Posted by alchemy on November 25, 2012, at 19:15:38
In reply to any suggestions?, posted by g_g_g_unit on November 18, 2012, at 21:40:02
> So kind of at the end-of-my-rope .. barely getting by, financially or emotionally, and tired of treatment, but I'm open to suggestions since I guess I don't have much to lose at this point ..
>
> DX: Severe OCD, inattentive ADD, atypical depression
>
> Tried:
>
> - every SSRI (help physical symptoms of depression, but don't 'brighten' mood; do little for OCD or anxiety/hypervigilance and mess up sleep)
> - Zyprexa (increased anxiety)
> - Mirtazapine (worsened OCD)
> - clomipramine (too stimulating, akathisia)
> - nortriptyline (too activating .. was prescribed for sleep)
> - Strattera (too anxiogenic)
> - Dexedrine (reduces panic, but unreliable .. either makes me sleepy or agitated)
> - Ritalin (too agitating)
> - Memantine (on now .. too agitating, even at 2.5mg)
> - Neurontin (helped sleep and hypervigilance, but caused apathy and brain fog)
> - Nardil (couldn't sleep on 90mg, gave up after 12 weeks)
> - Parnate (good for depression, but didn't help anxiety and caused agitation)
> - clonazepam (taking now .. just 0.25mg .. doesn't do much, though seemed to synergize nicely with Dexedrine when I took the two together ..)
> - Xanax (didn't help at dose pdoc prescribed .. I think it was 0.25mg 3x a day)
>
> Beta-lactam antiobiotics were suggested by someone on another forum, though I couldn't get my GP to agree ..
>
> Haven't tried: Effexor, Cymbalta, Abilify, Lamictal, Lithium ..
>Sorry, I haven't read any of the following posts so this may be irrelevant. Not sure about the OCD. But my first thought is that if Parnate helped, maybe a higher dose of a benzo might help the agitation (and long-acting).
My agitation improved years ago from either lamictal or the xanax xr 2mg i take. Although in the early stages, lamictal made me more agitated (I have heard that that is common) Still looking for help with depression though.
For my short Parnate trial, I could tell after I took a dose that I would get a flux in agitation for a while, so I hear you there.
poster:alchemy
thread:1031533
URL: http://www.dr-bob.org/babble/20121113/msgs/1031891.html