Posted by fido on February 26, 2015, at 9:52:44
In reply to Re: Discouraged after reading book on resistant cases » fido, posted by Robert_Burton_1621 on February 23, 2015, at 20:12:12
Hello!
I'd be too scared of AAPs and Lithium. Lithium has a lot of side effects. I was thinking maybe I could try Lamictal but I'm not sure if this is a good idea. I read that it could lower seizure threshold when you take it and then get off it. If this is true then it would be too scary for me.
The cases in the books had already tried many drugs and were labeled as treatment resistant by their prior doctors.
I thought that the book would be full of happy endings which are encouraging but not so. It rather dragged me down to read how many patients felt better and then relapsed and then they switched drugs or increased doses, felt better for a while and then relapsed again. It made it look like even IF you feel better and think it's finally working it can get worse again at any time. This is damn scary!What was also surprising is that the author often times increased doses and then suddenly an antidepressant which wasn't working before started to work. For example somebody is on 100mg citalopram and it's not working. Then they raise to 120mg and suddenly it's working. To me this makes no sense. I'd have thought that if 100mg do nothing then 120mg also will not work. But if such a small increase can make a difference then this makes me wonder how many of the ADs which I tried and which didn't work might have worked at higher doses.
I have tried so far:
citalopram 20mg 1 month
remeron 30mg 8 weeks
wellbutrin 300mg 8 weeks
agomelatin (useless imo)
tianeptine 37,5mg (4 weeks, made me feel worse)
memantine 20mg 5 weeks (didnt really make a difference)
lexapro 20mg + ritalin LA (12 weeks, didnt work)
anafranil 75mg (sides effect were too strong)
cymbalta 60 (3 weeks, not working) then increase to 90mg for 2 weeks, also not workingi am now trying out strattera for ADHD but I'm pretty sure it won't work. wellbutrin also didn't work.
i could try strattera + lexapro cause i have lexapro at home but i'm not sure if this is a safe combo.
poster:fido
thread:1077033
URL: http://www.dr-bob.org/babble/20150223/msgs/1077124.html