Posted by Phidippus on December 8, 2011, at 14:18:26
In reply to Re: Effexor 450 mg? » Phidippus, posted by SLS on December 8, 2011, at 7:36:22
Are you bipolar? If so, then you suffer greatly from bipolar depression which can be very difficult to treat.
I'm just thinking you need to reevaluate what you're currently taking, maybe take a step back from it all and start from scratch.
Besides my OCD, my bipolar depression really causes me problems. Two medicines have basically saved my *ss: Lithium and Clomipramine. Why not start over with just these two medications. Clomipramine is considered the 'gold' standard for the treatment of depression. See what happens to your baseline depression, then add to the mix.
I would ditch Abilify. A lot of literature keeps popping up that it can contribute to depression. From personal experience, I prefer Seroquel(which has tons of print supporting it as an efficacious treatment for bipolar depression) and Latuda, which has really improved my mood.
I never see noratryptaline prescribed for more the few months after ECT. Its not that strong of an AD in the long term. Clomipramine will be a stronger replacement.
With the level of depression you suffer, I think having two mood stabilizers on board is working against you. Choose the lithium or the lamictal.
Consider alternative medications: Riluzole, Memanntine, opiates, tramadol, buprinephrine, Ketamine. All these show efficacy in treating depression.
Eric
ps. Do you ruminate a lot?
poster:Phidippus
thread:1004067
URL: http://www.dr-bob.org/babble/20111208/msgs/1004479.html