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Re: effexor for ADD/anergic depression?or augment SRI?

Posted by ed_uk2010 on August 11, 2010, at 16:53:09

In reply to effexor for ADD/anergic depression?or augment SRI?, posted by g_g_g_unit on August 11, 2010, at 10:11:20

Effexor is not normally used to treat ADHD. Since Effexor frequently causes more severe side effects (and withdrawal symptoms when stopped) compared with SSRIs such as Zoloft, it might be best to try Zoloft initially. You can combine Zoloft with an NRI or stimulant if appropriate.

> the psychologist i see (who's in the process of referring me to a psychiatrist and who lectures on psychopharmacology) has suggested i look into Effexor for ADD/OCD and severe, anergic depression. right now my most bothersome symptoms are cognitive + physical slowing. i'm less anxious in this state, but it's making engaging in CBT for my OCD difficult because i have very little cognitive control or mental capacity to redirect my attention.
>
> i tried effexor once for a week and could barely stay awake, so have been scared to revisit it, though i'm guessing (hoping?) that's a transient side-effect.
>
> has anyone here found that Effexor had any effect on their ADD symptoms outside of relieving their depression? or did you require augmentation? responses in the archives seem to be pretty mixed .. some people report feeling spacier on Effexor, and there seem to be some undocumented anticholinergic side-effects?
>
> while i'm at it, does anyone with ADD have any positive experiences with the NRIs (Reboxetine, Strattera)? do they exacerbate anxiety? might they be useful for a co-morbid OCD guy like myself?
>
> i've been wondering if i'd be better off trying a clean SSRI like Zoloft (the one SRI i have yet to try) with an NRI or low-dose AP (there are a couple of reports in the archives from people who found Geodon at low doses particularly useful).
>
> thanks :>
>
>

 

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poster:ed_uk2010 thread:958238
URL: http://www.dr-bob.org/babble/20100811/msgs/958274.html