Posted by jujube on November 15, 2004, at 9:52:22
In reply to anhedonia, posted by anxiety_free on November 13, 2004, at 2:32:35
Would any of the TCAs be effective? I have just been prescribed Anafranil, and am hoping it will help with my anhedonia. I had actually hoped to get Nortryptiline, but my pdoc prefers Anafanil. Also, do you know if a TCA can be safey augmented with Provigil? I had asked my pdoc about Provigil, but he didn't want to put me on it. The next time I see him I may raise it again if I am not getting a sufficient response from the Anafranil.
> Hi! Sorry about your situation. I had a similar problem, which has vastly improved. In terms of meds, you might want to try a tricyclic. Yes, they're old,dirty drugs, but they can do wonders for endogenous depression. Secondly, see if your doc will provide you with a stimulant. Provigil helps some with depression; personally, I responded to Ritalin and later Adderall. Regulating the sleep/wake cycle helped me, too...if you have any insomnia at all, get a stash of sleeping pills. An anti-anxiety drug can help loosen you up a bit while smoothing out the edges of any stimulants...benzos are good, most docs will probably go the BuSpar route first. Exercise helped me as well, as did meditation, occasional fasting, etc. Back to your meds...lexapro is a great AD, but I still seriously recommend a TCA...one can probably be added to your current therapy. Good luck!