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Re: On this combo and major depression the past week

Posted by PeterMartin on May 6, 2016, at 17:46:18

In reply to Re: On this combo and major depression the past week, posted by phidippus on May 6, 2016, at 15:54:37

> >But yea I need an AD
>
> Have you tried clomipramine or mirtazapine?
>
> >still very uninterested in doing much and constantly thinking about what's next.....wanting the day to end sort of thing. I'm trying to be optimistic
>
> Do you ever practice mindfulness techniques?
>
> Eric

I did take mirtazapine once in 2008 or 2009. I got all the way up to 45 but it was still extremely sedating + the appetite effect.

I've been on tofranil but never clomipramine. I'd definitley be ok w/ trying another tricyclic but my current doctor (of about a year due to a move) is pretty stuck on the idea that they're the most likely kind of AD to switch someone to mania. I've gone completely manic (psychotic hospital etc) but it's never happened w/o some chemical catalyst but he seems to think a tricyclic is a risk.

I may try going lower on the Marplan. I used to do exceptionally well on only 20/30mg of Marplan now on the max amount (although people here go above). I'm still remembering dreams which for MAOI I think is supposed to not happen.....perhaps less would be better (Libido/fatigue-energy maybe)....


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poster:PeterMartin thread:1088703
URL: http://www.dr-bob.org/babble/20160501/msgs/1088752.html