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Re: Difference between TRD and Dysthymia???

Posted by Michael on February 28, 2007, at 21:36:06

In reply to Re: Difference between TRD and Dysthymia???, posted by bassman on February 28, 2007, at 20:11:35

> Yes, it does need to be treated-often with the same meds as major depression:
>
> http://www.mooddisorderscanada.ca/depression/dysthymia.htm


That is correct. The previous post by Quintal is also correct - Amisulpride was specifically approved for dysthymia in Italy (I believe 50 mg is the usual dose). Sulpiride 50-150 mg is also often useful. And as bassman said, the usual antidepressants used for major depression are also widely used for it.

I'd say that TRD & Dysthymia are not the same thing. However, dysthymia can be treatment resistant, just as major depression can be.

And just like major depression, different meds work for different people. I have dysthymia, and have tried ssri's, cymbalta & effexor, TCA's, remeron, antipsychotics/neuroleptics (amisulpride & sulpiride) and an MAOI (parnate), as well as others...

For me, wellbutrin was the most helpfull. I'm now trying to augment it with abilify. (have augmented it w/stimulants in the past) It's a very stimulating combination for me, but that's what I need. Others with dysthymia no doubt find other meds to be more helpfull.

Unfortunately, it's like anything else... you can try to guess which meds will help, and try those first. But if they don't do it, you just keep trying different ones, and hope that you find one (or the combo) that works, sooner rather than later...

...don't know if that's any help. But don't give up - when you find the right one(s), it'll be worth it to you. Good luck -

michael

p.s. if you don't try amisulpride or sulpiride, (or if you do & they don't work) personally, I'd say try remeron and/or wellbutrin... (and possibly augment w/stimulants, or maybe abilify?) I think it's really a bit of crap shoot... but you do need to roll the dice.


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poster:Michael thread:737055
URL: http://www.dr-bob.org/babble/20070224/msgs/737187.html