Posted by Meatwood_Flack on July 27, 2012, at 20:51:36
I had an appointment with my pdoc (actually a pnurse) today to discuss progress or problems related to my depression (likely melancholic). We started a trial of Zoloft a few months ago that didn't take, then started a trial of Effexor that lasted 5 weeks and ended at 100 mg per day when I was taken off that and put on Cymbalta 60 mg and Abilify 5 mg in hospital. A week later Cymbalta was bumped to 120 mg and Wellbutrin 150 mg, Lamictal 25 mg and BuSpar were added. I've been on this combination a little over three weeks. Today, my pnurse tells me, "I don't know what else I can do for you." She said she discussed the case with a psychiatrist who recommended psychotherapy. I had previously also tried Doxepin for about a week for sleep and Quietapine for sleep but was put on a different drug as the Doxepin wasn't working and the Quietapine was giving me hypnic jerks and worked too well for sleep. When I asked about maybe giving a tricyclic a try, she told me Trazodone was a TCA (I had previously been on Traz for sleep), which made me a little leery. She also said they prescribe TCAs for night time use because they are often sedating. She left my meds the same and set me an appointment for 8 weeks from today, but I'm wondering if I might not be better off finding a second opinion? She also said in her opinion, since the meds hadn't worked, the depression probably isn't biological.