Posted by jay on November 9, 2001, at 9:09:09
In reply to Re: ****Survey****: T.C.A. Drug Use » Lorraine, posted by Elizabeth on November 8, 2001, at 17:13:29
I started this thread because I guess some of my prejudice favours TCAs. I have had some excellent responses to a few of them, and of course I know that means very little, but they seem to affect depression and anxiety in a *whole* different manner than many of the newer SRI/SNRIs, NRIs, etc. Maybe it is because they are so "dirty" (which really is a subjective word...hitting more receptors is really in no way associated with dirt :-).I often wonder how folks who are usually only given a trial of one of the newer popular drugs, say would react to a *complete* test of each of the TCAs? Besides some different side effects, how much more effective is Paxil than clomipramine for anxiety and panic (with/without GAD)..or Serzone than clomipramine for anxious depression? (Most depression involves anxiety often.) For 'atypical' depression...what about Nortriptyline and Protriptyline...the later which is energizing and even linked to weight loss as a thermogenic effect (I have the citation if you want..)...Vs. Prozac and Welbutrin? I was on Remeron for a short period of time, and honestly it felt much like doxepin, with a tad more of a 'punch'.
I know there are these "cautions" about tests and such with TCAs, often involving heart conditions, but so many doctors make them out to be like you need a major physical every week on a TCA. I know it is not the total motivating factor, but one that must play some kind of role is the $$$ factor. I generally dislike corporations, but I think out of all the useful ones in society, drug companies are the 'best' also in ethical terms.(Some will strongly disagree of course.) Anyhow...that's a whole different debate.
So...more questions...and I have few answers as always..heh.
Jay
poster:jay
thread:82743
URL: http://www.dr-bob.org/babble/20011104/msgs/83646.html