Posted by SLS on August 19, 2004, at 6:56:07
In reply to Re: Shouldn't there be a limit to this, tried rTMS » SLS, posted by iris2 on August 18, 2004, at 19:06:56
Hi Irene
> I did try effexor before it was even on the market in a hospital.
Boston?
> I also had great experiense with Parnate but aver many years it pooped out.
Sorry. One doesn't hear about Parnate poop-out as often as Nardil poop-out.
> I have tried many times to go "clean" but after a week or two I am totally non functioning and inevitably end up with a suicide attempt.
I think the initial relapse is the worst. Things sometimes improve somewhat after a few weeks. Even so, this resulting state might be well below the threshold of tolerability. It is for me. That's why I really don't feel that I can afford to remain clean.
> Was it you that you are saying about the etc. If not I had 6 bilateral treatments than the docter stopped them as I became beligerent.
How so?
> AS far as taking the amisulpride with a stimulant I am taking between 40 -100mg ritalin daily. I cannot tolerate any others I have tried.
> I take it from my experience with effexor you might look at the milnacipran or Cymbalta (which I have as everyone been waiting for forever) as opposed to the amineptine?I wish amineptine were still around. I would have tried it by now. You know, I don't recall anyone combining amineptine with another antidepressant. How about you?
> Are you on Cymbalta now? If so keep me posted?
I had my doctor write a prescription for Cymbalta yesterday. The pharmacy said that it would arrive sometime today. I'll be taking 30mg for one week, and then 60mg.
> What are you trying or what is working for you?
The thing that has helped keep my head above water over the last 5 years or so has been a combination of Lamictal + antidepressant. It allows me to function about 15% better than my unmedicated baseline. I had been using Lamictal 300mg + imipramine 300mg until recently. I reduced the Lamictal and added memantine to mitigate the cognitive side effects produced by Lamictal, and weaned off imipramine in preparation for taking Cymbalta.
I am looking forward to trying Cymbalta, and am somewhat excited about it, but I am by no means counting on it. I am trying to anticipate its failure so that I don't become suicidally disappointed should it happen. By the way, there is another alternative for using a drug with a combined NE/5-HT reuptake inhibition - sibutramine (Meridia). I don't have it high on my list of things to try, but I know of a prominent pdoc in Princeton who uses it quite a bit, Peter Mueller.
- Scott
poster:SLS
thread:378449
URL: http://www.dr-bob.org/babble/20040817/msgs/379366.html