Posted by bleauberry on August 28, 2008, at 19:31:31
In reply to Parnate Trial - keep going or call it a day, posted by Justherself54 on August 27, 2008, at 10:10:48
Tough questions you ask. Same questions for most of us I guess.
On one hand it makes sense to raise the dose until you either get a response or you encounter intolerable side effects.
On another hand, well, it's been over 3 months already.
And yet on another hand, maybe the whole increased neurotransmitter level thing is only a piece of the puzzle, and that receptor blockade is the other. Things such as risperidone, olanzapine, mirtazapine.
People who have failed maois and ect have responded to milnacipran, milnacipran+risperidone, and fluvoxamine+risperidone, effexor+mirtazapine. I know you've been on the ssris, but maybe not prozac+zyprexa, zoloft+something?
I'm an ex-longtime user of zyprexa and though it was a good friend for many years, I still tend to shy away from the anitpsychotic class in general. No good reason why really, except maybe that the higher doses than needed which are often prescribed end up giving them a bad rap? I dunno. Anyway, I can say, when they work, they work fast. And they completely change the other med you are taking.
Just my experience and some thoughts.
Someone mentioned stimulants. Ritalin. Modafinil. Those are good candidates for you too.
Though you say you've had a partial response, I don't know. You used to read books more than 30 minutes, but now you can't? You used to watch TV, but now you haven't wanted to in 13 weeks? Lethargic and not as engaged in life as you used to be? Kind of makes one wonder if life quality has partially improved or actually worsened.
poster:bleauberry
thread:848578
URL: http://www.dr-bob.org/babble/20080822/msgs/848848.html