Posted by greywolf on March 26, 2010, at 19:28:28
In reply to Re: When is it time to give up on all the meds? » greywolf, posted by SLS on March 26, 2010, at 7:07:48
I have responded well to both Nardil and Parnate, though Nardil eventually pooped out. Parnate has offered benefits for a longer period of time, but it, too, is starting to taper off. Overall, Parnate has been more effective.
The SSRIs, SNRIs, NDRIs, have all been disasters. The atypicals, with the exception of Abilify, have all been problematic due to sedation. I won't say they can't be effective, but I would have to stop working to take them at the level necessary to suppress the manic phase.
I had no problem at all with lithium or Lamictal or Depakote. I've been on 2 courses of lithium, but that was years ago with another psydoc.
Greywolf
> > My question is when do you stop? Maybe, how do you stop? When nothing's working very well after all of this, do you just go on to the next med variation they come up with while you're trying out your last one? Or do you just say, enough.
>
> I guess it depends on what alternative treatments you have access to and how severe your condition is when untreated. It is a very personal decision.
>
> Low-dose lithium combined with Lamictal or Trileptal along with a MAOI might be worth looking into. I have to imagine that there are some combinations that you have yet to explore. Which drugs have you had any kind of positive response to?
>
>
> - Scott
poster:greywolf
thread:940928
URL: http://www.dr-bob.org/babble/20100318/msgs/941004.html