Posted by Englishman006! on June 8, 2020, at 8:01:59
In reply to Re: After stroke my meds don't work!, posted by linkadge on June 8, 2020, at 7:14:45
> Hmm.
>
> Do you have any new symptoms that you didn't have before? For example, are you more sensitive to light / sound?
>
> Depending on the region of the stroke, brain connectivity can be impaired. If you found the event particularly traumatic, this too can leave an emotional burden.
>
> I would go based on symptoms. You might try adjusting the dose of lamotrigine, fluoxetine or dextroamphetamine. You might try swapping fluoxetine for a different SSRI.
>
> Of course 'environmental enrichment' (exercise, social interaction, trying new things) can help the brain re-establish connections. They can also increase BDNF and NGF which can help improve the brain's plasticity.
>
> You might try adding some co-q10 (with doctor's supervision). It has some antidepressant properties and can improve the brain's mitochondrial energy.
>
> Linkadge
>
>
>
The stroke was bad, it was in the basal ganglia. I have changed my antidepressant to mirtazipine, been on it for 29 days but started at 15mg and for 6 days I've been on 45mg.I have recovered my sense of humour on occasion but it's only been for 4 or five days and that's only happened a handful of times. I know it's still there though.
I used to have nightmares all the time prior to the stroke, I haven't had any since!
poster:Englishman006!
thread:1110560
URL: http://www.dr-bob.org/babble/20200511/msgs/1110565.html