Posted by Chloe on October 13, 2001, at 16:01:46
In reply to HELP! I feel HORRIBLE ..., posted by Janelle on October 12, 2001, at 23:00:05
Janelle,
Since Lamictal is working as an AD for you, it seems clear that you don't need so much Paxil. All you need is enough Paxil to hit those specific serotonin receptors that Lamictal doesn't, and to get some of the antiobsessive qualities. In order to do this, it seems like 20 mg is too large a dose.You are on a "cocktail" now. So no one agent is your antidepressant. So you might not need a full dose of any of them, or more of one, less of another. It gets tricky with cocktails, but you will find the balance.
I think you also mentioned that you take Zyprexa. That also can have antidepressant qualities, esp when mixed with an SSRI. So try to be patient, and get a hold of your pdoc. It's my impression that you need the smallest amount of Paxil, perhaps 10 mgs or less to augment your regime.
As I told you, when I reinstated my 2 mg of Celexa with the Lithium I take, I had a racy type feeling for a day or so. Then I decreased the dose to 1 mg and that seems to be a good amount for me now. And if this is totally intolerabe, Jay's idea of briefly adding a benzo might not be a bad idea. Though I think you have enough meds on board at the moment. You just haven't found the right dosages of each yet.
Try to hang in there. And give your body time to adjust. You have been off Paxil for a while...
Chloe
poster:Chloe
thread:81167
URL: http://www.dr-bob.org/babble/20011007/msgs/81222.html