Posted by ed_uk2010 on September 1, 2010, at 5:36:48
In reply to Re: I feel horrible, posted by Dima on August 31, 2010, at 14:36:24
>I believe she is the default walk in doctor, so I think so.
Ok. well that's good. There's nothing worse that having to 'tell your story' to a different doctor each time.
>Currently I'm on the Anafranil 100, Lithium 300 twice per day, and Seroquel 50 at night.
As you increase clomipramine, you might find that you feel some tiredness during the day. This is common during the early stages of treatment with tricyclics antidepressants (except desipramine). If you doctor agrees, stopping Seroquel might reduce the daytime drowsiness. You could go to 25mg for a few days before stopping. What do you think? I don't think it's a good idea to be on overly complex med combos! Taking clomipramine as a single dose in the evening might be sufficient to help you sleep.
As far as lithium is concerned, I don't think it's clear just yet whether (or not) you actually need it. 150mg to 300mg twice a day seems to be the norm for unipolar depression. Have you noticed any side effects? Clomipramine is fairly potent on its own so I'm not sure how much benefit lithium adds, except in bipolar disorder. Anyway, I think it's best that you continue lithium until you are feeling more stable - you don't want to make too many changes at once.
>I'm hopeful about my low carb diet, too. It's been three weeks and the acne on my arms is disappearing, which is a good sign. The weird thing is that my hunger and cravings are still around, which most people see disappear on low carb.
Also, if you can stick to a low carb diet, that might prevent the weight gain from your meds. You still need your fruit and veg though!
Are you going to the walk in clinic today? I forgot what you said.
poster:ed_uk2010
thread:958455
URL: http://www.dr-bob.org/babble/20100829/msgs/960911.html