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Melancholic depression - what med is the best choi

Posted by hansi555 on September 8, 2008, at 13:49:40

After almost 8 months of treatment with various "succes" in treating stress related unipolar depression, I am considering to alter from my present combo - Lexapro 20 mg and Remeron 30 mg - to something else.

I have most of the symptoms in Melancholic depression (morning worseness, early wake ups (somewhat prevented by the Remeron), loss of apetite during daytime, feeling better in the evening, off days w. crying spells).

What would be the best choice here? Have heard the TCA is or should be first choice but what about adding Lithium (and removing Remeron)?

Thanks!


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poster:hansi555 thread:851016
URL: http://www.dr-bob.org/babble/20080903/msgs/851016.html