Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: thanks » SLS

Posted by Tabitha on August 24, 2016, at 16:52:46

In reply to Re: thanks » Tabitha, posted by SLS on August 24, 2016, at 16:10:30

> If you do opt to try Paxil, be aware that it is probably the SSRI most likely fail to work once it is discontinued and restarted. If it is working, just leave it alone. I also suspect that Paxil can cause cross-tolerance to other SSRIs. Because of this, I would try Lexapro and Zoloft first, and reserve Paxil as a second-line or third-line antidepressant.

Thanks, I didn't know that. Paxil is probably the last one I would try since it's notorious for weight gain anyway.

> How high did you go with Effexor, and did you add Wellbutrin, nortriptyline, or Remeron to it?

I don't even recall the dosage. And no, we never tried multiple ADs. I don't think I've ever done that. Generally I end up with an AD + mood stabiliser combo.


>
> You might consider low-dosage lithium - maybe 300 mg/day to add in the background. A low dosage avoids toxic or irreversible effects on thyroid and kidneys. I'm taking lithium because it helps to a mild degree with depression, and is possibly a treatment to prevent Alzheimer's Dementia, which occurs at a significantly higher rate with people with severe depression.

Yes, I've been using lithium 300 mg for a while now. The most recent experiment was increasing to 900 mg, but it wasn't doing anything for my depression and I felt generally awful on it. I also was really averse to going high enough to require regular blood work.

I didn't know that depression increases risk of Alzheimer's. I guess that's one good reason to stay on the lithium.


 

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:Tabitha thread:1091494
URL: http://www.dr-bob.org/babble/20160819/msgs/1091519.html