technogiggle Posted April 22, 2008 Share Posted April 22, 2008 Have moved to a new city. will see a new pDoc on 5/1. would like to explore Lithium. which SSRI goes best with a side of Li? (of course i'll consider a TCA...) my probable dx, accd. to DSM-IV-TR: A. Mood reactivity (i.e., mood brightens in response to actual or potential positive events) B. At least two of the following: Significant weight gain or increase in appetite ("comfort eating")[3] Hypersomnia (sleeping too much, as opposed to the insomnia present in melancholic depression) Leaden paralysis (i.e., heavy, leaden feelings in arms or legs) Long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment C. Criteria are not met for Melancholic Depression or Catatonic Depression during the same episode. atypical depression. I'm the poster child for all of the above. Some Hx: Fall 1999 I wanted to d/c light to moderate use of Delta-9 THC to elevate mood, concentrate on hygiene, motivate to clean house, exercise, etc. so I saw my 1st pDoc. Poss. DX: Cyclothimia Serzone – neck pain Neurontin - nothing Wellbutrin – headaches March 2000 new pDoc Poss. DX: Substance use & Anxiety Buspar – nothing Remeron – ‘turned the light on’ Jan 2001 new pDoc - best of bunch Poss. DX: ADD Depression Remeron 45mg Klonopin .5mg x 3 – effective Ritalin – focus and attention to detail 2002 Concerta 54mg then adjusted to 36mg x 2 Far better delivery – no rise and fall Period of wellbeing May 2004 d/c Remeron – weight gain start Topomax – significant weight loss Jan 2005 start Lamictal as potentate– little effect March 2005 - Mar 2006 *My 40th Birthday* d/c Topomax d/c Lamictal Zoloft – hard to d/c Effexor – hard to d/c Strattera - nothing Adderal – irritable, crashes, dependency potential Lexapro - nothing Wellbutrin – nothing, no headaches this time Paxil CR – mild positive effect July 2006 Health Insurance ends Only Klonopin Began Jogging August 2006 back to THC – effective – undesirable side FX Oct 2006 UCLA study No meds, incl. THC Horrible baseline Dropped out w/ placebo in 3 weeks Nov 2006 Restart Klonopin .5mg QID Desipramine - nothing Nortiptyline - mild improvement Dec 2006 Nortiptyline THC Jogging 10 miles /week Best Cardio Shape of my Life!!! April 2007 Cymbalta 60mg Dec 2007 new pDoc Cymbalta 60mg Neurontin 600mg X 3 Klonopin .5mg x 2 Now: Klonopin .5mg x 2 Now that you have the story, what would Jung prescribe? thanks! Link to comment Share on other sites More sharing options...
technogiggle Posted April 22, 2008 Author Share Posted April 22, 2008 anybody? Link to comment Share on other sites More sharing options...
another one ... Posted April 23, 2008 Share Posted April 23, 2008 Sorry no words of wisdom. But did not want you to think no one cared. Link to comment Share on other sites More sharing options...
technogiggle Posted April 23, 2008 Author Share Posted April 23, 2008 anybody? Why did you dc the Cymbalta? it stopped working months ago, gave me insane gas, it's expensive... you get the idea. besides i wanted to d/c an ssri in case the new pDoc wants to throw an MAOI at me. Link to comment Share on other sites More sharing options...
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