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Re: suggestions jono_in_adelaide

Posted by g_g_g_unit on January 19, 2012, at 22:43:11

In reply to Re: suggestions, posted by jono_in_adelaide on January 19, 2012, at 16:19:59

> A few thoughts
>
> 1/ You have nothing to lose by trying Parnate, and everything to gain, so why not do it

You're right. I feel bad for my psych though, so just dread failing another trial. I know that's not a healthy way to view the therapeutic relationship, but ..
>
> 2/ Have you tried bupropion (Welbutrin) combined with an SSRI? You can buy it from America at reasonable cost from www.internationalpharmacy.com

No I haven't tried bupropion.

>
> 3/ Have you tried adding Nortriptyline 75mg at night to your SSRI?

What benefits would Nortriptyline have in combination with an SSRI?
>
> 4/ Have you considered "californian rocket fuel" - Effexor 150mg in the morning, and Avanza/Remeron 30mg at night

No, my psychiatrist generally prefers using Effexor as a last resort. Maybe if things don't work out with Parnate .. though I still am really torn over whether I should just stay on an SRI and augment.

I described the sleep problem I was having, where I'll feel anxious and wired after 7-8 hours sleep and somnolent and inattentive after 8-10 hours. I've noticed the same thing on all the SSRIs I've tried so far. My psychiatrist thinks it's a problem with my diurnal circadian rhythm, so I don't know if there's any way to ameliorate it ..?

 

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poster:g_g_g_unit thread:1007711
URL: http://www.dr-bob.org/babble/20120108/msgs/1007826.html