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.
>
>
> - ScottThanks 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.
poster:floatingbridge
thread:993827
URL: http://www.dr-bob.org/babble/20110809/msgs/993912.html