Posted by Bob on October 25, 1999, at 14:50:50
In reply to Re: Ditching the Big Z, posted by Adam on October 25, 1999, at 14:31:01
> Have you tried any MAOIs?
Nope, and that's a tad more radical a step away from what I'm doing now than I can afford to take ... so maybe, someday down the road. I've followed a few of the threads on MAOIs to pique my interest -- all the stuff I'd seen about it (mostly those "you're on X so don't take an MAOI because it can kill you" and little else) gave it this boogey-monster treatment profile, right alongside ECT. ;^)
One thing I can say about my pdoc, he wants to KNOW what is causing any change. Therefore, one variable at a time. I'll be tapering off the Z, and after a month or so of washout (and maybe a slight increase on the nortriptyline) we'll see if I need something to augment the TCA. Right now, he's partial to wellbutrin over the other non-SSRI/TCA/MAOI meds. While I had a problem with it solo, I do have to admit that it did help me under a very special circumstance. I was trying to washout paxil from my system prior to starting wellbutrin. The withdrawal from paxil, tho, was quite unbearable (that's what Noa annointed as my Chicken Little story in a thread above). He had me start on wellbutrin 300mg/day immediately. For about one month, I had my best response to meds while still in control. Once the paxil HAD cleared, tho, that's when the little red Bob with the horns, pitchfork, and barbed tail that sits on my left shoulder started whispering nasty nothings in my ear. In retrospect and in reference to the response of other patients of his, he thinks jumping into the "deep end" may have been the source of my problem with wellbutrin. He's had patients respond quite well to wellbutrin as an augmentor at dosages of 50mg or 100mg per day.
Remember those rages puts a fright into me that's really hard to face, but I'm trying to keep an open mind.
So, in the interest of keeping that mind open, feel free to put in your two cents, folks. I've got a month to decide.
Bob
poster:Bob
thread:13823
URL: http://www.dr-bob.org/babble/19991028/msgs/13867.html