Posted by europerep on July 17, 2010, at 14:53:35
In reply to Re: venlafaxine 600mg + methylphenidate? » europerep, posted by ed_uk2010 on July 17, 2010, at 13:16:08
hi ed_uk..
I too read of individual cases of methylphenidate improving some symptoms of depression, but that feelings remained flat. I fear this very much, because it might bring me closer to where I want to be, and I might hesitate to switch to something totally different..
so far, I have only tried one TCA, the first antidepressant that I took, which was amitriptyline, up to 300mg... at lower doses, I had nortriptyline added to it, but didn't feel anything. it is true that I have read a few studies and case reports of clomipramine being effective even after several ineffective interventions against TRD. and it is very potent both on 5HT and NE, which is good. I think it would indeed be a good idea to consider this next, if methylphenidate fails.. I hesitate when it comes to going off of venlafaxine, but there would then be no way around it I guess.
I'd of course still have the MAOI option, but that would definitely mean hospitalization, probably for quite a long time, and that scares me.. not so much the hospital aspect of it, but losing another year of my studies, etc... well, I'll have to see about that then.
thx for answering!
poster:europerep
thread:954764
URL: http://www.dr-bob.org/babble/20100709/msgs/954781.html