Posted by SLS on August 9, 2008, at 5:14:18
In reply to I'm going to hell. Help would be good ! Pb elite?, posted by Marty on August 8, 2008, at 23:13:41
You could choose the SRI that helped you most and add either Wellbutrin or nortriptyline to it. You might want to add further Lamictal and/or Trileptal.
As you know, I am on a combination of Nardil and nortriptyline. You could use Parnate instead of Nardil. These combinations are perfectly safe IF you stick to a plan of slow titration.
You HAVE NOT been on a TCA as the term is most often used. This excludes amineptine, tianeptine, and carbamazepine, all of which also have a tricyclic structure, but are not in the dibenzazapine series. TCAs to consider would be desipramine, nortriptyline, and clomipramine. The former two are the least troublesome in terms of side effects. Clomipramine produces the most side effects, sharing them with both other TCAs and SSRIs. However, clomipramine is perhaps the most efficacious non-MAOI drug.
My current regime:
*Lovaza (Fish oil)
*I discontinued fish oil temporarily to see if it was responsible for the surge in improvement I experienced earlier this week.
You, of course, are in the middle of a traumatic psychosocial stress; the processing of which will probably take weeks. You may be confusing grief with depression, or the grief precipitated a worsening of the biological depression.