Psycho-Babble Medication Thread 385596

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Depression - ASAP - seeing pdoc!

Posted by becksA on September 2, 2004, at 7:53:23

Hi all,
Seeing my pdoc today, I thought I'd ask for your advice on a med to suggest for my depression, which I think is causing much of my anxiety that I have been dealing with. I have tried every single SSRI so I need to try something in a new class of drugs...Not sure what though. I just know SSRI's do nothing, if not negative things to me.

I also take: 600mg Neurontin 3x daily
30mg dexadrine spansules 2x daily
tapering off Xanax XR

Thanks so much

 

Re: Depression - ASAP - seeing pdoc!

Posted by King Vultan on September 2, 2004, at 9:24:27

In reply to Depression - ASAP - seeing pdoc!, posted by becksA on September 2, 2004, at 7:53:23

My pdoc will sometimes make use of nortriptyline when the SSRIs and/or Effexor have failed to get the job done. This is a norepinephrine selective reuptake inhibitor from the tricyclic class. It is relatively innocuous for a tricyclic and is widely used by GPs for things like headaches and chronic pain. Cymbalta might also be worth considering, I suppose, particularly if you can just try some samples. Nortriptyline is so cheap there is no need for free samples and is affordable even without insurance.

Todd

 

Re: Depression - ASAP - seeing pdoc!

Posted by becksA on September 2, 2004, at 14:03:54

In reply to Re: Depression - ASAP - seeing pdoc!, posted by King Vultan on September 2, 2004, at 9:24:27

Hey, just thought I would follow up, just got back from my appt. Instead of tackling the depression right away, we upped the dose on Neurontin and Risperdal. The Neurontin I started recently and it seems to be helping the anxiety, which I believe was augmenting the depression. At the next appointment, if my mood isn't better, from the depression standpoint, she would like to try me on a low dose of Lithium because we're thinking more and more that I might be slightly Bipolar Depressive. Thanks again.


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