Posted by Racer on August 8, 2007, at 3:42:45
In reply to Re: what are the options?, posted by jhj on August 8, 2007, at 1:56:57
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> I am sorry if you find my gramer or spellings incorrect because i am from india and we use english as only our third choice language.
>No, it's not spelling or grammar, so much as having spaces between words -- it just makes it much easier for old eyes such as mine to read. The easier it is to read, the more chance you'll get responses. :-)
Hm... You say you get no relief whatsoever from any symptom with all the meds you've taken? If so, it doesn't make a lot of sense to continue taking them. Are you sure you're not getting *something* from them? Some sort of relief?It sounds as though the anxiety is giving you the most trouble? In that case, I'd recommend talking to your doctor about ruling out any physical causes for it. Chances are, it really is psychological, but it's always best to rule out physical problems before you give up.
After that, assuming it is entirely psychological, and your doctor really and truly won't try an MAOI, I guess it's time to start looking at the meds you've already tried, and see if there's something that can be resued in there. What I see, is that you're currently taking a bunch of meds which can INCREASE anxiety. That doesn't seem like such a great idea, and I'd suggest starting by discontinuing the buproprion, and possibly the modafinil. The gabapentin and modafinil work against one another -- the gabapentin increases GABA, while modafinil decreases it -- so I'd ask your doctor about that, too: whether it makes sense to be taking both at once. It might make sense, but it's worth asking about.
Another thought I have is about dosages: have you had a trial at an adequate dose of each medication? My guess is no, since you seem to have been on a lot of them for a very short time. Also, it looks as though you've been started on multiple drugs at the same time, which can also be a problem. It might be worth discussing with your doctor tapering off most of what you're currently taking, and then adding things back one at a time.
It doesn't look as though you've given any of the SSRIs an adequate trial. They're often quite good for anxiety as well.
Last, aside from MAOIs, there's another class of medication you have not yet tried: atypical anti-psychotics. They can be great for anxiety, as well as augmenting antidepressants. It's worth trying.
I hope that helps.
poster:Racer
thread:774522
URL: http://www.dr-bob.org/babble/20070730/msgs/774722.html