Posted by johnsmith12345 on January 17, 2005, at 21:13:26
In reply to Re: Need advice on what to do next. (long) » johnsmith12345, posted by Bob on January 17, 2005, at 20:21:52
1. apnea may be the cause:
Yes, it may. I don't know what apnea is, but if you think it is an issue, get it treated and then see if your symptoms improve. You can do this while you are taking time off medications.
2. original reasons why you sought treatment:
Based on your mention of sleeping too much and rejection sensitivity, I would say that your depression leans towards the atypical. MAOIs are good at treating this type of depression. ECT may be as well, I'm not sure. See here:
http://www.healthyplace.com/communities/depression/atypical.asp
3. poor transplant results:
That's too bad about the transplant. Have you looked into TMS? Initial results are ambiguous but it is something to try if you are dead set against medicines.
http://www.healthyplace.com/communities/depression/treatment/tms/index.asp
4. using painkillers for withdrawal:
I thought you meant the relapse of the depression, caused by stopping the medicine would lead you to consider suicide. In that case painkillers might be a temporary solution, lasting long enough to switch to the next MAOI. But now I realize that doesn't make sense, considering you are completely off medicines now and still alive. Besides, I now know there are other ways to bridge the 7-10 day washout period between MAOIs or after stopping them completely. Like I said before, some tricyclics can be combined with the MAOIs if special care is taken. Trazadone is okay as well. I believe there are one or two others. My point is, don't avoid MAOIs because you are afraid of the washout period. There are things you can take, you just need to look harder. As for combining alcohol with MAOIs, it is okay, with some exceptions. The problems come with certain beer and wine that has high tyramine levels.
5. weight gain
Yes, weight gain seems very common on Nardil. Maybe you will get lucky with Parnate or ECT and not have to deal with that problem.
poster:johnsmith12345
thread:443015
URL: http://www.dr-bob.org/babble/20050113/msgs/443485.html