Posted by bleauberry on August 27, 2010, at 17:50:03
In reply to Need Help - What to do next?, posted by simcha on August 25, 2010, at 17:58:27
You might try a cross taper of cymbalta to milnacipran.
Or a cross taper from cymbalta to zoloft+nortriptyline.
Or something that impacts the opioid system in a positive way, such as LDN, DLP, DLPA.
Of all the meds your doctor suggested, I know I said before, I disagree with all of them except maybe low dose abilify. The others, forget it. There are a lot better things than those.
But I'm not the doctor, so take it in a casual friendly manner. Just sharing what I believe to be true based on my own experiences and observations of others over the years.
And I realize you are sensitive to a lot of things due to other confounding health problems. With that in mind, I would not allow that to rule in or rule out any med choice, but instead to direct the initiation of any chosen med at a low dose. Don't go shoorting for "supposed" target doses (that's clinical trial stuff, not real world stuff) in any hurry. Cut starting doses in half and stay there a while before changing anything. You were worried about heart problems with ritalin. Understandable. But not if done responsibly by starting at 2.5mg and going gently from there. Or even 1.25mg. You might not need much. Don't automatically assume that you will need the dose on the bottle or that you will get the side effects you expect.
I dunno, the whole depression game is a tough one. Who knows. I just don't see the doctor suggested meds as being very helpful for the simple reason we don't see that happen with those meds here very often. Abilify has some success stories and that's why it would be the only one in that bunch I would consider.
poster:bleauberry
thread:959848
URL: http://www.dr-bob.org/babble/20100821/msgs/960182.html