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Dr. Bob is Robert Hsiung, MD,
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Posted by rskontos on November 30, 2007, at 15:10:06
HI guys, I have been trying to figure this out just by reading the boards and following the posts but I am lost. What is the best anxiety/depression med that isn't an SSRI (AD). I have only tried cymbalta (on it for almost a year and heck to get off) and lexapro. the amount I need to be on is too sedating. Plus the weight gain I can't handle. I was wondering if a different type would be better. THe lexapro helped me with my general anxiety and severe depression. I am in therapy (talking) and things are getting deep and messy and loads of triggers. I may have waited too long for the meds. I don't have a p-doc only a neuro and therapist. The neuro is the one prescribing for me at the moment with therapist approval. I sent off the lexapro as I had to go down to 5 mg. to get the least sedation effect and didn't think that was doing much and based on lack of withdrawals probably wasn't. I only went up to 10 mgs. of lex. Neuro thought I should go up to 20 mgs. but at 10 mgs. I was sleeping 12 hours a night and getting up and wanting to go back to bed. Plus the lack of sex is an issue at my house. SO AD's don't seem right. Any ideas? I am ok at present but based on when I went off of cymbalta last time I can be ok without one for a while but I think I will not be ok for the long haul. Therapy will be a longhaul. So I probably need to know what I need and if I need to find a p-doc and get my neuro to recommend one since my therapist seems reluctant. Thanks for any suggestions.
rk
Posted by Maxime on November 30, 2007, at 15:48:55
In reply to Anxiety/depression med question, posted by rskontos on November 30, 2007, at 15:10:06
Nardil would be the best, but it's hard to get a doctor to prescribe it. Worth a shot though.
Maxime
Posted by rskontos on November 30, 2007, at 15:54:59
In reply to Re: Anxiety/depression med question » rskontos, posted by Maxime on November 30, 2007, at 15:48:55
Thanks Maxime, why hard? Cause it is a MAO. rk
Posted by Maxime on November 30, 2007, at 16:30:05
In reply to Re: Anxiety/depression med question, posted by rskontos on November 30, 2007, at 15:54:59
> Thanks Maxime, why hard? Cause it is a MAO. rk
Yes, because it's an MAOI. :)
Maxie
Posted by rskontos on November 30, 2007, at 18:39:10
In reply to Re: Anxiety/depression med question, posted by Maxime on November 30, 2007, at 16:30:05
My eyes are burning so badly today and not sure why. Thanks for the response maxi, I suppose I really need a p-doc for that med and my therapist for some reason is reluctant for me to get one, I think i will ask why.
Why are SSRI's the first line AD's to prescribe. rk
Posted by Phillipa on November 30, 2007, at 22:01:47
In reply to Re:oops forgot to type the i............, posted by rskontos on November 30, 2007, at 18:39:10
Safest. TCA's can committ OD and die, Maoi's the dietary part and lots of side effects. What about EMSAM? Supposed to be stimulating and a patch. But you do need a pdoc when dealing with meds and correct doseages. Yes ask the therpist sounds strange to I. Phillipa
Posted by cmorhoun on December 1, 2007, at 12:37:26
In reply to Anxiety/depression med question, posted by rskontos on November 30, 2007, at 15:10:06
You'd have a better chance of no sexual side effects on Emsam than Nardil but Nardil is generally better for anxiety becasue it effects GABA. You could also just take a benzo along with Emsam to curb the anxiety. Or alternatively, take something more stimulating in addition to Lexapro to help with the Lethargy/Energy. I think Lexapro/Wellbutrin is a comon combo. Best to get in with a P-doc though to go down the combo road.
Posted by rskontos on December 1, 2007, at 14:20:14
In reply to Re: Anxiety/depression med question » rskontos, posted by cmorhoun on December 1, 2007, at 12:37:26
I am going to ask my neuro for a p-doc referral just to have one that might be a good one. I like her so she might be good for a referral. she knows most of my history. I think I will ask my therapist why she is reluctant to recommend a pdoc.
Thanks for all the suggestions.. rk
This is the end of the thread.
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