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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by socialdeviantjeff on January 14, 2004, at 1:49:27
Well, I talk to my pdoc in the afternoon and I'm pretty sure that a change of meds will be in order. I think I have my bases pretty well covered, but in case, here goes..
I'm on:
Effexor 150 mg
Tegretol 300 mg
Perphenazine 2 mgI have had some benefit from the perphenazine, but the others have been causing intolerable side effects.
I can't take:
SSRI's
TCA's
Wellbutrin
Lithium
NeurontinWe've talked about using Lamictal instead of Tegretolfor a mood stabilizer, and Buspar for an AD. MAOI's down the road if nothing else works. Any other suggestions?
Posted by socialdeviantjeff on January 14, 2004, at 2:17:12
In reply to --See pdoc tomorrow-drugs to discuss?--, posted by socialdeviantjeff on January 14, 2004, at 1:49:27
Refractory major depression with psychotic features and Dysthemia, Generalized Anxiety Disorder, Social Phobia, OCD.
Posted by Ame Sans Vie on January 14, 2004, at 4:19:04
In reply to Almost forgot, my Dx (so far) is:, posted by socialdeviantjeff on January 14, 2004, at 2:17:12
I can't really offer up much information as I'm not so familiar with your situation, but I wonder if a combination of Strattera and high-dose Buspar could create a tolerable antidepressant effect? Buspar alone probably would be useless.
I would definitely recommend a dopamine agonist or sympathomimetic drug such as Mirapex, amantadine, or Adderall, but that could be a problem combined with the perphenazine.
Sorry, wish I could be of more help!
Posted by Sad Panda on January 14, 2004, at 8:29:11
In reply to Almost forgot, my Dx (so far) is:, posted by socialdeviantjeff on January 14, 2004, at 2:17:12
> Refractory major depression with psychotic features and Dysthemia, Generalized Anxiety Disorder, Social Phobia, OCD.
Having any sleep problems? Adding Remeron might be good as I feel it reverses most of the side effects that I get from Efexor.
Cheers,
Panda.
Posted by SLS on January 14, 2004, at 8:52:05
In reply to --See pdoc tomorrow-drugs to discuss?--, posted by socialdeviantjeff on January 14, 2004, at 1:49:27
I think Risperdal would serve you better than perphenazine.
- Scott
Posted by socialdeviantjeff on January 14, 2004, at 17:22:09
In reply to Re: --See pdoc tomorrow-drugs to discuss?-- » socialdeviantjeff, posted by SLS on January 14, 2004, at 8:52:05
Thanks for the ideas. I brought them up to my pdoc, he courteously nodded his head, made some friendly remarks, went into this big spiel about Lamictal and now I'm on Lamictal and off the Effexor and Tegretol. As far as the perphenazine goes, it is doing something, and he wants to see how it goes with the Lamictal before changing antipsychotics. At least I don't have to stop Effexor cold turkey. I think he may be moving me towards an MAOI. He didn't say so directly, but he tends to be cryptic like that.
This is the end of the thread.
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