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Re: Prozac + ? = Good

Posted by Christ_empowered on December 28, 2017, at 7:14:43

In reply to Prozac + ? = Good, posted by Ruuudy on December 27, 2017, at 12:27:07

hi. wellbutrin, provigil, nuvigil. stimulants (ritalin, focalin, the various amphetamines) can also be used, and there's some indication that stimulants help -some- people with ocd.

remeron is sometimes used w/ ongoing antidepressant treatment. lower doses are more sedating (and can cause more weight gain). my undestanding is that the higher doses are more effective, less sedating, and cause less weight gain.

now and then, mirapex is used in mood disorders. helps low end in bipolar disorder, sometimes helps "negative symptoms" in chronic schizophrenia. does something to dopamine receptors, so I guess it'd be a non-euphoric stimulant, also.

have you tried any other benzodiazepines? Klonopin -is- effective, but its more likely than many other benzodiazepines to dampen mood, even cause straight up depression. xanax is now regarded with some suspicion, -but- its been used to boost antidepressants and in higher doses as treatment for some forms of depression. there's a xanax xr or er (I forget..) that's supposed to give all day coverage with 1 pill, which should keep dosage escalation and interdose anxiety to a minimum. of course, depending on your dose, there's also good ole Valium, which also has more pronounced muscle relaxant properties and is more sedating (at equivalent doses) than xanax, klonopin, or ativan.

low dose zyprexa has been studied w/ prozac. the combination is called "symbyax," and there's a generic now. its definitely not stimulating, but it does help w/ ocd for some people, anxiety, agitation, and can lift severe depression (For some people..).

these days, I would imagine that a low(ish) dose of Abilify might also be on the table. it can be somewhat stimulating, far fewer metabolic problems than zyprexa. over the long haul, no one seems to have a good idea of the td risk for abilify, so...there's that, unfortunately. in animal studies, aripiprazole doesn't cause as much D2 upregulation and other brain changes one sees with tranquilizers, so that's potentially a good sign. if your doctor opts for abilify, remember that prozac messes with the metabolism of abilify, so some prescribers go for 1/2 the usual abilify dose, something like that.

OK. oh, one final option...deplin. insurance coverage can be tricky for it, because its considered a "Medical food," not a drug, or something like that, -can- boost antidepressants, without adding another drug to the line up.

hope this helps. good luck to you.




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