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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by appadoo on July 21, 2004, at 0:24:06
I have been on dexemphatamines and now concerta
for my adhd.
However I have been on SSRI for a longer period
I tried Zoloft,Lexapro and I am now on Prozac.
Zoloft & Prozac have helped my depression but they make me feel tired,my pdoc told me that these two meds are the most stimulating SSRI yet I sleep 11-12hrs.
Efexor I thought was stimulating because it works on norepinephrine also yet on the foums users experience sedation and lethargy.
I came across reboxetine mesilate and that is supposed to hit norepinephrine exclusively.
I am told that that receptor is responsible for energy.I cannot take well bupropion or Strattera
because they are private scripts and they would cost me over aus150 each which I cannot afford.
Should I persist with prozac,I am up to 60mg now
or should I try one other anti depressant.ps What about desipramine I believe that targets
norepinephrine
Posted by Sad Panda on July 21, 2004, at 4:08:18
In reply to Any stimulating anti-depressant apart f/m Zyban, posted by appadoo on July 21, 2004, at 0:24:06
> I have been on dexemphatamines and now concerta
> for my adhd.
> However I have been on SSRI for a longer period
> I tried Zoloft,Lexapro and I am now on Prozac.
> Zoloft & Prozac have helped my depression but they make me feel tired,my pdoc told me that these two meds are the most stimulating SSRI yet I sleep 11-12hrs.
> Efexor I thought was stimulating because it works on norepinephrine also yet on the foums users experience sedation and lethargy.
> I came across reboxetine mesilate and that is supposed to hit norepinephrine exclusively.
> I am told that that receptor is responsible for energy.I cannot take well bupropion or Strattera
> because they are private scripts and they would cost me over aus150 each which I cannot afford.
> Should I persist with prozac,I am up to 60mg now
> or should I try one other anti depressant.
>
> ps What about desipramine I believe that targets
> norepinephrineEffexor doesn't have much effect on NE until the dosage goes up. Reboxetine, Nortriptyline & Parnate are the stimulating AD's that are available on the PBS. If you have no trouble sleeping & your bloodpressure is OK, I would try Reboxetine, otherwise, try Nortriptyline.
Cheers,
Panda.
Posted by retrojen on July 21, 2004, at 17:36:51
In reply to Re: Any stimulating anti-depressant apart f/m Zyban » appadoo, posted by Sad Panda on July 21, 2004, at 4:08:18
You might want to consider desipramine, which is a close relative to nortriptyline. It's considered to be of the more activating of the tricyclics, and works primarily on norepinephrine
> > I have been on dexemphatamines and now concerta
> > for my adhd.
> > However I have been on SSRI for a longer period
> > I tried Zoloft,Lexapro and I am now on Prozac.
> > Zoloft & Prozac have helped my depression but they make me feel tired,my pdoc told me that these two meds are the most stimulating SSRI yet I sleep 11-12hrs.
> > Efexor I thought was stimulating because it works on norepinephrine also yet on the foums users experience sedation and lethargy.
> > I came across reboxetine mesilate and that is supposed to hit norepinephrine exclusively.
> > I am told that that receptor is responsible for energy.I cannot take well bupropion or Strattera
> > because they are private scripts and they would cost me over aus150 each which I cannot afford.
> > Should I persist with prozac,I am up to 60mg now
> > or should I try one other anti depressant.
> >
> > ps What about desipramine I believe that targets
> > norepinephrine
>
> Effexor doesn't have much effect on NE until the dosage goes up. Reboxetine, Nortriptyline & Parnate are the stimulating AD's that are available on the PBS. If you have no trouble sleeping & your bloodpressure is OK, I would try Reboxetine, otherwise, try Nortriptyline.
>
> Cheers,
> Panda.
>
Posted by zeugma on July 22, 2004, at 13:01:48
In reply to opinions, posted by retrojen on July 21, 2004, at 17:36:51
if I recall correctly desipramine is not available in australia. In theory reboxetine should be close enough; in practice nortriptyline probably is. By the way Panda, how would you compare Remeron with nortriptyline as an adjunct to Effexor?
Posted by pablo1 on July 23, 2004, at 9:53:47
In reply to Any stimulating anti-depressant apart f/m Zyban, posted by appadoo on July 21, 2004, at 0:24:06
Strattera for ADD, though it's not an antidepressant and the initial side effects are often powerful sleepiness but it does work on noradrenaline which is stimulating. It seems to either work or not for different people.
This is the end of the thread.
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