Posted by Astounder on November 2, 2007, at 0:40:58
In reply to At a loss - need something..., posted by SheilaC on October 28, 2007, at 11:00:19
> I have been taking Despiramine for about a week. I can't sleep because it makes me hot and sweaty all night. Needless to say, I don't know if its helping my mood becuase I haven't been sleeping.
>
> I got off the Emsam patch because I thought it was causing muscle tension - plus it wasn't totatly getting rid of the depression.
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> Mood stabilizers (even Lamictil) make me depressed - I guess that's why I need an AD. BUT - the SSRIs, which make me pretty darn happy (almost manic) bother my bladder something awful.
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> I could go back to Emsam and add Abiify. When I took Abilify it helped me sleep - increased my sex drive, but also increased my hunger and water retention. Maybe 2mg. of Abilify will augment Emsam and help me. I also noticed when I took Abilify by itself (along with Xanax) that I was weepy in the morning - more emotional.
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> I know I need meds. Without meds I self medicate with alcohol and caffine and I get suicidal. I can't be that way. I know I need help. It's just finding the right combo of meds.
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> I thought about taking a small dose of Prozac (it doesn't bother my bladder as much as the other SSRIs) and add Abilify. But that may not be good either.
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> I feel like I'm pretty limited in my choices of drugs and doc just get frustrated with me.
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> Being BPII - I probably need to stay away from Prozac.
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> How long do I have to wait after taking Despiramine before I can go back to Emsam and Abilify?
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> I would just take Abilify - but it isn't enought either.
>
>There's no need for a washout period, you can go back to EMSAM & Abilify immediately: MAOIs do not interact negatively with desipramine, no matter what the PI sheet says. Switching back quickly would be especially important since you mentioned suicidality when you're not on anything.
If the sweating the main problem with desipramine, you can try switching to protriptyline, which is mostly the same, just highly anticholinergic (which would reduce sweating).
poster:Astounder
thread:791934
URL: http://www.dr-bob.org/babble/20071027/msgs/792898.html