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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by paddo on November 4, 2008, at 21:44:43
Presently on Parnate 40mg /lamictal 200 morning/nite/ serequal 25 mg at nite ..Have been on parnate since august ..i am in negotiation with conservative pschdoc to increase parnate ..depression ocd social anxiety are increasing,hence more misery ..question could the lamictal play a part in the increase of misery. Doing my best to distract ocd by all things the nintendo ..with limited success dependent on concentration etc ..any ideas..one more thing very soon to start clonazpam which will help from my limited understanding.
Posted by Questionmark on November 5, 2008, at 12:15:33
In reply to Tips help needed ocd /s.a./dep/anx, posted by paddo on November 4, 2008, at 21:44:43
No experience with lamictal. But it sounds like you would be a much better candidate for Nardil than Parnate. Nardil in my opinion seems to be much better for social anxiety and ocd than Parnate, at least for most people. Also, is your depression of the unmotivated, anergic, apathetic empty kind or the overemotional highly sensitive deeply painful kind? If the latter that would even further suggest to me that Nardil would be preferable.
It's also possible that the seroquel is exacerbating your depression as i assume it could be very tiring and pleasure-reducing (as are most if not all APs).> Presently on Parnate 40mg /lamictal 200 morning/nite/ serequal 25 mg at nite ..Have been on parnate since august ..i am in negotiation with conservative pschdoc to increase parnate ..depression ocd social anxiety are increasing,hence more misery ..question could the lamictal play a part in the increase of misery. Doing my best to distract ocd by all things the nintendo ..with limited success dependent on concentration etc ..any ideas..one more thing very soon to start clonazpam which will help from my limited understanding.
Posted by paddo on November 5, 2008, at 19:32:06
In reply to Re: Tips help needed ocd /s.a./dep/anx, posted by Questionmark on November 5, 2008, at 12:15:33
> No experience with lamictal. But it sounds like you would be a much better candidate for Nardil than Parnate. Nardil in my opinion seems to be much better for social anxiety and ocd than Parnate, at least for most people. Also, is your depression of the unmotivated, anergic, apathetic empty kind or the overemotional highly sensitive deeply painful kind? If the latter that would even further suggest to me that Nardil would be preferable.
> It's also possible that the seroquel is exacerbating your depression as i assume it could be very tiring and pleasure-reducing (as are most if not all APs).
>
> > Presently on Parnate 40mg /lamictal 200 morning/nite/ serequal 25 mg at nite ..Have been on parnate since august ..i am in negotiation with conservative pschdoc to increase parnate ..depression ocd social anxiety are increasing,hence more misery ..question could the lamictal play a part in the increase of misery. Doing my best to distract ocd by all things the nintendo ..with limited success dependent on concentration etc ..any ideas..one more thing very soon to start clonazpam which will help from my limited understanding.
>
Yes, threads suggest Nardil is gold standard for ocd ..until such time i give Parnate a real red hot go, will sit it out,pray for some positive movement. Much like anyone else with chronic depression etc, prescribed many different drugs/medication ..suck and see is a term that comes to mind. Till it pooped out Zoloft very effective for ocd/social anxiety etc ..earlier part of this year gave Zoloft another go on doctors advice 200mg .. may as well swallowed gold fish for what it was worth, seriously, disappointment my unwelcome friend followed, as it does. My *it* depression bounces around from overemotional highly sensitive painful kind, also anergic , apathetic, unmotivated empty ..its so complicated. On top of my mental health, i also have epilepsy ..apart from a seizure, related from doing a outward bound course many many years ago ..didnt sleep for 24 hours rugged course ..seizure free, will make an appointment to speak to neuropsychiatrist recieve his/her opinion if its ok to leave out lamictal from the mix its used more for mood, as i write just come to mind serequal increases fitting,equally ask for opinion on that as well, just on serequal , it is very tiring ..takes for ever to sleep with it ..side effect, rise in half a coma from my bed,raid the fridge or whetever for eats,only to wake then step in a cereal bowl or lollie papers as a reminder aahhh ..any way enough of my rant..thanks for your help Questionmark. paddo
Posted by azalea on November 5, 2008, at 21:23:49
In reply to Tips help needed ocd /s.a./dep/anx, posted by paddo on November 4, 2008, at 21:44:43
Recommended maximum for Parnate is 60mg/day so you have room to increase the dose.
> Presently on Parnate 40mg /lamictal 200 morning/nite/ serequal 25 mg at nite ..Have been on parnate since august ..i am in negotiation with conservative pschdoc to increase parnate ..depression ocd social anxiety are increasing,hence more misery ..question could the lamictal play a part in the increase of misery. Doing my best to distract ocd by all things the nintendo ..with limited success dependent on concentration etc ..any ideas..one more thing very soon to start clonazpam which will help from my limited understanding.
Posted by paddo on November 6, 2008, at 17:47:14
In reply to Re: Tips help needed ocd /s.a./dep/anx » paddo, posted by azalea on November 5, 2008, at 21:23:49
> Recommended maximum for Parnate is 60mg/day so you have room to increase the dose.
> Until proven otherwise, i will go as far as i can increasing the dosage ..refratory depression is the pits.. one must previal.
> > Presently on Parnate 40mg /lamictal 200 morning/nite/ serequal 25 mg at nite ..Have been on parnate since august ..i am in negotiation with conservative pschdoc to increase parnate ..depression ocd social anxiety are increasing,hence more misery ..question could the lamictal play a part in the increase of misery. Doing my best to distract ocd by all things the nintendo ..with limited success dependent on concentration etc ..any ideas..one more thing very soon to start clonazpam which will help from my limited understanding.
>
>
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