Posted by SLS on March 1, 2009, at 16:10:57
In reply to To Scott (SLS), posted by meltingpot on March 1, 2009, at 10:18:16
It is encouraging that Zyprexa has been so helpful to you. I consider it just about the best anti-suicide drug out there.
You might do well to add Abilify long-term to whatever antidepressants you are trying. It acts as a sort of dopamine system stabilizer. The risk it carries for producing tardive dyskinesia appears to be markedly reduced when compared to the other antipsychotic drugs. A good sign that Abilify will help is that you feel more energy and motivation early in treatment. The biggest drawback of Abilify is that it can produce akathisia type startup side effects that include anxiety and insomnia. It can be very uncomfortable, but usually disappears. I started right at 20mg and only had some mild discomfort that lasted for about 5 days.
I am currently taking:
Parnate 80mg
desipramine 300mg
Lamictal 200mg
Abilify 20mg
If nothing comes of clomipramine, you can circle back to either Seroxat or Lexapro, add Wellbutrin, and continue with the Abilify. That's one idea.Have you ever tried Effexor, Remeron or mianserin?
- Scott
poster:SLS
thread:883081
URL: http://www.dr-bob.org/babble/20090223/msgs/883254.html