Posted by FrequentFryer on February 4, 2012, at 6:02:01
In reply to Re: Help Please SLS + the Elite Veterans. » FrequentFryer, posted by SLS on February 3, 2012, at 7:49:35
> > SLS Im freaking out bad now its almost at 3 weeks on 75mg of Phenelzine and its not doing anything (usually after 1 - 2 weeks) its good.
Nah I will be ok, just would like to hold this new job, havn't had on in years cos of depression.. The Interviewer said they hired me because of my funny personality not so much my IT skills. But for the last three or four days I havn't been abel to get out og bed to feed myself and have litterally een spending 98% of my time in bed (to adhd to read books and cant get ahold of any new multimedia, don't wanna go to the video library.
> If I were in your position, I would be freaking-out, too. How can I convince you to slow down and catch your breath? Try to relax and approach your continued exploration of treatments logically. You have alternatives.
> How long have you been at 75 mg? You really should give Nardil a minimum of 3 weeks after dosage adjustments before evaluating its usefulness. You might want to go up to 90 mg now, simply because it is the quickest treatment change to trial.
mm I could jack it to 90 and take some lith,, well no I would just try lithium.... OR.
> Bupropion can be added to a MAOI. I added it to Parnate without sequalae. However, you don't get any therapeutic benefits from bupropion monotherapy, so it might not make sense to do this.
Bupropion augmented with it before but no luck. So I think I would try Lithium First
> Adding low dosages of lithium 300-600 is worthy of consideration. I glean benefit from 300 mg. If lithium is to help, it should demonstrate efficacy within two weeks. More often than not, it takes only 3-10 days to show results.
> Have you already tried adding nortriptyline to Nardil? If so, what dosage of nortriptyliine did you use? Did you check your blood-levels?
Nortrip made my BP Trip
> I have experienced a partial response from combining Effexor and nortriptyline. I like this treatment.
> For some people, desvenlafaxine works better than venlafaxine. I won't even guess as to why this should be. I know someone for whom this is true. Desvenlafaxine may not be a "me too" patent extender after all.
> You could add Abilify and/or Lamictal as augmentors of Nardil.
I would still say Lithium, but Abilify could be second, it makess me tired though
> The "-acetams" might help with cognition. However, I have not seen anything suggestive of them producing robust antidepressant effects.
You mean like anicetam and pircetam,,,, as soon as I get some$ thats wwhat I'm getting
> If you are still freaking-out, just try to hang in there for now. Distraction sometimes helps. If you are in crisis, you might want to contact your doctor. Perhaps he would have you take an anxiolytic temporarily. You have demonstrated responsivity to medication in the past. It is unlikely that you are now unresponsive to all treatments. It is my guess that you would do well to remain on an effective treatment indefinitely.
> Don't forget about rTMS.
> - Scott