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Re: Amisulpride treatment for dysthymia » AndrewB

Posted by SLS on November 26, 2000, at 7:20:45

In reply to Re: Amisulpride treatment for dysthymia, posted by AndrewB on November 25, 2000, at 22:49:23


Hi Andrew.

A point of interest for your cummulative knowledge base:

I experienced an antidepressant response within five days of adding Zyprexa to my regime of Parnate + desipramine + Lamictal. I began at a dosage of 2.5mg. After moving up 5.0mg., I felt even better for another five days, but then lost the effect entirely.

Zyprexa has an average half-life of 35 hours. That's kind of longish. I decided to skip a day to see what would happen. I definitely felt improved the next day. I skipped a second day, and remained improved until late the next day. I decided not to restart Zyprexa at 2.5mg because I needed to trial Risperdal before going in to see my doctor in 12 days. Therefore, one cannot extrapolate with confidence that the lower dosage of Zyprexa would have produced a stable response, but I suspect it would.

Anita reported a similar experience with Risperdal augmentation. She has done much better at 0.25mg than she did at 0.50mg and higher. She lost her initial response after a week and a half of beginning Risperdal at the higher dosage, but was able to recapture it at the lower dosage. I'll say a little prayer for Anita that it "sticks". Said.

It is my intention to remain at 0.50mg of Risperdal rather than the 1.0mg prescribed by my doctor. I doubt he will be at all surprised at the existence of an antidepressant therapeutic window for these drugs.

I hope all remains well with you.


Sincerely,
Scott

 

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