Posted by europerep on January 31, 2015, at 16:22:03
In reply to Re: feeling like im out of options, posted by hello123 on January 29, 2015, at 18:03:21
> and im guessing
I don't get why you always want to make a deathmatch out of every time you are criticized or someone points out flaws in your reasoning. Look, you use speculative and crude logic, or you even yourself call it "guessing", to arrive at irrational treatment choices. This is not a judgment or a condemnation, but just what I observe in your posts here. Naltrexone is not not used to treat depression in the way buprenorphine sometimes is because it's "too strong", but because it has a very different pharmacology. Yes of course, *maybe* it could work for you. But it's not reasonable to think that it will.
I have no stake in what treatments you pursue, and this whole thing is not in any way personal. I have had these types of exchanges with other members before, because I regularly see it here that people suffer and are desperate, but for some reason won't even try to obtain treatments that would really be promising for them. It puzzles me why that is. Members here, both me and others, have told you to look into tranylcypromine and phenelzine for a long time, but the fact that you never mention them in your independent reflections suggests to me that you actually don't even really dismiss them, they are completely outside of what you consider as possible treatments.
Now Ed tells you that there are two meds available to target nortriptyline, one has shown efficacy in treating depression and the other one hasn't, but you go for that latter one based on nothing more than a hunch. I don't get this, and I do not think that it serves you well.
But I realize that my participation in threads like these does not really have any constructive effect, and I also admittedly project the priorities that I set for myself in my own treatment onto others. Maybe you have set different priorities for yourself, and you of course have every right to do so. I sincerely wish you good luck with whatever you'll try next.
poster:europerep
thread:1075467
URL: http://www.dr-bob.org/babble/20150129/msgs/1075825.html