Posted by SLS on September 4, 2009, at 8:34:30
In reply to Re: My medication history 1994 to 2009 » SLS, posted by doxogenic boy on September 3, 2009, at 16:27:16
Hi.
I wrote a long post in response to yours, but lost it.
To summarise:
Keep the tianeptine and escitalopram since they are working for you.
1. I wouldn't bother with Wellbutrin again at this juncture. It will probably treat you the same as it has in the past.
2. You could try adding Remeron right now and use dosages between 45-75mg. Most doctors allow their patients to languish at 30mg. This is silly.
3. It sounds like you might be a tricyclic responder. Switch to a TCA with a better track record for treating depression. You could taper the trimipramine gradually while titrating drugs like amitriptyline, doxepin, or nortriptyline. Nortriptyline does not increase anxiety in most people.
4. You could try adding low-dose lithium in the dosage range of 300-600mg. You will know within two weeks whether or not it will be of any value. For those people who are use it as an augmenter of antidepressants, it can work as soon as a few days. It is hard for me not to recommend lithium as an adjunct worth a quick trial because I am currently having success with it.
- Scott
poster:SLS
thread:914853
URL: http://www.dr-bob.org/babble/20090902/msgs/915708.html