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Re: Can AD's Cause Long-Term Damage that is Reversible » Phillipa

Posted by SLS on February 9, 2016, at 1:10:45

In reply to Re: Can AD's Cause Long-Term Damage that is Reversible » SLS, posted by Phillipa on February 8, 2016, at 21:47:10

> I too would love to discontinue the luvox now for about 8 years 25mg. I also have the lexapro only take 2.5 mg of it. And you know the benzos and doses. My fear is low doses of benzos are due to the luvox? Thoughts? Thanks Phillipa

I'm confused as to what you are asking.

You seem like a Paxil (paroxetine) person. Have you ever tried it? What were the results?

Was Luvox (fluvoxamine) chosen because your doctors thought you have some type of OCD, or were they just looking for something sedating? Ruminations are not the same as OCD. What happens when you take 100 mg/day?

We both have been around the blocks a few times. Which tricyclic antidepressants (TCA) have you tried, and what were the results? I was thinking about Sinequan (doxepin) for you.

If you have not tried any neuroleptic antipsychotics (AP), I don't know what you are waiting for. Your case would not demand the higher dosages used by most people. For anxiety, you could, for example take Seroquel (quetiapine) 50 mg at night and then take two 25 mg doses during the day. At 75 mg/day, extrapyramidal symptoms (EPS) are often non-existent and the risk of tardive dyskinesia (TD) is minimal. You can discuss the specifics with your doctor. A rather unusual choice for anxiety is promethazine (Phenergan). I saw this drug work well as a substitute for Zyprexa (olanzapine) when weight-gain became an issue.

I get the feeling that your case is not so straight-forward. Cognitive-behavioral therapy (CBT), a type of psychotherapy, can be very helpful to deal with depression and anxiety. It really isn't that hard or intense, but just takes some practice outside the therapist's office. In fact, some people practice using a workbook. CBT treatment doesn't last forever like some other forms of psychotherapy seem to. A course of CBT can be relatively brief. It is very much like taking a school course to learn how to change how you think about things and thus changes how your feel. CBT is not a drilling down to the inner workings of your psyche. You aren't forced to reveal your most secret thoughts or feelings.

As to your original question, perhaps you can rephrase it?


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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