Posted by bleauberry on May 14, 2010, at 17:50:23
In reply to How long can this thing last?, posted by hansi555 on May 13, 2010, at 8:38:33
I don't believe in the names given to various psychiatric conditions for a variety of reasons. It's just too complicated to mold into such a defined picture. So call it bipolar of one kind or another, whatever, it is obviously instability of nervous system chemicals for some unknown reason.
Maybe hidden infections having ebbs and flows, the effects of unsuspected mercury or lead, an adrenal system taxed beyond the ability to find steady ground, who knows at this point without some deeper diagnostic work. Could even be as simple as an allergy or intolerance of foods you commonly eat and don't realize they are the ones. Sometimes the obvious is so obvious as to be invisible.
So for now we are left with smoothing out the symptoms, which means meds that have a reputation for having potential to do that.
Zyprexa would be a strong candidate to replace remeron, for both depression and mood stabilization.
Lithium is a possibility, in the dose range of 150mg to 600mg...considerably less than commonly prescribed doses which I see as overburden.
A million doctors and people will immediately say Lamictal but I don't personally like that choice. I have hardly ever seen anyone do great with it for longer than a year, and t didn't happen in clinical studies either.
Mentioned zyprexa already. In that same class I would put abilify as a second choice.
I have good reasons for the above comments but it needs to be considered they are only one person's view.
poster:bleauberry
thread:947322
URL: http://www.dr-bob.org/babble/20100514/msgs/947451.html