Posted by Christ_empowered on January 11, 2014, at 10:19:30
In reply to Re: Combining SSRI with alt AD after poop-out? » SpratNZ, posted by Phillipa on January 11, 2014, at 9:26:31
There are numerous combo strategies. Right now, pdocs are pushing atypials on people.
There's also: buspar, pindolol, lithium, stimulants (probably not for you, lol), TCAs, Remeron, Wellbutrin, etc.
So, yeah, you can add in a TCA. You have to be careful. TCAs can turn toxic if you mix with the wrong ssri because of serotonin syndrome and increased blood levels from drug-drug interactions.
Have you tried Lyrica? Its supposed to be the non-benzo benzo or something. A lot like Neurontin, but better (no, really!). Its approved in the EU for anxiety.
I would think that a low dose of zyprexa or maybe Seroquel/Seroquel xr would help, but...I'm not your doc.
I know what you mean about not wanting an AP. I'd recommend that you take antioxidants to prevent TD and watch out for metabolic issues. Also, try to keep the dose low, if you can. Probably easier with Seroquel (lower potency, so you have more room to adjust your dosage) than with the more potent AP drugs.
Have you tried BuSpar? I'm not doc, obviously, but it does boost antidepressants and it can help with anxiety. I don't think there's a significant TD risk, and its very cheap.
Also...get ready for this...Orthomolecular! I push it on everybody. Really helped me. High dose of niacin or niacinamide act kinda sorta like benzos, without too much sedation or cognitive impairment. The B3 has to be mixed with high dose C and a b complex. Taurine also helps some people with anxiety, and its quite cheap.
Oh...and...Surmontil just popped into my mind. Its a weird TCA. Supposed to be soothing.
Anyway, good luck to you!
poster:Christ_empowered
thread:1058250
URL: http://www.dr-bob.org/babble/20140104/msgs/1058281.html