Posted by ace on June 19, 2003, at 1:19:41
In reply to Ron/Ace, Re: Mcpacster- how are you bro?!, posted by McPac on June 18, 2003, at 18:25:21
> Major dilemma for me dudes.......
> Zoloft WORKS for my ocd BUT I get terrible anger FROM ZOLOFT (ssri's in general, it seems).....(I don't know for sure if I'm bipolar...but the Zoloft DOES definitely cause me terrible anger/irritability problems...I take lithium to counter the Zoloft anger effect....I would LOVE to find an anti-dep. that worked well for BOTH depression AND OCD......now, Zoloft DOES work well for both my depression and OCD BUT I get that terrible anger/irritability problem....right now I'm probably going to increase the Zoloft (feeling 'down' and obsessive somewhat) and therefore I am FORCED to increase the lithium as well (to counter the Zoloft-induced anger/irrit)...if I could just find a good anti-dep. that also worked for ocd (the ssri's give me the bad reaction that I mentioned, I don't want an anti-psychotic, the old tca's were okay for depression but not much for ocd.....I have NO choice but to increase my Zoloft and then increase the lithium to counter the Zoloft side effects! It's a terrible 'catch-22'/can't win situation....Ace, I could try the Nardil....but I'm always out and about, eating out, eating at friend's houses, at work, get-togethers, etc., and when I took Nardil I was always afraid of eating something wrong...I wouldn't eat much...I never like to even tell anybody about my problems at all...if I were on Nardil I would constantly have to watch what I ate and everywhere I went I'd be having to explain to everybody why I couldn't eat 'this or that' when they offered me something....it would be easier if I were always home but I'm always eating with somebody, somewhere and having to worry over everything I put in my mouth would drive me nuts....but I do remember Nardil very fondly though, worked well for my depression and I think it worked well for my ocd too(wasn't on it too long though, can't remember the ocd part as well)......anyway, that's my dilemma......take care!!!!
Hey McPacter!,
Lets sort this out brother. OK, first you asked about the RIMA's - there is one that I know of called MOCLOBEMIDE (Aurorix). This MAOI is a 'newer' one. Now, I have heard this is used for OCD, depression, and anxiety. I've heard some very good anecdotes about it. Some people require higher doses as time goes on to maintain therapeutic efficacy but don't worry about for now. With Moclobemide the food restrictions are far less (I'm not even sure you have any).OK, something struck me on the head about your comments with Nardil. I think it maybe a manifestation of OCD - ie your worrying about the food. I could be wrong so call me a piece of dogfood if I am! But anyhow, with Nardil I had the same worry's before- but they were baseless. At the resturants I really believe you wouldn't have to frig around to much with menues - just avoid the cheese and soy sauce and a few others. I can say I do not notice AT ALL the food restrictions, although I don't eat out much (no $$!!!)
Here are some thoughts on meds
1. Augment Zoloft with Trazadone
2. Augment Zoloft with Anafranil low dose
3. Augment Zoloft with low dose benzo
4. Augement Zoloft with Buspar
5. Augment Zoloft with GabapentinTry... these replacements for Zoloft
1. Moclobemide
2. Tramadol
3. Trazadone
4. (the MIGHTY) Nardil
5. Parnateof course you can augment the above. ALL of these drugs I mention have shown efficacy in OCD and depression (Not sure of Gabapentin for depression but)
I think you might be better off finding a new 'main' drug and then considering augmentation if need be.
But it's no good what is happening- we don't want therapeutic response at the expense of you getting angry and irratable.
Tell us what you think brother!
Ace.
poster:ace
thread:234393
URL: http://www.dr-bob.org/babble/20030614/msgs/234992.html