Posted by bleauberry on January 5, 2008, at 21:19:05
In reply to Anyone Know why a Med will Poop out for some?, posted by Phillipa on January 5, 2008, at 20:29:02
Phillipa I am concerned about you. To put it bluntly...please get a doctor. Any doctor. Someone different. I have known a lot of doctors, and witnessed stories of many good ones and bad ones right here at babble, and it is hard to fathom why any of them would keep a patient on luvox that was getting them nowhere except stuck in a dark hole. Just about any psychiatrist would have changed course with your meds in about 6 weeks. It is way way way past 6 weeks.
I was looking at cymbalta, effexor, milnacipran...all serotonin/norepinephrine drugs. There are studies at pubmed that looked at gender and age differences in response to various meds. Basically the general trend found was, with a cutoff point of age 49, younger did better with SSRIs, older did better with SNRIs or tricyclics.
Sleep is an issue with you. Anxiety is an issue with you. According to the above mentioned trend, norepinephrine might be an issue. Your fatigue hints to hypo-norepinephrine function. Cymbalta did nothing for you. Ok. Don't know if you tried effexor. Milnacipran is popular in 40 countries but I don't know if you would go the non-FDA mailorder route that some of us are comfortable with. Considering the trend and your symptoms, nortriptlyine makes sense to me. Actually, anything except luvox makes sense to me.
But you need a doctor who is willing to try stuff! How can a doctor be so complacent to leave you in a dark hole for so long and do little piddly adjustments instead of meaningful changes? Gee whiz man, come on, let's get the show on the road! A new doctor, a second opinion, a fresh start, and major med changes. God says he will restore all the years lost to the locusts. But we have to be willing to help ourselves overcome.
poster:bleauberry
thread:804537
URL: http://www.dr-bob.org/babble/20080105/msgs/804551.html