Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: is prozac a successful drug?

Posted by Racer on March 13, 2007, at 14:29:05

In reply to is prozac a successful drug?, posted by meAgain on March 13, 2007, at 1:49:02

> Is prozac still considered as effective when compared to the newer SSRI's and SSRNI's? I read it was effective for the treatment of eating disorders(which i struggle with). i am currently on Cymbalta and have been on a huge list of SSRI's that didnt work or me. still very depressed. any suggestions?

All the SSRIs work similarly, but most people respond better to one or another of them. For me, Prozac and Zoloft are the most tolerable, with Prozac maybe a bit more effective, Zoloft a bit more tolerable. Other people swear by Lexapro, which was intolerable for me. {shrug} The only way to know if it's a good drug for you is to try it.

On the other hand, if none of the SSRIs have helped you, maybe it's time to try another class of drug altogether? Because of your eating disorder, Wellbutrin might not be a good choice for you, but maybe Remeron, or a combination of another antidepressant and an augmenting agent of some sort, like Lamictal, or Abilify. Partly, it depends on what symptoms you're trying to address. Remember, "Depression" can mean different things for different people.

In my case, for instance, "depression" generally has a pretty distinct diurnal pattern -- much worse in the mornings, getting pretty tolerable by late evening -- and involves a lack of enjoyment in anything, a lot of compulsive sorts of escapist behaviors, physical inactivity, negative ruminations, and a lot of crying. That's not necessarily the pattern for everyone, though. If you have a more "atypical" pattern, for instance, you may react positively to pleasurable activities, or you may not have the same sort of diurnal variation. Or you might not have as much anxiety as I have, or may not become so withdrawn as I do. All of those sorts of things affect which sorts of drugs might be better choices for you.

You don't say what sort of eating disorder you're struggling with, but sometimes that's an issue in finding a good fit, drug-wise. For instance, a lot of bulimics and some binge eaters find Topomax a great augmenting agent for antidepressants, because it seems to reduce the urge to binge. A restricting anorexic might find a noradrenergic medication more effective (or not, that's based on a couple of studies only.)

Hope that helps.


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:Racer thread:740612
URL: http://www.dr-bob.org/babble/20070308/msgs/740741.html