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Re: Paxil for melancholia ben

Posted by Elizabeth on June 12, 2001, at 22:58:32

In reply to PAXIL-success stories for melancholia ???, posted by ben on June 12, 2001, at 14:01:48

> Does anyone have good experiences with paxil for melancholic depression (low mood) ?

I might be confused about what you're saying, but "melancholia" actually defines a specific symptom cluster; it doesn't mean sad or low mood. SSRIs may be less effective for this subtype of depression than tricyclics (although the evidence is inconclusive). Remeron and Effexor are supposed to be effective, and MAO inhibitors probably are also although they have been studied less in this condition. I'm not sure about Edronax, but I'd give it more of a chance.

If you had partial responses to other medications, perhaps combination therapy would be the way to go? I also note that some of the doses you listed seemed a bit odd. 100 mg of Celexa is pretty high while 75 mg of Zoloft is kind of low. 150 mg of Effexor is a decent dose but many people need before, and Effexor does generally work better the more you raise the dose (unlike SSRIs, which generally plateau at a certain dose).

The side effects you mentioned should get milder with time, BTW.





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