Posted by Sad Panda on March 21, 2004, at 12:42:30
In reply to Is any of this research on SSRIs really legit?, posted by Lindsay Rae on March 21, 2004, at 11:48:52
>Is it safe to flip-flop from Lexapro to Zoloft while the pharmacy mails you the correct antidepressant?
>
>It's probably not to bad to switch between those two. Paxil probably isn't swappable with the other SSRI's as it has some anti-cholinergic properties.
My doc gave me Prozac to try first(energizing, so not a bad choice for an obese male), but it was a failure. When I went back to get something else he had a mountain of sample packs of Lexapro on his desk.... Much to my amazement, he gave me a script for Effexor(Prozac with a punch!), so I was kind of happy he didn't just give me what the drugs reps were obviously ramming down his throat. I'd read the reports of bad withdrawl symptoms, but I took the Effexor, because I REALLY needed too take something & it actually worked, only problem is the side effects. :)
SSRI's aren't too bad for first choice drugs I guess, docs prescibe them first because they are the hardest AD to OD on, which is actually their only real advantage over TCA's & MAOI's. If you get a response from one I reckon it's worth sticking to it for a while & using agumentation to get something going. ie: Add Wellbutrin or Remeron or a secondary TCA. I have read that Zoloft + Nortriptyline or Desipramine is supposed to be a pretty good combo. I am taking Remeron with Effexor, which is supposed to be very good. What we need is new versions of Clomipramine & Amitriptyline without the heart problems & anti-cholinergic problems.
Cheers,
Panda.
poster:Sad Panda
thread:326681
URL: http://www.dr-bob.org/babble/20040319/msgs/326695.html