Posted by KarenRB53 on September 13, 2016, at 17:42:50
In reply to Re: Dysthymia » KarenRB53, posted by SLS on September 13, 2016, at 17:14:40
> Hi.
>
> I made a few suggestions here:
>
> http://www.dr-bob.org/babble/20160819/msgs/1092093.html
>
> I'm sure you know that dysthymia can be particularly stubborn to treat.
>
> I know a woman who has dysthymia and infrequent episodes of major depression. She does reasonably well with Wellbutrin + Abilify. I would like to see her add Lamictal, but she is reluctant to try it again, mainly because monotherapy was not very helpful.
>
> I wonder if intranasal ketamine would hit the target. Another friend of mine has achieved remission using intranasal ketamine. Her depression was rather severe, but she responded partially using a combination of Abilify and Lamictal.
>My first antidepressant was Elavil, many years ago. I've been on Prozac which worked well, although it did make me a bit hypo. Added Buspar for that. Tried several TCAs which didn't help. I take meds for high blood pressure so had to work around that. Tried Wellbutrin with Prozac. Lexapro caused anxiety and Celexa worked okay but did nothing for the anxiety. Celexa had least side effects, kind of kept my head above water and maybe that's best I can hope for.
Did lots of counselling.CBT etc.> There are so many possibilities. Traditionally, dysthymia has been treated the same way as major depression. Personally, I am not aware of an association between dysthymia and a list of drugs that are most effective to treat it. Quite awhile ago, several people here were treating their dysthymia with a drug called amisulpiride (Solian) that is available in Europe. Early studies showed that low dosages (25-100 mg/day) were tailored for dysthymia, while higher dosages were necessary to treat schizophrenia.
>
> Wellbutrin + Lamictal + Abilify?
>
> I don't like piling up drugs. But, you gotta do what you gotta do. Since no one drug acts on all of the targeted biological sites necessary to produce a therapeutic response, one needs to use multiple agents.
>
> Out of curiosity, what are some of the treatments you have tried so far?
>
>
> - Scott
poster:KarenRB53
thread:1092095
URL: http://www.dr-bob.org/babble/20160819/msgs/1092099.html