Posted by merpmerp on November 30, 2010, at 21:13:55
In reply to Re: Need help approaching pdoc, posted by bleauberry on November 30, 2010, at 19:35:35
> SSRI monotherapy is highly over-rated. (IMO)
I am thinking this point over a lot. Personally as I've written elsewhere, the first time I was on Prozac, it was an out-of-the-park smashing success. (I did not go manic or anything, but I felt... healthy, like the "real" me.) I was on a moderately low dose and I believe that the generic formulation I was on was a weak formulation, lowering it further. From reading on here and then delving into the matter elsewhere on the 'net, I think that this is because Prozac at low doses gets in some dopamine and norepinephrine effects without being drowned by the flood of serotonin. I think that is why it was a success for me and it's actually something I'd like to try again. I think you've got a point about pure serotoninergic drugs not being good.
If this with the low dose Lex doesn't work, that (low dose Prozac) is what I'm going to push hard for with my doc. However, no further changes will be made for at least a month as I am about to go out of the country for several weeks.
Sorry for the flood of posts I've been making, I hope that's okay. I'm finding all this fascinating and am glad to have a good place to work all this out. I've been suffering in silence with this for a year and a half (I know that is not very long compared with some of you - and I feel deeply for you.)
Diagnosis: recurrent melancholic depression
Meds: Lexapro since Sept. 2009
poster:merpmerp
thread:971808
URL: http://www.dr-bob.org/babble/20101117/msgs/972007.html