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Re: what next after effexor? geekUK

Posted by shelliR on May 23, 2001, at 22:44:42

In reply to what next after effexor?, posted by geekUK on May 23, 2001, at 22:18:15

> I still have a few weeks till I can right this one off but anyone have a good script for SSRI resistant depression + anxiety + mood swings + inpulseivity?

In an SSRI world, I remain a great believer in MAOIs. If I were you, I'd ask about a trial of Nardil and maybe at some point add lamictal to it. That's been my best combination so far. I have depression + anxiety + some impulsivity -mood swings, I think. I still take nardil although it has lost a lot of its benefit finally for me (but after 15 years) and lamictal picked it up again but I gained too much weight on lamictal for me to handle. Incidently, I gained no weight from Nardil--although many people do, and most people do not gain weight on lamictal. Seligeline (?sorry can't remember how to spell it) was highly recommended to me recently--also an MAOI. I think Parnate (another MAOI) has less of the potential of gaining weight (if that is a concern of yours), but it doesn't have the same anti-anxiety effect.

I'm not much of a med expert, just have tried too many, but if anything I said was wrong, I'm sure someone will come along and correct.

Shelli


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