Posted by SLS on December 19, 2013, at 8:53:05
In reply to What to do now?, posted by Christ_empowered on December 19, 2013, at 8:23:22
> OK. Here's the line up: 40 Prozac, 30 abilify, up to 300 Neurontin, 1200 trileptal.
>
> The jump from 20 to 40 Prozac was great! Problem is...still depressed. I get psychotic depression. Sometimes, I get so depressed that only after adding an AD do I realize how depressed and inert I was.
>
> OK. Anxiety is generally well controlled, between orthomolecular and the meds. Voices are gone. Agitation and mood swings are well-controlled.
>
> My problem is some OCD-ish stuff that's still lingering and exhaustion/fatigue. I was thinking: remeron at night, low-dose buspar, or wellbutrin (preferably a once daily formulation).
>
> What do you all think?Have you tried Luvox (fluvoxamine)? If so, how did it affect you? Luvox has some mild antidepressant properties along with its anti-OCD effects. It has been shown to be effective for psychotic depression.
http://www.ncbi.nlm.nih.gov/pubmed/20492642
I should think that fluoxetine would make things worse.
http://www.ncbi.nlm.nih.gov/pubmed/19594506
Take it slow if you can. I know how difficult it is to not play with medication when you are not happy with your present state. The thing is, you have to allow enough time for a new homeostasis to settle in before you see any kind of enduring improvement.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1056542
URL: http://www.dr-bob.org/babble/20131209/msgs/1056547.html