Posted by SLS on July 8, 2009, at 17:10:46
In reply to Re: Time to ditch all the meds and start over? » SLS, posted by Frustratedmama on July 8, 2009, at 16:46:51
For me, I have found that adding nortriptyline to Effexor was more efficacious than either drug alone. As Steven Stahl has come to recommend, combining a SRI with a TCA is often successful. The two TCAs that I think are worth exploring are desipramine and nortriptyline. A combination of Lexapro with either of these two TCAs is probably a good choice.
What happens when you take Wellbutrin?
What is your current sleep pattern?
Parnate is a drug worth giving trying, I believe. The thing is, some people need to go as high as 80mg. Of course, the titration of this drug might take several months. If you are lucky, 40mg might very well be enough. You cannot judge this drug by what you experience during the first few weeks. You might very well get a stimulant-type "kick" from Parnate over the first week. However, it will take a good 2-3 weeks at the right dosage to experience a significant improvement. If it takes 4 weeks to reach 60mg, then you might have to wait another 2-3 weeks to respond. I would recommend that you start at 10mg and move up 10mg every week until you get to 40mg. You can remain at this dosage for a few weeks before increasing the dosage again. I was able to tolerate increasing the dosage of Parnate to 60mg by the end of week two. However, I did experience low blood pressure for having increased so quickly. Now that I have been at 80mg for a number of months, I hardly know that I am even taking the drug.
- Scott
poster:SLS
thread:905343
URL: http://www.dr-bob.org/babble/20090630/msgs/905642.html