Posted by SLS on September 28, 2008, at 6:41:44
In reply to Re: Exotic Meds for Treatment Resistant Depression » SLS, posted by Bob on September 27, 2008, at 21:45:09
> > My regime comprises the following:
> >
> > Parnate
> > nortriptyline
> > Lamictal
> > Abilify
> > NAC
> >
> >
> > - Scott> Wow. You've made some major changes to your drug regimen.
I consider it to be a no-lose move. If I don't respond as well to Parnate as I expect to, I might even give Marplan a whirl before returning to Nardil.
> As for the Nardil induced weight gain, don't you think Nortriptyline would cause weight gain in the long run also?
It does, and has. However, I find that I have success at managing my weight through diet with nortriptyline. I have lost 10 pounds in less than two weeks. Nardil is much more stubborn for me.
> I thought pretty much all tricyclics were known for that.
Pretty much. I think amitriptyline is probably the worst. However, I don't think they are universally worse than SSRIs. Desipramine is relatively weight-neutral. The problem with desipramine is that it tends to leave me with residual anhedonia. A pinch of serotonin is probably helpful to me.
Where are you at with things?
- Scott
poster:SLS
thread:854329
URL: http://www.dr-bob.org/babble/20080926/msgs/854571.html