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Re: Change in mood rhythm/recovery time » SLS

Posted by floatingbridge on August 15, 2011, at 14:03:09

In reply to Re: Change in mood rhythm/recovery time » floatingbridge, posted by SLS on August 15, 2011, at 12:03:20

> > mornings were bad. As in bad. I brightened as the day went on. Evenings would be good.
>
> If you are treating MDD, it is likely that your depression is of the endogenous (non-atypical) type. Prior to beginning Emsam, you had followed the typical pattern of a tricyclic responder.
>
>
> - Scott

Thanks for the input, Scott.

Let me see if I understand the terms used in this post.

Prior to Emsam, depression seemed endogenous, based on timing of mood. Endogenous is non-atypical. Non-atypical
(endogenous) depression does not respond well (in theory) to mao-inhibitors? Am I carry this concatenation correctly?
---------------

If so, I guess I had held out hopes that if Emsam fails there would be parnate or Nardil.

When I did a quick read of endogenous depression, I found
mu opoid treatment was promising (though elusive to obtain.). This re-enters that escalation terrain, because I haven't seen it demonstrated that such therapy does not escalate.

Tricyclic responder. Back to the reading. I have not tried Ami. Usually I do not tolerate meds with much NE action.

Depression has morphed over the years :-/ with episodes of more melancholic, agitated, intersspersed with more lethargic *atypical* I assume due to ability of mood to lift with circumstance and situation only to return to baseline crummmy.

So much thinking going on. Thanks again!


I dig a pony.

 

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