Posted by kezia on January 4, 2008, at 15:21:05
In reply to Re: Black coffee and meltdowns, posted by Maxime on January 4, 2008, at 14:08:26
> Thoughts for Monday appointment.
>
> I think it's safe to assume that the Zoloft isn't going to work for me. The only thing I can of doing with the Zoloft is to reduce it and see I feel better.
>
> I think I will ask to try Parnate again. That was the winner for me. Can't hurt to try it again.
>
> Also, I don't think I will return to work next week full time. I am going to ask my pdoc about working only three days a week for the first month or so.
>
> Ugh, I think I am getting a cold.
>
> MaximeI think you are right about the Zoloft, and are wise to speak with your pdoc about stopping it. If Parnate has worked for you in the past, then perhaps it will help again.
I also think you are wise to start back to work part-time. If you are changing meds, next week probably isn't the best in terms of timing, but that is your call. My advice, based on my own experience, would be to take another few weeks (to allow for a washout of the Zoloft and the start of the Parnate), but if you and your pdoc feel that you can cope with the withdrawal while returning to work, then that's what you'll do.
I do have a suggestion which may be a bit out there. Have you ever considered trying estrogen to see if it helps your mood, etc.? I was reading an article about a women who suffered with mental illness for years and years in her teens and early 20s, being diagnosed as MDD first and later bipolar as well as PMDD (severe form of PMS). Despite treatment, she lived with suicidal thoughts constantly. She was put on birth control pills to see if it would even out her moods and help with the depression. That just made it worse (progestin can cause or exaccerbate depression in some women). Finally, she was able to be put on estrogen only (a bit unorthodox since unopposed estrogen has some risks) and did very well within a few weeks - no more depression, no more suicidal thoughts, no more mood swings . . . Also, for some reason, I was under the impression that restricting can affect your hormones and result in low estrogen (I could be wrong, though).
All that to say that some women are extremely to fluctuations in hormone levels and can do very well on hormone therapy, even if they are not perimenopausal or menopausal. We don't even have to use synthetic hormones anymore since there are bioidentical hormones that, although I am sure they have some risks, don't have the same risks as the synthetics.
My own pdoc is considering putting me on estrogen (either Estrace, Estraderm or Estrdot [all transdermal patches] to see if it makes a difference in my mood and energy.
Anyway, I just thought I would put that out there. It may be worth pursuing.
poster:kezia
thread:803857
URL: http://www.dr-bob.org/babble/20071225/msgs/804231.html