Posted by bleauberry on August 15, 2008, at 19:28:06
In reply to Re: i feel retarded, sick » bleauberry, posted by yxibow on August 15, 2008, at 1:48:29
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> remember -- that's a case study, as in 1 person.True. Keep in mind, this poor sufferer is long past improving on anything studied in clinical trials. Clozapine is about as good as it gets. The suffering is desperate, not to be taken lightly. This is not an ordinary case.
> I can't think of adding more than the recommended 20mg of Namenda to a drug regime, but then again I suppose it worked for this person.
There is no recommended dose or purpose of Memantine for anything other than Alzheimers. But 40mg proved equal to Lexapro for depression. A couple people right here found it a miracle. 20mg has been shown clinically to be rather useless. So for a tough case that has failed heavy hitting firstline meds, case studies become extremely important to focus on.
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> As before I said, one really has to stay on an agent even if it doesn't seem like it is working initially -- haphazardly jumping from one agent to another may actually make it harder to fight things, but that's just a theoretical projection.With meds like Clozapine, they work fairly rapid if they are to work. Same with Solian or Zyprexa. Heck, they put the stuff in your veins and it works in minutes or hours. No need to wait weeks or months. You are thinking of other meds that do indeed take longer time. Jereon did not wait forever for Seroquel to work and didn't feel like crap waiting for it to do so.
But when these things don't work, well, you gotta look elsewhere. Something else is going on. Excess glutamate activity? Excess noradrenergic activity? It sure aint excess dopamine activity. Case studies are posted so other doctors having a rough go can see what has worked for other doctors.
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> And while we all know you're miserable, telling yourself that you're "retarded" isn't going to help your psychological esteem. Also its kind of down putting to those who are mentally challenged, but that's another story.
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> -- JayIn the current situation, the above kind of rationalization is something to dream of and hope for, but not readily achievable in the current state of mind. It fails to understand the seriousness of the illness at this very point in time. I have no doubt Jereon's self esteem would be just fine if something worked as well as Seroquel once did. Agreed though, we should all zip our mouths when we are about to speak negative of ourselves. Satan loves it. Don't give him the pleasure of hearing it.
poster:bleauberry
thread:846097
URL: http://www.dr-bob.org/babble/20080814/msgs/846492.html