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Re: atypical depression and antidepressants

Posted by polarbear206 on January 28, 2003, at 16:44:42

In reply to atypical depression and antidepressants, posted by DissTired on January 27, 2003, at 18:35:40

> Hi,
>
> I have atypical depression and used to get panic attacks. Desipramine helped for panic but not depression when I was younger. Then in my late 20s and early 30s parnate worked for me. I could only tolerate 20 mgs of parnate though, before my mind raced too much. Then in my early 30s, parnate just stopped working.
>
> Since then I've tried just about everything. SSRIs and remeron did nothing or worse. Effexor worked for depression but made me feel lobotomized and tired (10 hours of sleep was a minimum requirement), and also seemed to make my mind perpetually cloudy, which is bad news for an academic.
>
> My question is this. What other meds or med combos might work? Though SSRIs have not worked for me in the past, might Lexapro work?
>
> Also, any news on whether Duloxetine has the same awful side-effects as effexor?
>
> Thanks for any tips.
>

DissTired,

Many people who have atypical depression have an underlying mood disorder. This is what happen in my case. I was on a combo of a low dose ssri with a tricyclic. Lamictal was added about a year ago. Having great results. Up to 200mg and have been able to lower the AD's. Atypical depression responds more to AD's that target numerous neurotransmittors. The reason your AD's poop out may be that a mood stablizer is needed. This is very common with bipolar's to trial many AD's without much success. Hope this helps. Go to Depression Central web site and check out pages on atypical depression and bipolar.

http://www.psycom.net.depression/central.html


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poster:polarbear206 thread:137818
URL: http://www.dr-bob.org/babble/20030125/msgs/137986.html