Posted by med_empowered on February 28, 2006, at 1:58:21
In reply to Re: Should I bother anymore???? » Maxime, posted by ace on February 27, 2006, at 23:19:06
I guess I'd say try it up to 8, 9 weeks at your current dosage (Prozac works slowly, so you'll need a longer trial to really see whether it'll help or not).
If you can't take zyprexa, maybe Abilify? Or Geodon? Seroquel? I don't like APs myself, but they do help a lot of people.
I don't know how you feel about vitamin therapy, but it might help. Apparently, alot of people w/ depression also have low-levels of some B-vitamins, so maybe a high-potency B-complex, plus a multi-vitamin? I doubt it'll hurt anything, and the cost is pretty minimal.
Did you respond well to the stimulant? Stimulants were often used in depression, and are still used (along with mood-stabilizers and/or antidepressants) for low spirits...it may be worth while to give Adderall/Dexedrine, perhaps Ritalin, another shot. (Here in the US, I think the usual preferred add-on stim for depression is Ritalin, then the amphetamines...Provigil is also emerging as a viable option).
Adding BuSpar might help; it isn't the greatest med in world, but it can help out some people..it can also help w/ some SSRI side effects, so thats a good thing. Mirapex and other dopamine agonists may also be worth a shot.
Adding a mood-stabilizer might help. Personally, I think it **could** help, but you'd need to watch the dosage; too much and you could end up with a low-grade, drug-induced depression (or generalized apathy and slow-mindedness). I'd go for Trileptal or Lamictal personally, but I imagine depakote and lithium could help a lot, too.
Have you tried Wellbutrin?
Good luck!
poster:med_empowered
thread:613954
URL: http://www.dr-bob.org/babble/20060227/msgs/614135.html