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Re: Hospital over, but med. advice seriously needed » bleauberry

Posted by gpznos on January 27, 2013, at 16:11:11

In reply to Re: Hospital over, but med. advice seriously needed, posted by bleauberry on January 27, 2013, at 12:21:57

> Wow, so sorry to hear of your battles. I had ECT also, failed, and have studied it a lot, and I do not think the emotional numbness you are feeling is from that. More likely it is one of the meds, with lithium being the most suspicious in my mind. I like the idea of adding zoloft to the nortriptyline. I've never been a fan of mirtazapin because I've not seen it work great very often or for very long in many postings on it. For me it was a great sleep med for a while but was somewhat numbing emotionally. The f*rt that you say you don't have any drive is a decent clue that the dopamine circuits are somehow involved, much more likely than the serotonin circuits, but they all work in concert. Too much nortriptyline can numb things down too.

Thanks for your reply.
Can you please explain this: "The f*rt that you say you don't have any drive is a decent clue that the dopamine circuits are somehow involved,"
I am in need of dopamine?
What can be done?

I am also considering desipramine instead of nortriptyline. And let the valdoxan be replaced by sertraline as the first thing to do.
Mirtazapin could be cut back to just 5 mg for sleep as very small doses enhance the anti-histaminic effect.


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poster:gpznos thread:1036514
URL: http://www.dr-bob.org/babble/20130124/msgs/1036588.html