Posted by bill on November 26, 1998, at 4:29:06
Dr Bob
I've read most of your tips and find your site to be
very informative but I haven't found any tips for my
situation. I've been on Zoloft for 4 years (50/100mg
day; I tried 150mg/day but it made me too sedated and
hypersomnia) and was doing very well with no panic
attacks or recurrence of major depression. Following
an auto accident, (I didn't lose consciousness) the
panic attacks returned along with cognitive problems
(stuttering, inability toexpress thoughts or words
clearly at times, memory problems, "sensory overload",
unable to multi-task,etc), major fatigue and anhedonia.
I've felt numb and detached/apathetic so it seemed the
Zoloft wasn't working so I tried to go up on the Zoloft
to 150mg/day but became very agitated instead of
sedated like before and even adding Klonopin 3mg/day
didn't help.
The VA psychiatrist doesn't know why the response to
Zoloft 150mg/day is now the opposite of 4 years ago.
He said he has never heard of any patient on an SSRI
feeling "numb" or that adding Wellbutrin,for example,
could conceivably help the SSRI in terms of dopamine.
I told him that my brother tried Zoloft and also
became agitated and was diagnosed as bi-polar and now
takes depakote and wellbutrin and is doing very well.
I told him that in the past there seemed to be a real
seasonal factor to my depressive episodes (worst in
winter,best in summer; sleep too much, gain weight,etc)
He doesn't see any significance to these things and so
I'm told to just stay on Zoloft 50mg/day and Klonopin
1mg/day and see how it goes.
I did reference some info I'd gained from your tips
and he told me I shouldn't read up on things because I
have OCD as well and it will make things worse! But he
didn't say anything about asking questions:)Thanks for any ideas on what else I might try to do.
poster:bill
thread:1355
URL: http://www.dr-bob.org/babble/19981101/msgs/1355.html