Posted by Alexei on May 1, 2012, at 9:19:11
In reply to Re: Psychiatry is a bit impotent right now., posted by bleauberry on May 1, 2012, at 7:30:25
> The monotherapy drugs are for the most part rather useless in my opinion. The best psychiatry we have includes, imo, combos that hit both NE and 5htp. In other words, TCA+SSRI combos or MAOIs. The serotonin meds are a cruel joke I think. Granted, once in a while we see a miracle with zoloft or prozac, but really, that isn't very often, maybe what, 1 out of 10?
I agree with your assessment, bleauberry ... especially with your take on the glut of serotonin drugs and that monotherapy is not likely to succeed in TRD or even MDD. All the "me too" drugs are not breakthroughs IMHO... just money-makers and patent extenders.
I still believe zoloft + TCA is much better than the new snri's... by far. Have been on both effexor and cymbalta, and they are not improvements for me.
And I really do think inflammation within the body and food allergies, hormonal imbalances, and substandard nutrition play a huge role, as well. I wish more docs would speak about these.