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Re: Do not take APs... Jack Smith

Posted by Maximus on July 12, 2003, at 14:37:36

In reply to Opinions: Risperdal v. Zyprexa as AD augmentor??, posted by Jack Smith on July 10, 2003, at 17:41:26

> I am having a partial response to effexor (been at 300 for about a month after about two months moving up). Looking into a whole bunch of options. I have depression with a strong anxiety component.

Hi Jack,

Nice to see you again. Do not take APs, not yet at least. Ok you get a partial response from Effexor XR 300 mg and you have a lot of anxiety. There is a more logical algorithm. Did you try these augmentations?

1- Effexor + Lithium or buspirone (for 5HT1A reuptake)
2- Effexor + SSRI
3- Effexor + Remeron (good for anxiety and melancholia)

http://www.medscape.com/viewarticle/406472
http://www.projectsinknowledge.com/Init/P/depres/pcppdf/switching.pdf

Good luck Jack!

Max


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