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Re: Best AD for Melancholia » jonhed

Posted by brynb on July 11, 2016, at 1:01:07

In reply to Re: Best AD for Melancholia, posted by jonhed on July 10, 2016, at 11:49:07

hi jonhed-

thanks for both of your responses. i am completely off the tramadol, which really is great. i used to sing its praises, as it helped with pain and hit practically every receptor making it GREAT for my depression/pain issues/etc., but as you mentioned, i needed large doses after 4 years to achieve what i needed and as i said, it led to too many substance issues again, so being off of it for 7-8 weeks is huge for me.

subutex has actually been great so far in its place and has eliminated cravings for me. i'm not looking to switch off, tho i realize some people like methadone. my pdoc is an addiction specialist and has been really spot on with his approach to my meds so far, so i'm ok with that.

i too am on 2mgs of klonopin, which is a low dose for me as far as benzos go, but definitely the sweet spot as anything more starts to backfire. i don't suffer from social anxiety; it's really GAD, but i'm beginning to wonder if a large part of my issue is OCD as it seems to play a much larger role in my depression than i initially thought (i.e.: the same intrusive and ruminating thoughts, etc.). i need to discuss this with my pdoc and think the big change i'm looking for here is swapping lexapro for something else more effective in treating OCD and/or melancholia.

i took the dna saliva test a few years ago that (i think) helps guide med choices, and all i really gained from it was the knowledge that i'm a fast metabolizer, and yes, typically need hire med doses than average.

thanks again for your help, i very much appreciate your responses. i'm so confused at this point and feel a bit defeated but hope i can get some ideas from my pdoc this week.

thanks so much!


Live in the sunshine, swim the sea, drink the wild air. - Ralph Waldo Emerson


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