months is usually the point at which you've become stabilized. It's not considered a time when the drugs have "fixed" anything. Therapy is good, too, but for a lot of the symptoms you've been having, I wouldn't expect therapy to be enough on its own. I'd strongly encourage you to continue on the drugs you're currently taking.

I think that my life circumstances have changed a lot in the last 3 months. I'm no longer under so much acute or chronic stress.

> The most conservative estimates regarding antidepressants is to stay on at least six months, for a fairly mild first episode of depression; with two years of maintenance being recommended for subsequent episodes. That's old advice, but it's probably still worth considering. It's also well worth exploring with your T why you currently want to reduce your meds.

I'm okay with taking zoloft for a while. it's not causing me any more side effects (once my stomach became acclimated!). Interestingly, it was actually my T who suggested talking with pdoc about reducing my meds. T has been saying for about 2 mos now that I'm not having severe symptoms anymore. Suggests that many of my issues I could manage behaviorally (see my post http://www.dr-bob.org/babble/psycho/20071022/msgs/790784.html ) Folks at work seem to think I'm perfectly normal. H says I'm back to my old self. I feel stronger... I just don't want to destabilize myself unecessarily. I was hoping some of my meds might be redundant and that I could start to wean/taper off of one or both of the mood stabilizers.
>
> Good luck.
Thanks!
-ll


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poster:llurpsieNoodle thread:790783
URL: http://www.dr-bob.org/babble/20071019/msgs/790801.html