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Re: Low dose venlafaxine basically an SSRI?

Posted by undopaminergic on August 10, 2021, at 11:45:47

In reply to Low dose venlafaxine basically an SSRI?, posted by NKP on August 8, 2021, at 15:52:17

>
> The psychiatrist said that future options would be to increase the dose of venlafaxine, and if that didn't work, to consider augmenting with quetiapine or lamotrigine.
>

I would add the flupenthixol back much rather than quetiapine. Other options amongst antipsychotics are amisulpride, sulpiride, lurasidone, cariprazine, or even ziprasidone. All of them are less sedating than quetiapine, and can even be activating, especially with low doses. However, I think the lamotrigine is worth trying, and increasing the venlafaxine is not a bad idea, at least if you tolerate it well.

As for motivation, stimulants come immediately to mind, including methylphenidate and dextroamphetamine.

-undopaminergic


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