Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Gillmore (again)

Posted by gilmourr on January 18, 2013, at 15:24:54

In reply to Re: Gillmore (again) » gilmourr, posted by SLS on January 18, 2013, at 6:30:45

> I like Jono's plan.
>
> Regarding Nardil, it is likely that you will experience some kind of brief response to it after having been off it for more than three months. The problem is, it will poop-out again rather quickly. I think you should look to augment it with something from the beginning or very soon after starting it. If you opt for going with a TCA, I recommend nortriptyline. It is the mildest with respect to anticholinergic/noradrenergic side effects. There is also lithium, Lamictal, Abilily, Latuda, and even Wellbutrin. Before abandoning the Zoloft, though, I would try adding nortriptyline or Wellbutrin or Abilify to it. In fact, you could begin treatment with Abilify and Lamictal before discontinuing the Zoloft.
>
> One possible plan. There are things you can do first before going for ECT or TMS. If it is an emergency, ECT can be considered, but I might first try Zyprexa as an intervention.
>
> Optimize your dosage of Zoloft to 100 - 200 mg/day
>
> 1. Add Wellbutrin.
> 2. Add Abilify.
> 3. Add Lamictal.
> 4. Discontinue Wellbutrin.
> 5. Add nortriptyline.
> 6. Discontinue Zoloft.
> 7. Add Nardil.
> 8. Add lithium.
> 9. Discontinue Abilify.
> 10. Add Latuda
>
> You will modify this schedule depending on your reactions along the way.
>
> Now is the wrong time to ask, of course, but what is your diagnosis?
>
> What are your major symptoms?
>
> Did you ever rapid cycle? (4 or more episodes per year)
>
> Do you ever have racing thoughts?
>
> Is there any history of mania or hypomania?
>
> How old were you when you became ill?
>
> What evidence is there in your family history of mental illness?
>
>
> - Scott

Thanks for the medication advice, I'm definitely going to look at these combinations after I get MST. From everything I've looked at there should be no long term memory/cognitive effects. And I want to try it because of it being quite safe.

I have major depression, panic disorder + mild agoraphobia.

I became ill when I was 20.

Mom has panic disorder (remission)
Dad depression (untreated/alcohol)
Cousin (bipolar)
other cousins/aunts = depression/fibro

I am 100% sure I'm not bipolar as I have no highs, racing thoughts, or cycles. Even being on meds I've never been like in remission from depression. For the most part I consider this a 2 year episode.

SLS have you looked at magnetic seizure therapy? I'm sure if you checked it out you'd probably agree that even for how invasive it is, the side effects are minimal it seems and the efficacy is strong.


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:gilmourr thread:1035661
URL: http://www.dr-bob.org/babble/20130112/msgs/1035758.html