Posted by SteelyDan on April 24, 2008, at 8:59:37
In reply to Re: Doc takes away Remeron, adds Geodon » SteelyDan, posted by yxibow on April 24, 2008, at 1:02:54
> > Today my Pdoc is tapering me off of Remeron, and has added 20 mgs. of Geodon (I have the option to take 40 mgs. if needed)..for my chronic treatment resistant depression.
> >
> > New combo includes:
> >
> > 40 mgs. Prozac
> > 20 mgs. Geodon
> > 300 mgs. Lithium
> > 2 mgs. of Klonopin
> >
> > Any comments are appreciated.
> >
> > -Dan
>
> Well APs are used in combination with SSRIs for treatment resistant OCD, that much I know.
>
> Lithium is one of the fastest agents for suicidality in some people.
>
> The Klonopin is probably there to mediate EPS I assume, unless you also have anxiety.
>
> I assume the Remeron was not doing anything (did he go up into the 50s mg range ?) -- its a very good antidepressant for treatment resistance but it suffers from somnolence and varying weight gain in a number.
>
> So yes, good luck on the mixture -- and there are other treatment options including stimulants, but I would concentrate on this one and also explore therapy or if your insurance doesnt cover or you cant afford, try to do things in your life that get you motivated, start making lists and if you can't do anything else (this is the pot calling the kettle black), take walks -- this has been noted lately to help depression.
>
> -- tidingsThanks!
-Dan
poster:SteelyDan
thread:824611
URL: http://www.dr-bob.org/babble/20080420/msgs/825140.html