Posted by MuseMemento on April 27, 2014, at 13:53:20
In reply to Re: Start over with clomipramine or combination? » MuseMemento, posted by klein on April 27, 2014, at 7:41:01
Thanks for all of the posts!
I'm curious to see what the pdoc says about interactions. I'm now curious about adding modafinil, possibly up to 400 mg daily, because I previously had a positive response to 200 mg when I wasn't taking an SSRI. I've considered giving the wellbutrin a break and then re-introducing it to re-initiate the antidepressant effect but I'm concerned about having too many interactions that lower the level of the clomipramine (smoking, modafinil). Maybe the enhanced levels via wellbutrin will be a positive effect.
MDD is the more debilitating of the two conditions right now, although it's difficult for me to discern between OCD-type obsessions and depressive ruminations, but I know I'll need a medication that treats OCD as well, which is why I'm intent on clomipramine instead of simply adding something like desipramine.
The abilify was intended for MDD but if it also turns out to help OCD, all the better. I haven't noticed anything from it yet, so I would like to try increasing it before dismissing the possibility that it will do something for me. Perhaps latuda or saphris would be a better addition, though? I hope I haven't missed anything. The more I discuss it, the more optimistic I feel about this switch, so thanks, everyone!
poster:MuseMemento
thread:1064818
URL: http://www.dr-bob.org/babble/20140419/msgs/1064850.html