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Update--Re: Best AD for Melancholia

Posted by brynb on July 12, 2016, at 14:07:49

In reply to Re: Best AD for Melancholia » brynb, posted by SLS on July 11, 2016, at 16:16:30

Thanks everyone for your input.

I met w/my pdoc this morning and we decided to add a low dose of Desipramine to my existing cocktail (Lexapro 20mg, Subutex and Klonopin 2mg).

We decided it's the easiest tweak right now rather than dropping Lexapro and or adding Anafranil, which may carry too many SEs to start and apparently is quite expensive (I already pay out of pocket for Subutex which is $165/monthly). We'll see if it addresses the melancholia and that it would be the easiest/most gentle addition and the only new variable.

I'm hoping that this addition will brighten my mood enough to treat/target the melancholia and in turn serve as a catalyst to my practicing some non-med options (meditating, exercising, etc.) to address my OCD-like thoughts and overall mental health.

I'd also like to keep my med cocktail simple.

SLS, you mentioned Anafranil has a huge success rate, and after an easy search, it's apparently miraculous for OCD and depression, rated very highly in reviews. Unfortunately, as you mentioned, it carries A LOT of side effects. As I'm currently functioning, I feel like I can hold off on a major med change like that for now.

Thanks again and I'll keep everyone posted. Hope you're all feeling well =).

-b


Live in the sunshine, swim the sea, drink the wild air. - Ralph Waldo Emerson


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poster:brynb thread:1090338
URL: http://www.dr-bob.org/babble/20160609/msgs/1090449.html