Posted by dcruik518 on June 19, 2008, at 11:41:04
In reply to Re: Need Advice on Med Cocktail. Please help! » dcruik518, posted by elbee on June 18, 2008, at 22:43:38
> Thanks D.R.C.,
>
> You really gave my situation some thought and came up with some observations that were right on target. I am a thinker rather than a doer and the dysthymia/atypical depression sounds spot on.
>
> I am going to see what I can rearrange regarding my meds. I want to try Nardil but my doc says it can't be combined with Zyprexa.
>
> Thanks for the recommendations. How are you doing in general with your meds/diagnoses? Nice to meet you.
>
>Hi Elbee,
Nice to meet you, too, and thanks for asking how I'm doing. I'm glad you found my post helpful.
Btw, I'm not sure why you can't take Zyprexa with Nardil; I know you can take other antipsychotics with it--for instance, risperidal.
For some reason, I've found that psychiatrists often make too much of this "rumination" thing, and immediately start thinking "OCD!" I actually think rumination is common with atypical depression, in which people tend to lie around a lot instead of doing things, because they feel this kind of lead paralysis, like just getting up and doing somehting would be a great effort. Therefore, the tend to get really introspective and mull over things, instead of focusing on activities or other people.
You might mention the following to you doctor and explain why they fit you.
The four main symptoms of "atypical depression"
1. extreme lack of energy/motivation
2. tendency to overeat and oversleep
3 it has last pretty much non-stop for at least 2 years.
4. rejection sensitivity, fear of criticism, social vulnerability, low self-esteem, etc.Anyway, I'm sure I'd be doing better right now if I were still on Nardil, but I really need to lose weight now, so I'm on other stuff. Right now I'm really taking more drugs than I probably need or should be taking, partly becauese I've been doing some experimentation with dopamine agonists normally used for Parkinson's disease, as these have recently shown promise for social anxiety and dysthymic disorders. The agonists I've been trying so far have been Bromocriptine and Requip. I also take Neurontin and Adderall, which together, work a little bit like Nardil, I think. I also take clonazepam for anxiety and trazadone for sleep. Sometimes when I'm really stressed out I will take Abilify for a few weeks, as it stops me from pulling out my hair, mainly my eyebrows and beard. (Strange, I know)
Anyway, I'm not doing as well as when I was on the Nardil and clonazepam and trazadone combo, but still pretty good.
Hope you find something soon that works really well for you. I suspect the Nardil will. Just remember to be patient with it. It can take up to six weeks before you really notice it.
BEst, DRC
poster:dcruik518
thread:834900
URL: http://www.dr-bob.org/babble/20080617/msgs/835463.html