Alpam Posted September 3, 2008 Share Posted September 3, 2008 Hi all, I am finding my current cocktail isn't really working and I don't know what to ask for next. I have MDD, GAD, ADD, Insomnia, and I am constantly fatigued. Previous meds: Zoloft 200mg - didn't notice any change Mirtazapine 45mg - side effects nearly ruined my life, didn't notice any improvement Dothiepin 300mg - Worked well for 3-4 months then pooped out Temazepam - no effect noticed even in larger doses Current meds: Cymbalta 60mg - been on it about 3 months worked okay for the 4th - 5th week then wasn't so effective Seroquel 50mg - The only thing that will get me to sleep at night Dexamphetamine 30mg - been on it almost 4 weeks now, last week I had 5 days where I was feeling the best I ever had, now feeling like crap. Valium 20mg - I 'think' it's helping with the GAD, have not had a panic attack since I started on it a year ago. It also helps with the anxiety the Dex causes. I am starting to get my really bad anxiety back again, not quite a panic attack, but damn close, also my mood is dropping more and more every day. I don't think the current meds are working but I don't know what to ask for, maybe something else to augument what I have. Reboxetine(NRI)? or would that be too much norepinephrine? Xanax? but my anxiety is constant 24/7 and xanax has a short half life. SSRI? Zoloft did nothing for me and can it be combined with a SNRI? TCA? From what I have read TCA's can have contridictions with the dex and Cymbalta MAOI? My doc is reluctant to go down that path, plus then I would have to give up the dex. Seroquel? I could ask for an increase in dose but I am already tired enough through the day I don't want to be any more tired. Any ideas, suggestions are welcome, I just want to find something that will make me feel at ease for once. Link to comment Share on other sites More sharing options...
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