Update: Memantine treatment
Hello, just a quick update on my memantine use.
I was supposed to increase to 20 mg after two weeks, but it was difficult for me. I experienced confusion, word-finding difficulties, and insomnia, so I went back down to 10 mg. At 10 mg, it is working. I have not pulled a single hair for several days in a row. I had brief relapses of 2–5 hairs on two occasions when I forgot to take my dose.
My next question is about stopping memantine eventually. There is no established tapering protocol specifically for Trich..
I want to try Habit Reversal Training (HRT) therapy. The goal is that once the therapeutic work is solid enough, the chemical support becomes less necessary. I am hoping that by working on both in parallel, I will eventually be able to stop the medication and achieve lasting remission.