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Re: Depression switch to anxiety. Starting Effexor. phidippus

Posted by SLS on October 16, 2017, at 16:09:41

In reply to Re: Depression switch to anxiety. Starting Effexor., posted by phidippus on October 15, 2017, at 15:53:00

> >Out of curiosity, have you tried taking nortriptyline or any other TCA?
>
> The only TCA I have been on is clomipramine. It was a superior antidepressant and anti-obsessional, but it came with a price. Anorgasmia. I couldn't c*m to save my life. I would jerk myself raw taking clomipramine. My psychiatrist was very sympathetic and switched me to Zoloft.
>
> Eric

Understood.

Again, I would suggest that you consider adding a full therapeutic dosage of nortriptyline to Effexor 300 mg/day, especially with the symptoms you describe. You could even add Wellbutrin to Effexor. The latter strategy is used more often, but I would not abandon SRIs until you try adding nortriptyline.

How does Abilify affect you?

A friend of mine who is diagnosed with having MDD did pretty well on Abilify, Lamictal, and Wellbutrin. She didn't like the weight-gain from Abilify, so she later found remission using a combination of ketamine (intranasal) and Lamictal.

What are your reasons for taking Invega? Would you be willing to add a low dosage of Abilify to it?

Anxiety -> Depression
Depression -> Anxiety

It's a nasty loop.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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URL: http://www.dr-bob.org/babble/20161215/msgs/1095461.html