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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Severian on September 5, 2004, at 22:52:13
I'd like some information on the most energising antidepressants and the best alternatives to Effexor (besides MAOIs).
Posted by mattw84 on September 6, 2004, at 1:15:17
In reply to energising antidepressants, posted by Severian on September 5, 2004, at 22:52:13
1 - Effexor (SSNRI)
2 - Strattera (SSNRI)
3 - Wellbutrin (Inceases dopamine production)
4 - Most other SSRIs (Depressant effects are typically minimal)
5 - MAOIs (50/50 on how stimulating or sedating it may be)
6 - TCAs (Typically quite sedating - often taken at bedtime)I would have to say effexor is probably the best as far as energy is concerned, but the side effects far outweigh the from worth the benefits(IMO). Fortunately I only took it for about a month, so I didn't get to go through what most others here have; from withdrawing from it. Next to that is most likely Wellbutrin (XL, SR, Zyban...), which increases (to some extent) dopamine production. Though I have heard that it can been sedating until it builds up and reaches it's steady state (2 - 4 weeks). Not for those who have had siezures, or who think they may have. Also might consider trying another SSNRI like strattera. The TCA's are what you want to avoid unless you are looking for non stimulating AD's. Blah Blah...
But if you are looking for those that are most effective, flip that list upside down.
GL
Posted by King Vultan on September 6, 2004, at 10:50:36
In reply to energising antidepressants, posted by Severian on September 5, 2004, at 22:52:13
> I'd like some information on the most energising antidepressants and the best alternatives to Effexor (besides MAOIs).
Typically, Prozac would be the most energizing of the SSRIs, and Zoloft is also relatively activating. I have not tried either Celexa or Lexapro. Paxil and Luvox are the two most sedating SSRIs.
In the tricyclic class, most of these drugs are relatively sedating, the only real exceptions being desipramine and protriptyline. Desipramine is considered to be an activating AD, while protriptyline is generally quite stimulating. However protriptyline is so anticholinegic it is difficult for me to recommend it.
Most of the other ADs, such as Serzone or Remeron, seem to have sedating tendencies, but some people may react atypically. Wellbutrin is a combined norepinephrine/dopamine reuptake inhibitor that is generally rather energizing. The MAOI Parnate is also relatively activating.
Todd
This is the end of the thread.
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