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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 Christ_empowered on February 27, 2012, at 0:15:53
I just now read your post about your current situation. Sorry--I somehow managed to miss it earlier. Anyway, I just wanted to let you know that I hope things work out for you and that you can certainly pull through this. I kind of question adding additional antidepressants to Paxil to keep things going, but, hey--I'm not a doc, right?
I'm glad you're going to the chiro. Have you ever considered supplements? I know, I push this stuff on EVERYBODY. Still, here goes: google "Orthomolecular psychiatry" and see what you think. For non-psychotic depression I think there aren't that many supplements or even terribly high doses of key vitamins involved, and you can still take your medications. They might even start working better w/ fewer side effects (no guarantees, obviously, but that's what happened with me treating my psychotic mood disorder w/ meds+supplements).
I just want you to hang in there.
Posted by SLS on February 27, 2012, at 6:27:55
In reply to for Laney..., posted by Christ_empowered on February 27, 2012, at 0:15:53
Hi Laney.
> I just want you to hang in there.
Yes. Please hang in there.
I don't recall if you had tried Parnate, but there is usually no weight-gain with it. If you already have, then you are faced with retrying nortriptyline and combating weight-gain. It really is a difficult decision to make. Effexor and Cymbalta did not put weight on me. Weight gain is usually not a problem with Wellbutrin. Perhaps you could go with nortriptyline until a new antidepressant arrives that does not produce weight-gain. I don't think poop-out and failure upon restart are as much of a problem with TCA compared to SSRI. It will be interesting to see what the quality of your response is to nortriptyline if you return to it.
You probably would respond to clomipramine (Anafranil) in the unlikely event that you no longer respond to nortriptyline. In fact, you might be able to switch over to clomipramine from Paxil. Despite its potent SRI properties, clomipamine might produce less weight gain than nortriptyline. However, the anticholinergic side effects it produces are rather pronounced, and sexual side effects sometimes emerge. If it were me, I would go with nortriptyline before trying clomipramine.
I have been able to lose weight while taking nortripytline, so it can be done. Portion control works best.
- Scott
Posted by Laney on February 28, 2012, at 11:42:03
In reply to for Laney..., posted by Christ_empowered on February 27, 2012, at 0:15:53
Thanks for your reply.
I'm trialing Nortriptyline for a second time and it isn't going as well as I would have liked. I'm on day eight and up to 50mg. the past four nights.
I feel like I'm in a benzo withdrawl to some extent. I know how I feel when I've gone too long without taking my am dose of Klonopin and now it seems to persist even after I take the K.
But again, thanks for your input. It means a lot!
Laney
This is the end of the thread.
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