Posted by Christ_empowered on November 1, 2014, at 22:51:05
In reply to Need thoughts as to where to go next- longer post, posted by seekinginformation on November 1, 2014, at 18:40:21
I'd personally see about Luvox, like Phillipa suggested. I'd also see about either increasing the Klonopin or switching to another benzo, like xanax xr, ativan, or good ole valium.
Neurontin can help at that dose. I usually take 100mgs at a time when I need it, which isn't very often. But...I'm on other, stronger anti-convulsants, plus Abilify.
If you're wanting to try a supplement, maybe high doses of Inositol? You'll have to Google dosage for OCD, but it helps some people.
Its weird to me that you were on Topomax. That's beyond off label. Can you get a new pdoc?
Lyrica is sort of like super neurontin. Sufficiently high doses could replace both the klonopin and the neurontin. Its a barely controlled substance (schedule V), so there is a dependence issue sometimes. I think its 2x daily dosing.
Ummmm....for the AD start up and taper off Prozac, maybe a low dose AP? Some atypicals are generic now. Low dose risperidone, olanzapine (Zyprexa), maybe a low dose of loxapine or good ole thorazine, perphenazine, whatever...to ease the transition and maybe help you get some sleep, too. Actually, come to think of it, zyprexa is sold in combo capsules with prozac. Its for bipolar I depression and also treatment resistant depression, but....
...the zyprexa super charges the prozac and counteracts some side effects. There can be considerable weight gain, but that's not always the case. Just a thought...adding low dose olanzapine might counter some of the problems you're experiencing and get better control of your problems.
Good luck!
poster:Christ_empowered
thread:1073091
URL: http://www.dr-bob.org/babble/20141017/msgs/1073098.html