Posted by ChrisK on October 25, 1999, at 5:56:26
In reply to So much for stability (next med suggestions), posted by Bob on October 25, 1999, at 0:27:30
Bob,
I'm a lot like you in failure to respond to SSRI's. I've tried Paxil, Celexa, Effexor and Remeron within the past two years. My father reacted well to amitriptyline so I convinced my pdoc to give up on the SSRi's and try the TCA's. I started out on Nortriptyline and have been pretty happy with it ever since. At first I was still having suicidal ideations so after a while I started taking Zyprexa as augmentation. This helped greatly with the suicide problems.
I was still looking for that last little push to get me to feel "good" instead of just stable. Then along came Naltrexone. I had originally asked for it to help me stay sober (too much self-medicating with alcohol). Surprisingly to both my pdoc and me it augmented the TCA wonderfully. I actually feel OK going out and trying new things and I'm starting to enjoy the old things again.
I would strongly reccomend trying a TCA as your primary AD and then if that doesn't work completely work on augmenting that.
Good Luck, let us know how you do.
Chris
poster:ChrisK
thread:13823
URL: http://www.dr-bob.org/babble/19991028/msgs/13830.html