Posted by Geezer on February 18, 2002, at 14:54:51
To make a very long and miserable story short here are the stats:
1) Incorrectly DXed and treated for Unipolar Major Depression/Recurrent for 30 years.
2) Noncompliance with TCAs and MAOIs due to side effects.
3) Hospitalized 8 times between 1973 and 1985 for major depression (one time detoxed from benzo abuse, one time detoxed from amphetamine abuse).
4) Put on disability 1997 by pdoc due to major depression.
5) Good response to Prozac 20mg. until 1998 then poop-out (no full remission). Pushed Prozac no result. Tried Wellbutrin, Celexa, Zoloft, Klonopin, and Ambien - no response.NEW DX OCT. 2001 - Bipolar II Disorder/Depressed/Moderate/Melancholic & Refractory.
1) Began Valproate increased to 1000mg.
2) Decreased and eventually D/Ced Well., Celexa, Klonopin, with no adverse side affects.
3) Pushed Zoloft to 200mg. with bad insomnia and some agitation. (the above occurred from Nov. 1 - Feb. 12.
4) Added Remeron 15mg. Feb. 14 and this AM Feb. 18 the depression began to lift.Thank heaven for the differential DX of Bipolar II, Depakote, Remeron & a couple of University Based pdocs that knew what the hell they were doing. All comments welcome, including titration of Remeron - Pbabble figured into this imporvement in a big way but I am getting too long here.
Geezer
poster:Geezer
thread:94508
URL: http://www.dr-bob.org/babble/20020215/msgs/94508.html