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Re: Other options besides AAP for depression? Doll Face

Posted by Phidippus on November 15, 2011, at 20:34:37

In reply to Other options besides AAP for depression?, posted by Doll Face on November 14, 2011, at 8:27:19

Lots of options. You can try augmenting with a different class of AD, such as Wellbutrin, an NDRI or perhaps a TCA, like Clomipramine (the risk of seratonin syndrome is exaggerated).

You can try stimulants, like Methylphenidate, Dextroamphetamine or Nuvigil.

You can try Tramadol, a pain drug which has been found useful in the treatment of depression. It is an opiate, so there is some risk of dependence. Tramdol is also an SNRI and NMDA antagonist.

You can try regular opiates, but they are tricky.

The last I can think of is Memantine, an NMDA antagonist. Originally created as an Alzheimer's treatment, it has been studied for the treatment of depression, anxiety, OCD, etc.





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