Posted by pragmatic-attack on December 21, 2010, at 1:36:18
Im having a bit of a crisis. I have clinical major treatment resistent depression/ possible bp 2. Was on lamictal celexa and vyvanse. combo was working not greatly, still debilitated but better than before. The vyvanse has been helpful except that it would wear off in the afternoon. told doc this and he said it was "impossible" because it's a "prodrug" hence lasts for days. I was having severe cognitive problems in the morning till the vyvanse would kick in. He said it was probably due to the Lamictal not the vyvanse-despite the fact that I was on the lamictal for a year prior to starting the vyv with this not happening. He decided to take me off the lamictal(400mg) and celexa(20mg) abruptly, no titration, for two weeks, in preperation to start parnate. He replaced the lamictal with kepra not because he thought it would help stating "Kepra is not a mood stabalizer" but because he wanted to "make a deal" with me to start the parnate, since I had told him I had a good response to kepra which was prescribed because had an abnormal eeg on left temporal lobe . He "knows" I don't have TLE though because tle has no relation to depression apparently. When I mentioned that I also have weird language problems that occur periodically. Words get mixed up. Able to read one second next second everything slows down and the words get jumbled. His response" could be a million things". No elaboration. Anyway, after stopping this and starting the kepra had a week of pure torture. unable to get out of bed. felt like there was this constant zapping tingling pulsations happening, super tired, depressed. Told him about this and said "it's impossible. the drugs were too low to have reactions like that". At a certain point the zapping sensations wore off but got extremely depressed, irritable, unable to sleep and unable to think straight on the most basic level. Finally called him and asked if there was anything that would help me till the parnate could be started. He said "nothing that would work". I said" but I have tried zyprexa before and it seems to help short term so what about that" he responds saying "it would just be a placibo" ...anyway, I finally convinced him to prescribe it. Long story short it has worked a little bit but still totally out of it haven't slept but tired and confused. Anyway I saw him today and asked if there was anything else I could take durring this period that would help with the problems. I suggested Namenda, tried it before , helpful short term for cognition and mood. His response" thats ludicrious" me responding "how is it ludicrious if it has been effective?". His response "I've decided not to put you on an maoi, my gut feeling is that you are going to imagine a bunch of false symptoms". So I went this this total HELL for no reason. What is the next step. I don't it would be helpful for me to continue to see him but I don't have another doctor and don't want to end up in the hospital.
THIS IS THE DUDE...JUST FYI...http://www.roberthlevinemd.com/
poster:pragmatic-attack
thread:974187
URL: http://www.dr-bob.org/babble/20101218/msgs/974187.html