Posted by KaraS on August 3, 2004, at 13:46:47
In reply to Re: other things to try, posted by sjb on August 3, 2004, at 8:27:01
> I've been on Prozac for years, off and on. It's been the best med for me, but it poops out. I've been on over 25 different meds and combos, inc. most of the SSRIs, Effexor, Wellbutrin, atypicals, MAOIs, anti-anxieties, and mood stabilizers. I'm definately better than I was last winter (when I went off meds completely) but the binge eating is a real problem. Thanks. I'll look into your recommendation, but you're right, it's probably not recommended w/Prozac, I know St. Johns Wart isn't. (Which by the way, SJW did bubkus (sp) for me.)) Thanks for your interest.
Is your depression anxious or anergic?
Perika might work for you where other SJWs have failed if your depression is anergic. It's much more dopaminergic and stimulating than the other stuff from what I hear. Might be worth a try. I'm going to be starting it soon. Also, what have you done to augment the Prozac? Maybe you can find things to prevent the poop-out? I've heard of inositol helping with that (though what I read about that was completely anecdotal) as well as SAM-e (or preferably TMG). Have you tried augmenting with thyroid hormones, lithium or pindolol?What about selegiline - have you tried that separately or in combo with l-phenylalanine? There are also some great things that should be approved in the near future. If you've read the main board at all you probably know that many people are eagerly awaiting Cymbalta and the selegiline patch.
Prozac is serotonergic with some dopamine activity. If that works for you, maybe tianeptine would also. (You'd need to purchase that abroad if you live in the states but maybe your pdoc would be willing...)
There are still options and you're not alone. A lot of us here are in the same boat.
Kara
poster:KaraS
thread:355726
URL: http://www.dr-bob.org/babble/alter/20040718/msgs/373643.html