Posted by jujube on November 17, 2004, at 15:13:04
In reply to TCAs, posted by anxiety_free on November 16, 2004, at 15:02:46
Thanks for the response! I have only ever been on one antidepressant at a time. Actually, until the beginning of this year, Paxil had been my first and only antidepressant. I stopped Paxil a couple of years ago, and when I tried it again, it didn't work. I had raised Tofranil and Nortriptyline with the pdoc, but he seems to like Anafranil. I am going to give it a try. I took my first dose (25 mg) Sunday night, and will increase to 50 mg after 7 days at 25 mg. Unlike the other 4 ADs that I have tried since January, I think I am only going to give this one a 4 week trial, although my doc usually prefers 6 - 8 week trial. If I don't have a least a moderate response within a month, I will ask for Tofranil. I will also try to be more assertive about a stimulant, although I am thinking of trying some natural things in the meantime like Enada NADH, ALC and possibly DMAE or TMG.
Thanks again. Take care.
Tamara
> Hey! I think Anafranil may very well help you, although its a kind of odd choice for anhedonia (its the official TCA for obsessive compulsive disorder). Anyway, if it doesn't, ask about Tofranil and/or Tofranil PM...most docs seem comfy with Tofranil, since it was the first tricyclic and has been around forever. The PM version is newer, its what I take...if your insurance will cover it, I'd whole-heartedly recommend the PM version. Tricyclics can be and have been augmented by stimulants..I personally take 60mgs of adderall a day, along with another AD. Some docs are a bit wary of this kind of combo, but its pretty common....I would think that, especially with Provigil, your doc would flexible. Other than that...if all else fails to ease your depression/anhedonia, you can try mood-stabilizers, maybe anti-psychotics...but personally I think more stimulation would help you more. What drug combos have you tried in the past? Did any help, even for a little while? Did any worsen the situation? I'm just curious. Good luck!
poster:jujube
thread:415319
URL: http://www.dr-bob.org/babble/20041113/msgs/417124.html