Posted by Ritch on June 14, 2003, at 10:43:21
In reply to can anyone help with this?, posted by avid abulia on June 14, 2003, at 0:09:55
> i am not doing all that well off of my AD though withdrawal is over (my body adjusts to med changes quite quickly, who knows why)... mostly, my OCD is getting a lot worse, but i am also depressed.
>
> i react quite poorly to SSRIs (hostility and self injury/suicidal thoughts), have had positive responses to wellbutrin (only for depression), effexor (only for OCD), and higher doses of inversine (for both), but experienced seizure exacerbation. i have not tried TCAs or MAOIs as of yet, nor have i tried serzone or remeron. the typical and atypical antipsychotics and i are no match made in heaven. i am a cyp 450 3a4 poor metabolizer as well. my current meds are lamictal 200mg b.i.d. keppra 1000mg b.i.d. inversine 2.5mg b.i.d. and diazepam prn (generally 1.25-2.5 mg and quite rarely up to 10mg qhs-b.i.d. for tics, anxiety, insomnia, seizures or migraine--a real all-arounder for me) and parenteral morphine/phenergan/toradol, 15/25/60mg respectively prn (generally once or twice per month or two for severe basilar migraine).
>
> does anyone know a drug or drug combo or a change that may be useful that may help with depression and OCD with a relatively low risk of seizure, tic, and migraine exacerbation?
>
> ~AAIf you find out that Keppra is causing your restlessness, you might consider swapping it out for Neurontin instead.
poster:Ritch
thread:233876
URL: http://www.dr-bob.org/babble/20030614/msgs/233923.html