Posted by Keith Talent on June 10, 2004, at 8:26:50
In reply to Is your apt. messy? How to clean when...., posted by jerrympls on June 8, 2004, at 19:29:40
> Effexor XR 375
> Valium 10mg/4x daily
> Concerta 56mg am/18mg late afternoon
> Seroquel 200mg (for insomnia and nighttime anxiety)
> Ambien 20mg (in case I wake up and can't get back to sleep)
> Synthroid 0.0125mcg> I've told all this to my pdoc - but it's in one ear out the other.
New psychiatrist time?
> when I was on nortriptyline, dextroamphetamine and alprazolam I always kept my apt. clean even though I was severely depressed!
What doses of these three drugs were you on?
What is/are your diagnos(i/e)s?
If the main problems are depression and anxiety, then I would:
- substitute clonazepam (about 4 mg twice daily) for the diazepam
- drop the quetiapine
- drop the synthroid unless it's for a thyroid hormone deficiency
- substitute dexmethylphenidate (Focalin) for Concerta and take it every two waking hours until you finish work for the day (I know that's a pain, but it will have a rapid onset of action and keep smooth benefits throughout the day), or go back to dextroamphetamine (immediate release) taken three times daily
- try avoiding the stimulant in the few hours before bed, or as soon as you finish work for the day
- if still depressed, increase the venlafaxine extended-release to 300 mg twice per day (but only if you've wound up the stimulant dose to a really high level already, because the stimulant will augment the antidepressant's beneficial effect - especially relating to drive/motivation)
- if the venlafaxine still doesn't help enough, change to another antidepressant
- continue using the zolpidem 20 mg as needed
I'm sure that you can find a combination that serves you much better than your current one, Jerry.
poster:Keith Talent
thread:354883
URL: http://www.dr-bob.org/babble/20040608/msgs/355345.html