Posted by SLS on January 25, 2010, at 19:38:39
In reply to Re: Going back to old-school - lithium. » SLS, posted by floatingbridge on January 23, 2010, at 14:22:13
> Hi Scott, after rereading this thread, I had a few thoughts. At thanksgiving, you had baseline improvement at about 40%. What is the current estimate?
20% - 25%
> I forget when you began the effexor--how is it? Probably too early to judge.
Probably. A few days ago, I experienced a significant improvement that lasted for about a day. Nothing since. If things follow my usual pattern of response, that brief improvement is all I can expect.
> I don't see any stimulant on board (except for effexor--is that enough?)--any
> reason for that?
I just started taking Adderall today.
> Off of parnate, would segeline add some neuroprotection in addition to low-dose lithium?
I experienced an irritable type of dysphoria with Emsam. I stopped taking it after 3 or 4 days.
> Miraprex or another dopamergenic (is that a word?). Would you consider this type of add-on?
I haven't tried Mirapex yet. I tried bromocriptine (Parlodel) a long time ago, but it did very little to improve my depression.
> To me, the history of this thread doesn't seem to indicate a great threat of inducing mania, except as you've noted,
> and cycling. So you used to be ultra-rapid or somewhat 'disorganized'?
I exhibited a dramatic mood-swing between depression and euthymia that followed a regular cycle of 11 days. I would spend 8 days depressed followed by 3 days of euthymia. The switch between one state and the other took about 45 minutes.
> What are your current doses? Ricker has suggested less lamictal. I don't know....
I tried going lower on Lamictal, but I began to deteriorate. 200mg seems to be the minimal effective dosage for me.
Right now, I'm taking:
> Wondering if the pharmaceutical lid is
> too heavy. Dopamine? Maybe abilify isn't quite right.
Someone here suggested that I give Zyprexa a try. I have been on it in the past. It would help for the better part of the first week, then nothing. I haven't tried it in combination with my current medications, though.
> Hope today is a decent one,
I survived it without incurring too many bruises. It was a decent day.