Posted by polarbear206 on January 23, 2009, at 13:28:08
In reply to Double depression and dysthymia: Treatment Ideas?, posted by SLS on January 23, 2009, at 6:03:04
> A friend of mine is a 52 year old woman who has had double depression for most of her life. Double depression is the superimposition of major depressive episodes over chronic dysthymia. Right now, she is in a terrible depressive episode. She refuses to try any drugs at this point, and she has tried most of them, albeit mostly as monotherapy.
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> Wellbutrin in combination with Ritalin helps her. She must have some bipolar diathesis because she was hypomanic for awhile when she was younger. Lithium monotherapy kept her well for over 8 years until a new doctor discontinued it because "she had been on it long enough". She relapsed into depression within 4 weeks. Lithium did not work when she restarted it. She once responded to a combination of Nardil and Sinequan (doxepin), and briefly to Effexor and Lamictal monotherapeutically.
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> Thank you to everyone who replies.
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> - Scott
>Scott,
Do you know what doses she got up to with the effexor/lamictal combo? Very stupid move with the Doc stopping the Lithium.
poster:polarbear206
thread:875571
URL: http://www.dr-bob.org/babble/20090104/msgs/875628.html