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Re: Day 13 Zoloft. Slightly better. jono_in_adelaide

Posted by AlexCanada on September 19, 2012, at 23:49:21

In reply to Re: Day 13 Zoloft. Slightly better., posted by jono_in_adelaide on September 19, 2012, at 22:57:53

> Alex, could you detail your diagnosis and all the emds that you're currently taking.
>
> I didnt realise that you were already on Ritalin when i suggested a tricyclic or Welbutrin

Zoloft 50mg, ritalin 2.5mg 4+ times daily, valium 2.5 3+ times daily, Rhodiola Rosea Mind Body Spirit brand 600mg, DHEA 100mg (w/ 120mg calcium). Once in a while I take gabapentin 100-200mg for a bit of a boost to drive motivation emotion and ability to enjoy things but it's inconsistent. Most days I do not take gabapentin. I been considering taking L-Tyrosine. Also I plan to start taking Royal Jelly again since finally my shipment arrived.

Treatment Resistant Melancholic Depression. Some generalized anxiety but usually it's taken care of. Have never had any psychotic features. Have never felt hypomanic except possibly once in my life something which may resemble it. When i took parnate + valium + ritalin + high dose Korean Ginseng I had a period of 5 days where I didn't necessarily have much interest in anything but I did feel highly sexual. Huge libido and I took advantage of it of constantly ahem... chatting online. Alcohol helped me be social in that regard but impaired my already lousy cognition. Upon further research korean ginseng + parnate can cause such manic like behaviour.

Biggest Issues: Severely poor long term memory and ability to retain new knowledge, Antero Grade Memory Loss, Poor Cognition, Lack of emotions, Anhedonia, Dysphoria, Mind feeling blocked/cloudy, Severe lack of enjoyment, Lack of drive/motivation/desire/sense of reward, Difficulty relating to others and feel bit like a zombie, Severe difficulty being social (also partially due to inability to relate), Anxiety (usually handled if I keep taking valium), Low energy,

Effects of Memory and Cognitive Issues: Loss of current thought process and forgetfulness of what I was about to do, Forget what happened a day ago, people's names, difficulty imagining what people's faces look like, unable to recall events from tv shows/movies/media, slow speech usually, takes time to process thoughts and information,

Best Medications tried: Ritalin/Dex (especially first time), Parnate (first few months especially), Paxil (some resemblence of normalicy and integration into society). Valium/Ativan (some mood improvement + anti-anxiety), Gabapentin (Improvement of almost all symptoms including emotions and cognition, but tolerance builds quickly)

Treatments Tried:
Benzo- Valium, Ativan, Klonopin, Xanax
SSRI- Celexa, Paxil, Zoloft,
SNRI/Other/Alternative- Wellbutrin, Effexor, Stablon, Remeron, Lithium, Adrafinil, Gabapentin, Narproxen, Vivarint, Buspar, Trivistal LA, ECT, rTMS, Mirapex,
NRI- Reboxetine,
MAOI- Parnate, Nardil
Stimulant- Ritalin, Dexedrine, Provigil
Anti-Psychotics- Zyprexa, Risperidal, Abilify (as a low dose add-on), Seroquel,
Natural/Herbal- Rhodiola Rosea, Omega 3, Omega Complex, Korean Ginseng, Magnesium Glycinate, Royal Jelly, Niacin, Gingko Biloba, Bee Pollen, L-Arginine, Resveratrol, D3, Maca Root,

Sensitivities: Vitamin A, Sunlight,
----

Treatment Results:

Worse: Celexa (gradual worsening of depression and burning pain), Effexor (rapid worsening of depression and burning pain), Abilify (rapid worsening of depression/anx when taken w Parnate), Cymbalta (gradual worsening of depression), Seroquel, ECT (Severely damaged my long term memory and overall cognition perminently), Nortriptyline, Lithium,

Better: Risperidal (some ability to enjoy things but overall would still be largely lacking), Parnate, Ritalin (first time this or Dexedrine was taken I was able to feel a bit like my old self, ability to experience pleasure, positive outlook, return of old hobbies, Was able to appreciate being alive), Dexedrine (similar to ritalin), Valium (some mood improvement, some anxiety improvement, most benzos have had similar effect), Ativan (was more social on this than other benzos while also on Paxil), Rhodiola Rosea (herbal similar to an MAOI) (A small miracle for mood, energy, cognition, general well being, would still be lacking pleasure. Has lost much effect over time), Gabapentin (tremendous cognitive improvement, imagination, more emotions, less cloudy thought process, feeling of greater intellectual capacity. Some improvement to mood, ability to be social. Although rapid tolerance onset, inconsistent, ironically sometimes cognitive impairment.), Vivarint (some mood improvement, massive improvement to sex drive),

Mixed Results: Remeron (sluggish on low doses, more active on higher doses, very mild mood improvement, impulsive spending), Zyprexa (some mood improvement, lot of lethargy, cognitive slowness, food tasted wonderful), Stablon, Modafinil (increased Cognition, Energy, Motivation but may compound dysphoria)

Negligible or Unsure: Nardil, Adrafinil, Narproxen, Buspar, rTMS (could not access any tangible improvement), Reboxetine, Mirapex, Piribedil, Klonopin, Wellbutrin,


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poster:AlexCanada thread:1025809
URL: http://www.dr-bob.org/babble/20120912/msgs/1026183.html