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Re: Bad reactions to all antidepressants? » ed_uk2010

Posted by BusuB on October 14, 2014, at 17:39:14

In reply to Re: Bad reactions to all antidepressants?, posted by ed_uk2010 on October 14, 2014, at 16:34:27

Thanks for the response Ed. My primary dx(es) are GAD and Panic Disorder. I have had 1 MD episode about 5 years ago when I first started getting panic attacks. I was successfully treated with paroxetine 5 years ago, then moved to sertraline when my anxiety symptoms relapsed (and the paroxetine didn't work as well). I was good on sertraline for about 12 months before it started to give me this restless response that I'm now sharing with all SRI's. I have asked my pdoc about the possibility of bipolar but was given an emphatic no to that possibility.

Mirtazapine was in the back of my head as a possibility as well as it tends to lack the boner kill traits of the SRI's, but am worried that the NASSA's would give me a similar reaction (restlessness/anxiety) as from what I understand it simultaneously increases serotonin production while inhibiting reuptake (please correct me if I'm wrong).

I have tried nortriptyline as a sleep aid when I was on fluoxetine (10mg), but never as monotherapy. I understand it's a much stronger NRI vs SRI, but after my experience with clomipramine I was a little put off. Is it much easier to adjust to than the clomipramine?


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poster:BusuB thread:1072226
URL: http://www.dr-bob.org/babble/20140914/msgs/1072229.html