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Re: Augmentors » banga

Posted by KaraS on February 15, 2005, at 19:08:36

In reply to Re: Augmentors, posted by banga on February 15, 2005, at 16:35:04

> Abilify for me tends to "activate" me a bit--but it seems to do so by lessening negative ruminations. Lamictal helped me stabilize moods, but did not really help with my motivation.
>
> Have you talked to him about wellbutrin to help with that? And this is very tentative suggestion--but I am on a low dose of the antidepressant desipramine, which works more on norepinephrine, and it seems to cut through the fog and apathy of my depression. But in any case, I now wonder if it is a depletion of norepinephrine that is involved in the amotivation and apathy and braing fog from SSRIs.
> Just a thought. Check with others and your pdoc before taking this idea more seriously.

Thanks for your input on this. I have tried Wellbutrin and I couldn't tolerate it - felt like it was hard to breathe. I don't know if it was an allergic reaction or maybe just chest tightness which might have passed with time. I may give it another try.

As for the SSRI apathy, I think the conventional wisdom on that is that the culprit is low dopamine - which can happen when you increase serotonin. I believe that when you increase norepinephrine that some dopamine may be increased as well - so that might help. Problem there is that I get tachycardia from the noradrenergic meds. I may look into trying beta blockers in order to tolerate them in the future.

Kara


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poster:KaraS thread:458279
URL: http://www.dr-bob.org/babble/20050212/msgs/458406.html