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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by SalArmy4me on May 25, 2001, at 23:50:52
Before you give up on medical treatment, there is hope for you in newer medications and newer combinations. I found relief in the MAOI Selegiline. Here are some more options that you may not have thought of:
Nefazodone - great for sleep; no sexual dysfunction; no anticholinergics side-effects.
Lamotrigine - good side-effect profile; most antidepressant properties of the anticonvulsants
Carbamazepine - less side effects than Lithium or divalproex sodium
Topiramate - the newest mood-stabilizer; it promotes weight loss
Desipramine - the least side-effects of all the Tricyclics; one of the SNRIs
High-dose Venlafaxine - at higher doses Venlafaxine affects more chemicals than SSRIs.
Buspirone - an effective antidepressant and anxiolytic at high doses.
Dopamine Agonists - Pramipexole has two studies on it (I took it).
"Power Combinations" - Remeron+Effexor; Wellbutrin+Remeron, Remeron + Prozac
Augmentation of anything you have tried before with Lithium, Pindolol, or Buspar (I take pindolol)
Foreign medications to the US: the RIMA Moclobemide; Reboxetine; Amisulpride, etc
Atypical Neuroleptics/Antipsychotics with antidepressant properties: Risperidone, Olanzapine, Seroquel, GEODON
Provigil - a stimulant that is possibly effective
Irreversable MAOIs - Phenelzine, Tranylcypromine. Extremely Effective.
MAOI-B - Selegiline, an antidepressant almost comparable to Phenelzine.
I hope that gives you hope!
Posted by hopko on May 26, 2001, at 9:25:04
In reply to You Haven't Tried Everything:, posted by SalArmy4me on May 25, 2001, at 23:50:52
>Buspirone - an effective antidepressant and anxiolytic at high doses.<
How high? I am getting off remeron and have so much trouble with the SSRIs that we are trying buspar. I know it is slow to act. I am currently just starting and am only at 15mg a day in 3 divided doses.
Posted by Andrews on May 26, 2001, at 16:54:56
In reply to Re: You Haven't Tried Everything: Buspar, posted by hopko on May 26, 2001, at 9:25:04
I take 60mg It took about 10 days after starting that I felt anything. Even at 30 mg I found it pretty subtle. I'm a believer now--more in the anxiolytic effect in my case than AD
> >Buspirone - an effective antidepressant and anxiolytic at high doses.<
>
> How high? I am getting off remeron and have so much trouble with the SSRIs that we are trying buspar. I know it is slow to act. I am currently just starting and am only at 15mg a day in 3 divided doses.
Posted by SalArmy4me on May 29, 2001, at 17:47:04
In reply to Re: You Haven't Tried Everything: Buspar, posted by Andrews on May 26, 2001, at 16:54:56
Menkes, D. B.. Buspirone Augmentation of Sertraline. British Journal of Psychiatry. 166(6):823-824, June 1995.
This case-study claims the use of 60-90 mg of buspirone is needed.
This is the end of the thread.
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