Posted by Amelia_in_StPaul on May 18, 2009, at 23:22:29
In reply to Life, Fantasies, Options, Nardil, Stablon, Abilfy, posted by AdamCanada2 on May 18, 2009, at 19:00:15
Hello Adam, well, you have been through the ringer. Please keep posting about what happens with changes in meds. Your dx'es sound a lot like mine, except I do have okay periods (or, at least, hours), and I have ADD and PTSD/BPD. My usual regiment is/has pooped out. I too have had excellent advice. But I'm also going to see what this new pdoc I'm seeing this week says. Good luck to you. Amelia
> As some of you may already know I suffer from severe treatment resistant Atypical depression with magnified symptoms of melancholia, tiredness, low mood/drive/emotions/pleasure. Also strong Paranoia type Social Anxiety.
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> Thx for the advice to QuestionMark and others. Nardil has been next on my list and the responses further push me towards trying it. Me and my doc have already discussed it and I will be starting it not long from now I assume. Pfft, I am just so sick of having to wait on appointments in order to get my prescriptions though. And of course he seems too busy with his other patients to send an email or fax over to my pharmacist.
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> What can I say. Can I blame him for probably being tired of me? These doctors probably get sick of me because I am not one of their easy cases (I been on 25+ meds). One SSRI doesn't work? Lets give him Zoloft and oh what do you know... good enough. Well, I am not one of those patients and it seems to me that no doctor I have ever met truly understands even a grasp of what I am going through. Many believe the cure is just to think as positively as possible... well guess what I been doing for the past several years? If it wasn't for my positivity and my lack of faith (disbelief in heaven) I would be dead. How ironic it must be? Lack of faith being a major factor in keeping me alive. As who knows what happens when we die and I am not yet ready to give up despite times when it does seem hopeless and fantasies of ending it all run through my mind.
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> I want to ask. How harsh is Nardil on sex drive? Sex is one of the few things I have been able to enjoy at times over these years but if Nardil relieves my depression to an acceptable degree I wouldn't mind being asexual. Yet having a sex drive is something I would obviously enjoy.
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> Does Nardil work as quickly as Parnate does in some people? Parnate for me has worked Very rapidly. Even after the first dose I kid you not. And any time I'd raise the dose I'd feel a benefit that would last a few days. At times Parnate was a glimmer of a miracle and eventually when I raised it to 30mg it never worked again in the same manner. Extreme parnate induced insomnia problems went away instead I felt like sleeping too much. Tremendous energy replaced with lethargy. Motivation replaced by wanting to stay at home and so forth. Creativity flew out the window...
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> Nardil is my next hope and I am wondering what to expect. I am med sensitive so often low doses such as 20mg Parnate would often work best for me. And previously 10mg Paxil. Each of which I would take along with ritalin.
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> Aside from Nardil I am willing to try Stablon again but I need to wait for that medication to arrive. It is a bit mild compared to some meds but it has virtually no side effects. What is the point of trying to be social when you can't even speak properly due to dry mouth? Stablon wouldn't have such issues and OMG I could actually SPEAK properly. Amazing how such simple things in life we take for granted. Not to mention the medication seemed pro-sexual or at the least neutral in that regard and gave me something else to be able to enjoy. Somewhat decent effects on motivation/drive/emotions too etc. Took about a month for the true benefits to come around and I only was able to raise my dose a little due to having run out.
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> Then there is Abilify Augmentation for Paxil or Stablon. Also ordered. I have read some miracle stories not to mention how it has been approved as an augment for treatment resistant depression. It seems incredibly promising. This is an option also discussed with my doctor.
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> So those are my 3 hopes right now. Because at the time being I have far too little interest in doing much of anything. It is too hard to bring myself towards any activities because everything gives me just so little.... pleasure. I often rather feel like laying in bed but force myself to spend my time in somewhat meaningful ways. The Parnate + ritalin + valium that I take now isn't cutting it since I mentioned before Parnate has not worked the same since and I have to wait for that appointment. Ritalin of course developed tolerance. /puts on a fake smiley face
poster:Amelia_in_StPaul
thread:896479
URL: http://www.dr-bob.org/babble/20090515/msgs/896536.html