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Re: The usual psych meeting anxiety. » jonhed

Posted by SLS on June 30, 2016, at 15:42:36

In reply to Re: The usual psych meeting anxiety., posted by jonhed on June 30, 2016, at 13:55:25

> If NAC was more available to cross BBB, then i had tried it, but no i think it's a long shot as you say.
>
> Can i ask what you are on and for what? :-)

I have the type of bipolar I disorder (depression) that presents with mania (severe / psychotic) only in association with taking certain antidepressants. Generally speaking, I have been suffering from severe unremitting depression since 1977. I was first diagnosed and treated in 1982. Lots of drugs. Lots of doctors. Lots of research.

Currently:

tranylcypromine (Parnate) 80 mg/day
* nortriptyline (Pamelor) 150 mg/day
lamotrigine (Lamictal) 300 mg/day
lithium (lithium carbonate) 300 mg/day
aripiprazole (Abilify) 10 mg/day
prazosin (Minipress) 30 mg/day

* I crossed-over from desipramine to nortriptyline this week in order to compare my responses to them. I had been taking 300 mg/day of desipramine.

Prazosin may have some utility in treating:

"Developmental PTSD"
"Complex PTSD"
"Complex Trauma Disorder"

My doctor says that my case is complicated by the chronic childhood traumas that would indicate developmental PTSD. Prazosin has been a critical component of my treatment. It feels like a very clean antidepressant. People with PTSD report sleeping better and without nightmares while taking relatively small dosages of prazosin. However, when dosages are increased, daytime anxiety and depression improve. I take 30 mg/day. The maximum recommended is 40 mg/day.

There is one side effect of prazosin that has emerged that I am very unhappy about. It has lowered my sex-drive substantially. Oh, well. The cost is still worth the benefit.


- 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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poster:SLS thread:1090003
URL: http://www.dr-bob.org/babble/20160609/msgs/1090039.html