Posted by bleauberry on July 16, 2009, at 18:58:40
In reply to complex med situation after poop out, posted by ben on July 16, 2009, at 12:52:30
Holy cow, I can't even count how many mistakes were made in all this.
Sorry. It is just such a confusing mess and such poor management I can't even begin to sort it out. Nobody can. That's the problem with that kind of poor med management.
It sure looks like you were on the right path adding low dose effexor to existing TCA dose, but then everything went bizarre and I don't understand that kind of chaotic management. Sometimes I wonder if some doctors aren't more mentally ill than we are.
From what I gather from the little bit of history you shared, the TCA was the bedrock of your success. It just needed a small amount of a partner to renew the honeymoon. Low dose effexor was probably the one to do that, as it appears from your description of the sequence of events.
I have very low faith in trazodone. Experienced pharmacologists stopped using it years ago. It is worthless for depression. It is a common sleep aid, but makes some of us feel a lot worse. I also have very low faith in Remeron. Its claimed actions on serotonin and norepinephrine have been disproved. It is basically one of the world's most potent antihistamines. Its affinity for the histamine receptors far exceeds anything else it might do. A 7.5mg dose is very good for sleep. Low dose lithium with a TCA is something I do have faith in. Whether you personally need it or not I have no clue.
In your title to this thread you used the word "complex". It really wasn't complex at all. The doctors made it that way. It did not have to be that way. It would have actually been fairly simple and straight forward if done in a methodical management manner with reliable med choices.
Geez. Look, I'm really sorry they did this to you. It is not too late. This can be unravelled. I do believe you can get back to where you were. I guess if you want to stick it out with the new cocktail you can. I personally have very little faith in it.
poster:bleauberry
thread:907071
URL: http://www.dr-bob.org/babble/20090709/msgs/907130.html