Thanks for the feedback. I'm wondering if a higher dose would help. I'm on 300mgs/day. I can't take SSRIs. They make things much worse. I know MAOIs work for me I just really hate the side effects. I remember that 20 years ago I tried tricyclics and ended up on an MAOI so I think I should avoid those as well. I'm 10 days from my next appt. The good thing about my pdoc is that he doesn't have a staff so you don't have to fight any gatekeepers. He returns calls quickly. He said he's stumped by my lack of response and more so by the memory loss and general confusion. Perhaps adding ritalin would be a good idea. I had my MRI and blood work so all I'm waiting for is the EEG. I'll feel better about changing meds after the tests are done and results are in. Thanks, again, for caring enough to drop a line. It helps a lot. I wonder if this is a result of out of control blood pressure. It was fine during the surgery and I didn't think anything about changing to something with a lower copay (which went from $50/month to 4.99). I didn't check to see how effective the new drug was so I don't know how long my bp was high. I've adjusted the bp meds and now it's sometimes low but for the most part seems fine. Honestly, I'm clueless.