I wish you could see her or someone like her. She specializes in difficult cases so options like Emsam and clozapine are available and in my case she's not afraid to combine the two strong meds. She's been my pdoc for 19 years so I can barely remember fighting with previous ones although I did.

I'm sorry it's so hard. I'm glad med dude at least raised your topamax dose.


Are you anywhere near a big teaching hospital? I have been seeing my pdoc since she was in private practice before she moved to the big hospital but it's more likely to find doctors like her at teaching hospitals. That's why I drive so far to see her (that and it's so rural here that there aren't any options, much less someone experienced in difficult cases).