Posted by n_shrimpie on February 21, 2012, at 18:05:54
In reply to Re: luvox anhedonia/side effects/onset of action, posted by bleauberry on February 21, 2012, at 16:57:52
> I don't know if luvox has less sexual side effect than other ssris, about the same, or more. It is a ssri so the expectation of continued sexual side effects I think would be a realistic expectation. That's just what happens with those meds more often than not.
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> A diffferent strategy would be to keep prozac as it is and add the missing ingrediets NE and DA. To do that might include nortriptyline, desipramine, savella, ritalin, adderall. They are all quite different but they all focus on balancing out the other transmitters in balance with what prozac is doing. I just think it's better to try a couple add-ons to a previously good med before abandoning.
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> When my prozac got weak over time I added zyprexa and then shortly after that adrafinil (similar to modafinil) and I was pretty well for about 8 years. That was basically the same strategy....boosting the other transmitters (NE, DA or NE+DA) to balance out the prozac's predominant focus on serotonin.
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> Luvox will keep the focus primarily on serotonin. The meds do have unique diffferences even though they are in the same family and do basically the same thing, so who knows anything is possible. If you are going away or something it would be a lot easier to add a tiny dose of something new to your existing prozac than it would to do a whole switch. imo
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the prozac never worked, only when it was washing out of my system. so we reduced it to 10mg thinking that there was a window of effectiveness, and it's not doing anything. doc wants to titrate me down from prozac while starting the luvox at 25mg but i think i should titrate down without any meds becasue what if the prozac works when it reaches 5mgs? so confused. tried adding abilify and ritalin did nothing. i'm also on 400 mg lamictal, which i've just reduced to 300 because of horrible brain fog and cognitive issues over the past year on the 400 mg. i don't have any sexual side effects on the 10mg prozac. my main depressive symptom is unabating anhedonia and the cognitive issues and sense of spaciness, though that may be due to the lamictal, who knows.
poster:n_shrimpie
thread:1011074
URL: http://www.dr-bob.org/babble/20120221/msgs/1011097.html