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Re: Similar Meds to Prozac?

Posted by Trepanist on December 17, 2012, at 0:27:48

In reply to Re: Similar Meds to Prozac?, posted by jono_in_adelaide on December 17, 2012, at 0:22:11

> So hard to say *which* of the extra actions of prazac might have been respoinsible for the extra improvement
>
> A few thoughts
>
> - Could you take Proaoc along with a drug for gastritis (Prilosec or one of the other PPI's)
>
> - If you have to go back to Lexapro, try taking Lexapro in the morning and either nortriptyline or mirtazapine at night. Both of these directly hit noradrenalin and by mirtazapine indirectly hits dopamine. Nortriptyline will cause fewer sedative side effects, but mirtazapine might have the edge.
>
> - Try Effexor in a moderatly high dose (300mg/day) - this hits noradrenalin as well as seretonin
>
> - Take the Lexapro along with a low dose atypical antipsychotic (risperidone 0.5-1mg at night)
>
> hth

Thanks Jono. I was actually thinking about taking .5mg of Risperdal as that has helped in the past, but I am intrigued by your Mirtazapine suggestion.


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poster:Trepanist thread:1033154
URL: http://www.dr-bob.org/babble/20121130/msgs/1033158.html