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Re: Severe anhedonia » bleauberry

Posted by Maximus on April 17, 2010, at 15:22:13

In reply to Re: Severe anhedonia, posted by bleauberry on April 17, 2010, at 11:12:24

> It is risky to play around with doses. But from an armchair quarterback position, I would say the best way to improve the anhedonia thing would be to lessen the doses of all three meds to the bare minimum dose that keeps you well. If you aren't even at that goal on the doses you are on, then I can't even see the reasoning to keep them at all.
>
> Take my comments with a grain of salt and please don't do anything without talking to your doctor. I just wanted to say that I see too much anti-excitatory stuff in this cocktail. Which is a good thing if control of BP is crucial. Not so good for anhedonia. It is a fine line to try to balance them out. At the current doses, the balance seems to be in favor of stability at the cost of pleasure.

Hi,

Thank you very much for your input. I think it is a kind of trade-off. You see, when i decrease the dose of Effexor, i start again to feel and enjoy things. But within 3 or 4 days the melancholia is back with a vengeance. Sometimes i think that a TCA would be better than Effexor. But my pdoc wont take this route, not for a bp patient.

There is always my beloved Zyprexa. But then again, i'm afraid of the dreaded weight gain because i want to lose some... On the other hand my ultimate and real remission was brought by Zyprexa.


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poster:Maximus thread:943565
URL: http://www.dr-bob.org/babble/20100416/msgs/943726.html