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Re: my suggestions... » med_empowered

Posted by Maxime on February 28, 2006, at 11:23:08

In reply to my suggestions..., posted by med_empowered on February 28, 2006, at 1:58:21

> I guess I'd say try it up to 8, 9 weeks at your current dosage (Prozac works slowly, so you'll need a longer trial to really see whether it'll help or not).

Oh God, 4 more weeks of waiting.

> If you can't take zyprexa, maybe Abilify? Or Geodon? Seroquel? I don't like APs myself, but they do help a lot of people.

I would like to try Abilify but it's not available in Canada. Seroquel also makes me lactate. I don't know if Geodon is available in Canada ... I will check.



> I don't know how you feel about vitamin therapy, but it might help. Apparently, alot of people w/ depression also have low-levels of some B-vitamins, so maybe a high-potency B-complex, plus a multi-vitamin? I doubt it'll hurt anything, and the cost is pretty minimal.

Yup, I take a high-potency B complex, zinc, selenium, fish oil and a few others.

> Did you respond well to the stimulant? Stimulants were often used in depression, and are still used (along with mood-stabilizers and/or antidepressants) for low spirits...it may be worth while to give Adderall/Dexedrine, perhaps Ritalin, another shot. (Here in the US, I think the usual preferred add-on stim for depression is Ritalin, then the amphetamines...Provigil is also emerging as a viable option).

I was on Adderall and it helped. But now my pdoc doesn't want to prescribe it for me anymore.


> Adding BuSpar might help; it isn't the greatest med in world, but it can help out some people..it can also help w/ some SSRI side effects, so thats a good thing. Mirapex and other dopamine agonists may also be worth a shot.

Mirapex is being added on Friday


> Adding a mood-stabilizer might help. Personally, I think it **could** help, but you'd need to watch the dosage; too much and you could end up with a low-grade, drug-induced depression (or generalized apathy and slow-mindedness). I'd go for Trileptal or Lamictal personally, but I imagine depakote and lithium could help a lot, too.

I take a low dose of Trileptal ... 450 mg.
> Have you tried Wellbutrin?

Yup twice and it made me psychotic both times.:-(

> Good luck!

Thanks

Maxime

 

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