Posted by SLS on August 3, 2009, at 6:56:05
In reply to Question about an AD scott, posted by qbsbrown on August 2, 2009, at 23:37:36
> Yeah, they all suck and have adverse/paradoxical reactions in me. How long do you think i might have to be on tegretol before i tried (if needed, it might not be), like a minute, 2.5mgs of lexapro?
It is difficult to know for sure how an antidepressant would affect you right now. I guess I am in favor of letting your system settle right now. If you do go to Lexapro, I advocate starting at 10-20mg. I think that very low dosages might actually make you feel worse. I can't prove it, but I suspect that such low dosages produce a reduction in the synthesis and release of serotonin without a comparable stimulation of postsynaptic receptors. Lexapro can produce anxiety early in treatment, so I wouldn't recommend starting it at this point. It would be difficult evaluate your withdrawal symptoms with the additional anxiety.
How much diazepam are you taking right now?
Have you ever tried Lyrica (pregabalin)?
I still like the Tegretol right now. I would stay at 400mg for the next few days to see what happens. Perhaps you will need to take a higher dosage. I don't think it is out of the question to work up to 800mg. It will be necessary to exercise self-discipline and logic.
Continue to post. However, I would NOT look at Tegretol to be the culprit in your periodic worsenings. I think they would have happened anyway.
- Scott
poster:SLS
thread:906673
URL: http://www.dr-bob.org/babble/wdrawl/20090801/msgs/909973.html