Posted by Lamdage22 on May 28, 2016, at 4:42:22
In reply to Re: MAOI + super high dose AP???, posted by jonhed on May 27, 2016, at 12:06:52
> I think you're doing the right thing to check in to a clinic if you have that opportunity, there you are in a safe environment and even with side effects you can still reassure you that if something happens, you are at least in a hospital!
Thanks. It is tough.
>
> If you decide to do so, i have some tips for you that i want you to consider to talk about your doctor about.(and just as a fellow sufferer, not an expert).
> This is just tips, not rules or guidelines.
>
> 1. Please tell him about the severity of your depression and that you don't want to try things you've already have tried and that you very much like to be a part of the discussion about your medications.
> If you want to try a high dose of luvox, then stand your ground!
> You have rights to.I will tell them that. Thanks.
>
> 2. If you don't already have tried it - High dose of amitriptyline, 250mg at least, with quick titration (2-3 weeks).I have tried nortriptyline and it has given me a flaccid erection and anorgasmia.
> 3. Zyprexa IM 10mg 3 Times in one or two days. That is if you're experience a psychotic depression.
> It is in my opinion the far best AAP/AD combination medicine i know.I dont think it is psychotic depression though.
> 4. As for benzodiazepines in the beginning of an AD treatment, i would suggest nitrazepam 10mg, two times daily, as it is a full agonist of the benzodiazepine receptor and works far better than alprazolam in the short term.
I taka Lorazepam as needed.
> 5. Ask your doctor about what he can tell you about "TMS - Transcranial Magnet Stimulation".
> I have no experience from it or anything really, but in a few moth i am going to undergo TMS-treatment.
> The only thing i know is that it is not acute dangerous and does not require any Anesthesia or convulsions like ECT.I have already done that with no success.
> 6. Ask your doctor about it's experience of nmda-antagonists as adjunct to other medicines that does build up tolerance. Maybe that can help you to maintain the initial antidepressant effect from various anxiolytics without upping the dose.
> I've heard that Memantine can be used.
> Ask your doctor about Amantadine. I've heard good things about it.Maybe.
> 7. As last resort, ask your doctor to consider high potency opioids with long half life. Methadone or Buprenorphine.
> Even if it's not recommended in your country, he/she can still prescribe whatever he/she wants, for whatever he/she wants.
> It's not recommended in sweden either but as i have said, there is some very prominent evidence for it's AD effect.> 8. Start up CBT-therapy in the long term.
>
> I hope this is to some help for you because i care about all you guys and would not write this just for fun.
> It took me one hour due to the fact that i'm not english speaking.
>
> /JThanks for all the effort. I think telling them that i would like to play a part in the discussion of meds is key.
I hope they will do it.
schizo-affective, type depressive
Seroquel 600mg
Zyprexa 12.5mg
75mg Effexor
Lithium orotate 360mg
Metformin 2000mg
5.000 IU Vitamin D during winter
poster:Lamdage22
thread:1089211
URL: http://www.dr-bob.org/babble/20160501/msgs/1089280.html