Posted by yesac on December 9, 2006, at 13:47:21
In reply to Re: Tricyclics, posted by Quintal on December 8, 2006, at 20:35:07
> You've got me thinking med_empowered. Surmontil (trimipramine) has been on my list for a while for this reason. I'm not convinced its much better than Remeron in any way though? I'm also worried about its D2 antagonism etc and the risk of EPS, which is absent with Remeron.
Is Remeron something you're currently taking? That and Zoloft, aside from the TCAs, are the only two ADs that I haven't tried. My psychiatrist keeps mentioning Remeron (mainly because it's one of the only things left). I'm afraid of it though because of the possible weight gain and sedation. I was thinking of first trying Zoloft or a TCA and only trying Remeron if those don't work. But I don't know.... What do you think of Remeron?
> Anafranil (clomipramine) is the other TCA that stands out from the rest in my mind because of its strong seretogenic effects.Yeah, I was thinking about that or nortriptyline as my top TCA choices. Of course I haven't yet discussed this with my psychiatrist, so I want to hear what he thinks too.
> Thinking about it, MAOIs often have fewer side effects and are more tolerable if you can live with the dietary restrictions, but I guess you've tried them already yesac?Yes, Parnate and EMSAM. Parnate made me even more depressed. I didn't think EMSAM worked, but since I've been off it I've noticed that I feel worse, so now I'm wondering if it was actually doing something. If it did work, it certainly didn't do much, but I'm thinking if I went back on it I could possibly push the dose up. However, it did give me severe insomnia. And I'm not terribly keen on going back on the diet.
> Have you tried augmentation strategies such as Lamictal, Wellbutrin etc?
I've tried Lamictal. I've tried Wellbutrin. But not really as augmentors. I guess it seems to me that something has to work at least a little bit first before augmenting it with something else. What's the point of augmenting if the drug isn't doing anything in the first place?
poster:yesac
thread:711506
URL: http://www.dr-bob.org/babble/20061206/msgs/711894.html