Posted by SLS on July 18, 2009, at 6:38:35
In reply to Re: complex med situation after poop out, posted by ben on July 18, 2009, at 4:46:44
> Should we increase the TCA again ?
I would bring the TCA dosage back up to at least that which helped you the last time. I agree that low-dosage lithium should remain as part of your core treatment. You can try the Effexor low-dosage strategy as Bleauberry suggested. However, if you don't respond, you might want to continue increasing the dosage instead of moving to another drug. When I combined nortriptyline with Effexor, I needed 300mg of Effexor to do the job.
I know a few people who have had good results mixing therapeutic dosages of Effexor and Wellbutrin.
Adding Remeron at dosages above 45mg to a full therapeutic dosage of Effexor has been claimed to be particularly effective, being dubbed "California Rocket Fuel" by some doctors. This might be influencing your doctor to use it. I don't know. I would ask your doctor about his success rate with this combination.
- Scott
poster:SLS
thread:907071
URL: http://www.dr-bob.org/babble/20090709/msgs/907318.html