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Re: Questions about Wellbutrin » elkat

Posted by Tomatheus on January 8, 2006, at 12:49:51

In reply to Re: Questions about Wellbutrin, posted by elkat on January 8, 2006, at 11:36:28

> What did you end up doing? I'm not sure what to do at this point...

Elkat,

I've taken the MAOI route. Like most meds, the MAOIs have been rather limited in terms of the antidepressant effects that they've had on me, but I'm currently on Nardil and achieving some success. The problem that I'm having is that I tend to get a halfway decent antidepressant response for approximately two weeks after starting at a new dose (sometimes longer, sometimes shorter), but the effect doesn't seem to last. So, I'm not sure how much longer I'm going to be on Nardil, considering that its "true" effect (i.e., the effect that it produces after the first few weeks at a certain dose) makes me feel rather depressed. But we'll see...

With respect to your situation, I'm wondering how you've responded to the other meds you've taken, particularly the SSRIs (assuming that you've taken them). What's your current diagnosis, and what have you been diagnosed with in the past? I will say that treatment-resistant depressives (particularly patients with "atypical depression" and those who experience mixed depression and anxiety) tend to respond favorably to the MAOIs, but then again, they're not for everybody. So, as far as deciding on a new medication or med combo to take, it really depends on your diagnosis and primary symptoms, as well your response patterns to other meds. Considering that you became somewhat agitated (or felt that hard-to-describe "strange temper") on the Wellbutrin, it might be best to aim for something serotogenic. But at the same time, I'm guessing that you've already tried at least one SSRI, so it's hard to really say whether or not something like a tricyclic, for example, might be in your best interests.

Tomatheus


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poster:Tomatheus thread:594725
URL: http://www.dr-bob.org/babble/20060108/msgs/596587.html