Posted by bleauberry on August 1, 2010, at 13:41:27
In reply to Please Help, not doing well at all, posted by Maxime on July 29, 2010, at 15:10:14
Maxine I wish I had something supportive to say. I tend to side with your feelings of questioning the whole thing.
I think of the doctor, what's his name, I'm so bad with names, at psycotropical.com. Goldberg? He stopped using lithium a long time ago, after giving it a good go for many years, because he just saw such little benefit with it and too many problems from it. I look back on posts here over many years and it's hard to find anyone calling lithium their miracle. I mean, I'm sure it happens, but probably not nearly as much as doctors or literature would suggest.
i personally think lithium is best at doses usually not prescribed...ultralow...75mg to 300mg, maybe 600mg max. People say those doses are useless. I totally disagree. Those doses I found much more stimulating and antidepressant. Higher doses are dulling and depressing. Ultra low doses for depression, normal doses for manic spectrums. IMO.
Who knows. I guess we only know after we try. And of course, mileage varies.
At this point, if I were in your shoes, I would be looking at pure logic, which is....
High dose parnate not doing the job....why keep it?
No good reason.
Nortriptyline not helping parnate....why keep it?
No good reason.
Where to go from here?
That's where all my focus is. Not on trying to breath life into a worthless cocktail. (extremely worthy in theory, but obviously not in this reality)Sometimes when I am critical of someone's meds, all of a sudden the next day they feel a ton better, the med kicks in, and everything I said was wrong. So I hope that happens! :-)
poster:bleauberry
thread:956334
URL: http://www.dr-bob.org/babble/20100731/msgs/956732.html