Posted by Racer on August 2, 2007, at 2:23:02
In reply to Re: Apathy from SSRIs -- any suggestions?, posted by med_empowered on August 1, 2007, at 22:41:46
> So..what is it the Prozac does for you? If its anti-OCD, would your doc be willing to try a tranquilizer?
The WB/Concerta alone don't quite fix my depression, which seems to require some sort of serotinergic agent. An SSRI or SNRI alone doesn't do it, too much apathy, so I do need a good deal of NE, but that's not ALL of it. Although, I kinda think that it might be better than this.
Then again, I also know that I never remember quite how bad it is. Periodically, I say, "The hell with all this -- I'm stopping these damn things." A few days or weeks later, though -- I'm forcibly reminded of the reason I take them.
>
> Have you ever tried an MAOI? Or Anafranil?
Unfortunately, the TCAs and MAOIs are pretty well out for me. I have trouble with hypotension, and can't handle them. Even desipramine provided me some close up views of the floor, and it's supposed to be pretty neutral for blood pressure. I'm limited because of that, although I know my doctor is ready to try me on EMSAM next. I'm just not sure I want to go that way -- after all the trouble I've had with drugs, WB and Concerta are my good and trusted friends. I don't particularly want to risk months of misery, only to end up back with them again in the end. I'd rather see how close I can come with them, first.But, maybe it's worth trying EMSAM? I've heard it's not as sedating, and that the hypotension is less of a problem with it... And benzos, atypicals, and BuSpar are also problematic: I have had a few nightmare reactions to benzos, the paradoxical agitation? And BuSpar, the best I've ever taken for my anxiety, increased my depression. Atypicals haven't been a rousing success, either...
Thanks for your response.
Although, now that I'm reminded of the paucity of options at this point, I'm very sorry to have brought this up today...
poster:Racer
thread:773349
URL: http://www.dr-bob.org/babble/20070730/msgs/773477.html