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Re: old antidepressants or new?

Posted by CareBear04 on November 24, 2004, at 17:07:00

In reply to Re: old antidepressants or new?, posted by Paul Smith on November 24, 2004, at 13:05:33

hey everyone! thanks for your input.

Paul Smith-- I liked Zoloft a lot better than Paxil. I was put on Paxil for the same reasons-- lots of anxiety, psychological and physical-- but i only lasted about 3 weeks on it. i dont think it did anything for me, and it caused a lot of constipation and nausea, especially when my dose was doubled from 20mg to 40mg at discharge. zoloft has been a lifesaver at times, but it's much more activating, at least for me.

i had a psychopharm consult this morning, and i asked about the antidepressants. the dr is old, enough to have used the old antidepressants at least as much as the new. he said no to the TCAs because they (according to him) cause cycling in bipolar patients. he was not for or against the MAOIs except that they have a lot of interactions and that remeron is probably a better first choice. he, too, pushed for increasing the zoloft, but the problem is that i can't seem to without becoming agitated and racey. he also said that xanax is a bad benzo for bipolars because it promotes euphoria. that's the first time i've ever heard that, and it hasn't been a problem in the year or more i've been on it.

thanks again!


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