Posted by bleauberry on June 5, 2012, at 13:29:40
In reply to From Celexa to Zoloft..., posted by porkpiehat on May 31, 2012, at 10:45:41
Why 50mg? Might consider dropping the dose very slowly in tiny steps....maybe shave off about 1mg-3mg....and get back down to maybe 25mg. Then add in a little bit of nortriptyline if the zoloft by itself isn't feeling better. Please understand, I am in the camp that argues against following any predetermined dose based on someone else's experience or a textbook or a instructions sheet or whatever. That is all generic stuff for an imaginary generic crowd. Your body and your situation is unique from the generic general population they base their dosing schemes on. That's why my lyme doctor discovered patients can do very well on doses far lower than other doctors use, even lower than the lowest starting dose. Similar to the approach in homeopathic medicine, where just trace amounts of a plant medicine can do a lot.
Lamictal was shown to provide benefit for up to 9 months, but relapse rates were not improved after that. Something to consider. If you instinctively feel it is doing you some good then cool. Maybe just try slowly, tiny steps, lowering the dose. Take your time to avoid running into trouble.
The difficult twist here is that you've been on these meds a long time. The brain and body are not going to easily let go of those molecules. They are almost a part of you at this point. Thus tiny steps, no hurry, in removing them. Give the body plenty of time to adjust along the way. Can't undo 7 years or 10 years in a few days or a few weeks, I don't think.
Here is what I think is a wrong approach, used way too often and universally accepted.....serotonin meds as the single focus. The missing ingredient, I believe, with many patients is a balanced approach....something that helps support norepinephrine in balance with serotonin, not just one or the other. That's why I mention nortriptyline with zoloft. The way the two meds feel at the same time is not the same as either alone.
Anyway. just thinkin out loud.
poster:bleauberry
thread:1018999
URL: http://www.dr-bob.org/babble/20120522/msgs/1019283.html