Posted by Bob on December 5, 2011, at 14:18:58
In reply to Re: Effexor 450 mg? » jono_in_adelaide, posted by SLS on December 4, 2011, at 12:03:24
> > Can I suggest that you instead try an SSRI (say Zoloft 100mg/day) combined with either Bupropion 300mg/day or Nortriptyline 75-100mg/day, before going down the single dug mega dose path.
>
> Those are great treatment recommendations.
>
> Zoloft helped for about a day during week 2 of treatment at a dosage of 100 mg. I worked up to 200 mg without feeling at all better. I don't recall what other drugs I was taking at the time. Bupropion worsens my depression significantly. I have tried it at least 4 times.
>
>
> This is where I'm at right now:
>
> Effexor 300 mg
> nortriptyline 150 mg
> Lamictal 200mg
> Abilify 10 mg
> lithium 300 mg
>
>
> The last time I tried combining Effexor with nortriptyline, I was taking only 75 mg of nortriptyline. I subsequently discovered that I need 150 mg to feel better and achieve therapeutic blood levels.
>
> I'm pretty much out of ideas.
>
>
> - Scott
Scott,How exactly does bupropion intensify your depression? Can you give any details?
Bob
poster:Bob
thread:1004067
URL: http://www.dr-bob.org/babble/20111120/msgs/1004241.html