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P-doc says only options are rTMS + ECT!!

Posted by BGB on June 18, 2008, at 14:00:37

In reply to Rocket Fuel Failed; What Magic Combo Is Next?, posted by BGB on June 9, 2008, at 16:40:05

First of all, thanks to everyone for your helpful posts. I really do appreciate all of the great advice.

I saw my p-doc yesterday, and according to him, my only options left are rTMS (conveniently, he has a clinic) and ECT. When I heard that I was really devastated. When I asked about other drug options, like MAOI's, he told me that he was comfortable prescribing them, but that my best options were rTMS and ECT. So, I am weaning down off of Remeron and Wellbutrin in anticipation of starting an MAOI next month.

In the mean time, I think I need to find a new p-doc! I can't believe that he did not even mention tricyclic AD's or MAOI's. I feel like I should see someone who doesn't own an rTMS clinic for a second opinion. Considering that rTMS has a very questionable record, and even my doctor himself says it has only a forty percent success rate, I am crossing it off the list. That's WAY too much money to pay ($2,500-$4,000) for something that more than likely won't work. I would like to put off ECT for as long as I can, so I would like to try to find a drug-based therapy first.

Well, I just wanted to thank everyone again and let you know what's up. I'll keep everyone posted!


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poster:BGB thread:833832
URL: http://www.dr-bob.org/babble/20080617/msgs/835266.html