Posted by bleauberry on December 6, 2009, at 9:24:53
In reply to New year new drugs - Advice needed., posted by Meltingpot on December 6, 2009, at 8:43:25
1. Parnate.
2. Zoloft, Paxil, or Effexor with Nortriptyline.
3. Zoloft, Paxil, or Effexor with Amitriptyline.
4. Ritalin augmentation.
5. Low dose Naltrexone augmentation (1.5mg-3mg bedtime).
6. Tramadol.Whatever you do, don't go back in the past. Try new stuff.
And look for a cause. Take Diflucan 200mg for a week and see what happens. Take Doxycyline 200mg for a week and see what happens. Take Artemisin for a week and see what happens. All harmless safe trials in such a short time. What you are doing is looking for profound reactions that would highlight a definite cause of your fatigue, depression, and anxiety. Better and infinitely more accurate than a 100 lab tests at ruling in or ruling out a bunch of stuff.
In your post I perceive a lot of "over-thinking". Someone for example might think, "Oh gosh, I could never try Ritalin because I have bad anxiety and a stimulant would make it much worse". Or maybe, "I've tried the most potent serotonin TCA on the planet, so that rules out all other TCAs." When in fact, the TCAs are as different from each other and unpredictable from each other as pine trees are from oak trees or maple trees. In the real world, a significant portion of patients experience relaxation/energy with Ritalin instead of a stimulation/energy. Someone may feel dysphoric on Nortriptyline, yet more like their real self on Amitriptyline, even though Amitriptyline is metabolized into Nortriptyline in the body. Ya know? We can't theorize this stuff or predict this stuff because it aint that simple. For every bit of information we know about a drug or what it does, there are a hundred bits we don't know. We can't predict this stuff. You have to actually try things, especially things you have doubts about.
Everything about drugs, herbs, and the body is much more complicated than what we know. I think we are all guilty at some point or another of thinking theory too much and not actually doing something creative.
Open new chapters. With as many drugs as you've tried, you've actually not tried that many, and you have omitted some of the best ones.
poster:bleauberry
thread:928302
URL: http://www.dr-bob.org/babble/20091206/msgs/928309.html