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Re: Melancholic depression » Meatwood_Flack

Posted by CamW on February 26, 2013, at 17:00:02

In reply to Melancholic depression, posted by Meatwood_Flack on February 26, 2013, at 10:25:08

Meatwood Flack

It seems that you have given the serotonergic antidepressants a fair try, so you might need the broader spectrum antidepressants; MAOIs or TCAs, but they have either dietary restrictions, or nastier side effects than the TCAs. Perhaps mention Manerix (moclobemide; not sure of US brand name). might be a choice.

Since you have given Effexor (venlafaxine) a try without success, perhaps other norepinephrine reuptake inhibitor like Cymbalta (duloxetine; again, not sure of US brands) or a TCA like desipramine might be options.

For severe melancholic depression, I have seen some good results with ECT, but many docs use that as a last resort.

These may be some options to discuss with your doctor.
- Cam


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