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Re: atypical depression: Adam

Posted by Adam on November 14, 1999, at 23:46:28

In reply to Re: atypical depression: Adam, posted by Scott L. Schofield on November 14, 1999, at 20:15:55

> I'm confused. Has selegiline been helpful?
> I hope so.
Yes, it has, as far as improving my mood. It hasn't been a very good anxiolytic. Unfortunately,
I cannot augment selegiline at the present as I am being administered selegiline through a clinical trial,
and the trial protocol doesn't allow the use of other psychoactive medications.

> What about Zoloft + Wellbutrin. I've seen some encouraging posts regarding this combination.
The reasons one of my old pdocs prescribed Wellbutrin as an augmentation to Effexor was to help with
depression and also counteract sexual side effects. It did neither. I found Effexor to be, if anything,
a better antidepressent than Zoloft (though I use "better" rather charitably). Though I haven't tried
Zoloft+Wellbutrin, and thus can't say for certain that it wouldn't work, I think it's safe to assume,
given the failure of Zoloft alone or Effexor+Wellbutrin to help me in a way that made the side effects
worth enduring, that this would not be a viable approach.

I have a feeling that, barring some unforseen advances in psychopharmacology, that an MAOI will be my
treatment for good. Knowing what I know now, this isn't so bad, when you think about it.




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