Posted by bleauberry on December 24, 2009, at 14:45:46
In reply to sertraline and nort., posted by gman22 on December 24, 2009, at 12:18:47
I agree with Linkadge. Since Lex is providing some benefit, add Nort to it. Zoloft could always be switched at a later date if needed. While there is generally a good synergy between Nort and SSRIs, the primary benefit of Zoloft is that is has the least amount of liver enzyme involvement, meaning that it is easier to follow Nort doses without another med increasing it or decreasing it more than you are aware is happening.
While all the SSRIs are similar, they have distinct differences. Therefore if Lex doesn't do as well as hoped, Zoloft could come in later. But for now, keep the variables as few as possible, which means stick with Lex.
A common scenario I've seen reported on the web is when someone decides to wean off an SSRI and titrate onto Nortiptyline as a replacement. But somewhere in the middle of that process they discover they work so well together that they keep both meds, both at lower doses than if either was monotherapy.
Just my two cents.
poster:bleauberry
thread:930705
URL: http://www.dr-bob.org/babble/20091217/msgs/930733.html