Posted by morgan miller on August 29, 2010, at 15:40:09
In reply to Re: St Johns Wort Combined with SSRI's, posted by sewerrat on August 29, 2010, at 14:42:47
> Less is more,?? you are talking about your shrink. Does he also put diesel in his petrol car.
Bad comparison. Did you get the part where I said that it might be necessary to lower the dose of one antidepressant if another was added?
Less is always ideal, but not always more or better. That would have been like me saying that 100 mg of Zoloft was simply too much and I would have felt better on 25 or 50 mg. The fact was that 100 mg was my sweet spot where I felt the best and experienced no negative side effects.
Like I said, do some hard research, and put a little more thought and consideration into this before you jump to such simple generalized conclusions about treating depression. What is believed in convention is not always the truth.
My psychiatrist did not tell me to take SJW with Prozac, I told him I was going to try it. He decided to lower the dose of Prozac and told me to watch out for any signs of serotonin syndrome. He was not too concerned though. When I was transitioning from Zoloft to Symbyax, he kept me on 100 mg of Zoloft for the first 3 weeks on Symbyax. I was on both Zoloft and Symbyax for just over a month without any problems.
The reality is, serotonin syndrome can happen to anyone that is on an antidepressant alone. Who really knows why some are more prone to it than others. If you are careful about what you do, and pay close attention to how you react, you will be able to keep yourself safe.
If you have read one of the lasts posts here, you would have seen that Scott was experiencing sighs of serotonin syndrome when he replaced Parnate with Nardil, in a regimen that included both Lithium and Nortriptyline. He figured out that Lithium may have been the variable that was pushing his brain into this state. He removed the Lithium and was fine. He is still taking Nardil, Nortriptyline, Lamictal, and Abilify. Oh and btw, if you didn't know, Lamictal probably boosts serotonin through some mechanism as well. That makes 3 medications in his regimen that boost serotonin. Are you going to tell him that he shouldn't be doing this?
poster:morgan miller
thread:960149
URL: http://www.dr-bob.org/babble/20100829/msgs/960493.html