Posted by JohnL on March 14, 2000, at 2:43:40
In reply to Question about Neurontin, posted by Sef on March 12, 2000, at 21:03:53
Though your dose is quite low, your case adds credibility to one theory some phsycians are practicing these days.
The theory is that the closer a drug targets the person's unique chemical imbalance, the quicker the results, fewer side effects, and only lower doses are needed. The usual 6 week thing is based on a drug not targeting the problem directly, but rather working through a trickle down effect indirectly. A good early response at a low dose indicates a superior match worth continuing for a longer trial. If the good early response later deteriorates, that indicates unstable chemistry, indicating the need for a chemical/electrical smoother (lithium or anticonulvsant). In your case, you've already got that covered. Cool.
So your good early response at such a low dose is encouraging. My pdoc is in his 60's and near retirement. Through his career he has seen the above theory work, as well as more conventional long trial theories. He usually goes to the quick early response theory to identify superior matches before continuing, in cases that have had previous disappointing results. He uses more traditional styles for new patients.
It seems like you are on the right course, and I am cheering for it to stay that way. The reason the Neurontin might be working so fast at such a low dose could be that you hit a bullseye. Best wishes to you. JohnL
poster:JohnL
thread:26796
URL: http://www.dr-bob.org/babble/20000312/msgs/26947.html