Posted by polarbear206 on March 2, 2012, at 7:06:41
In reply to Re: any suggestions to ask my doc next week? » JohnLA, posted by SLS on March 2, 2012, at 5:45:17
> Nortriptyline is a reasonable choice. However, having not responded to previous drug trials might hint at TRD. This condition might require polypharmacy. The suggestion to add Lamictal and lithium is a good one.
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> Remeron cannot be evaluated at 30 mg. A dosage range of 45 - 90 mg is more appropriate for depression.
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> Did you experience a partial response to Effexor? Did it help at all?
John, I agree with Scott. You may need the benefit of a mood stabilzer to help your AD work properly for you. I can relate to some of your past experiences.I take effexor with lamictal.
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> You original symptoms indicate an endogenous depression rather than an atypical depression. This subtype of depression is thought to respond well to tricyclics.
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> Possible polypharmacy treatment:
> U> Nortriptyline + Effexor + Lamictal (lithium)
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>
> - Scott
poster:polarbear206
thread:1012169
URL: http://www.dr-bob.org/babble/20120302/msgs/1012198.html