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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 brynb on February 4, 2013, at 9:22:54
hi all,
so far things are going well with my new pdoc, and i've found some relief in the two rounds of ketamine injections i've done so far. i'm going in for another ketamine treatment tomorrow evening.
one thing i've been thinking about is changing my AD. i'm on 20 mg of lexapro, and while it helps keep depression and anxiety at bay, it never prevents an episode and i've been on it for some time and fear it no longer really "works."
i'm adement about being on the least amount of meds as possible; i've tried all types and groups, and found that i need to keep it simple (side effects for me greatly outweigh any benefits). mood stabilizers and APs are not an option. my new pdoc is on board w/ keeping my regimen simple, but suggested possibly changing to viibryd or adding a small amount of pristiq to the lexapro.
here's the question:
-do i switch from lexapro to viibryd?
-do i add pristiq to lexapro?
-do i completely switchover to nardil?these are the ONLY med options i'm considering. he also has me on deplin, and valium for anxiety. this is in conjunction with the ketamine treatments. if i don't find long-term relief with ketamine, he wants me to do tms.
any feedback or input on the med switch (or tms or anything else)?
thanks in advance and hope everyone's doing ok.
-b
Posted by Phillipa on February 4, 2013, at 9:37:36
In reply to Switching ADs-feedback?, posted by brynb on February 4, 2013, at 9:22:54
Bryn since you say that lexapro keeps depression & anxiety at bay. Sounds like keeping it and adding a bit of pristiq might be the best option. So you are now taking valium? How do you like it and at what dose? I'm so glad the ketamine is working for you. Seems the IM is working better than Iv for others has. I'll leave the rest for the med experts. Phillipa
Posted by brynb on February 4, 2013, at 9:44:08
In reply to Re: Switching ADs-feedback? » brynb, posted by Phillipa on February 4, 2013, at 9:37:36
> Bryn since you say that lexapro keeps depression & anxiety at bay. Sounds like keeping it and adding a bit of pristiq might be the best option. So you are now taking valium? How do you like it and at what dose? I'm so glad the ketamine is working for you. Seems the IM is working better than Iv for others has. I'll leave the rest for the med experts. Phillipa
Thanks, Phillipa. I'm taking 20 mg of Valium at bedtime (I have a lot of leg pain so it helps relax the muscles, too) and I can take 10 mg in the morning if I feel the need. The new pdoc said IM Ketamine is generally better than IV in that it's more controllable and equally effective.
Thanks :).
-b
Posted by jono_in_adelaide on February 4, 2013, at 18:37:48
In reply to Switching ADs-feedback?, posted by brynb on February 4, 2013, at 9:22:54
Have you considered adding nortriptyline (start off at 25mg at night and increase to 75mg at night) to the lexapro? Adding Welbutrin would be another option.
You could also add either of these to Vibryd
Posted by ChicagoKat on February 4, 2013, at 20:41:04
In reply to Switching ADs-feedback?, posted by brynb on February 4, 2013, at 9:22:54
Have you been on any other SSRIs, aside from Lexapro Bryn? If not, Viibryd might be a good option. Phillipa's idea of keeping the Lexapro and adding a low dose of pristiq is a good one. Can't hurt to try an SNRI. I told you pristiq make me anxious, but it wasn't horrible anxiety by any means, and you are on Valium so it might work out well.
Kat
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