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Re: Questions for Chairman _MAO » TylerJ

Posted by Chairman_MAO on March 12, 2006, at 0:29:55

In reply to Re: Questions for Chairman _MAO » Chairman_MAO, posted by TylerJ on March 11, 2006, at 17:51:37

IF your doctor watches carefully for thrombocytopenia and other untoward effects, I imagine you could probably push the dose to 300-400mg/day if necessary.

I wouldn't worry about augmentation unless you start finding yourself becoming dysthymic. Then consider:

--Low-dose lithium is often surprisingly effective.
--Lamotrigine (possibily riluzole) has a good track record
--Memantine is an alternative to lamotrigine with fewer side effects
--Assuming you can get it, try amisulpride/sulpiride in low doses
--Direct dopamine agonists. In my order of preference based upon efficacy vis a vis tolerability: cabergoline > pramipexole/ropinirole/piribedil, bromocriptine > pergolide > lisuride, but YMMV.

If you elaborate on what you suffer from, I will try to be more specific.


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URL: http://www.dr-bob.org/babble/20060310/msgs/619180.html