Posted by Ritch on February 9, 2002, at 10:08:44
In reply to Re: SSRI apathy syndrome (survey) » Ritch, posted by Mr. Scott on February 9, 2002, at 0:56:40
> > > > It seems that after being on an SSRI for a long period of time it makes you dull. I assume that this is due to the strangling off of catecholamines (NE & DA) by the the increased serotonin (5HT).
> > >
> > > Not sure if Effexor is better. Some people use stimulants or direct dopamine agonists (bromocriptine, amantadine (Symmetrel), pramipexole (Mirapex)). My pdoc in Cambridge said that he had success switching to a different SSRI. Others add Wellbutrin. I wonder if taking Remeron or perhaps Buspar with the SSRI would work. A few people say they have had luck adding naltrexone, which I think is bizarre.
> > >
> > > So, the survey: any success stories out there? (or failure stories)
> > >
> > > -elizabeth
> >
> > Hi everybody,
> >
> > Wellbutrin addition does help! I want to try a pstim (instead of WB) with an SSRI (a first). Any SSRI+pstim recipients please report in.
> >
> > Mitch
>
> Why dump the WB? What's wrong with it?
Oh, the reason I want to switch from low-dose WB to a low-dose pstim is so it will work better on attentional problems. Wellbutrin is actually #4 on my list of meds that help with attention that (I have tried anyway). Adderall and desipramine worked far better. Even Nortripytline worked better (I am talking 5mg of Adderall, 10-20mg of desipramine or nortriptyline here). However, though the Adderall was anticyclic it made me too anxious (but didn't have the opportunities of adding an SSRI for anxiety to it-hence the question), the desipramine made me hypomanic, and both TCA's didn't help with the seasonal depressions as well as WB. Ok-I know this is complicated. As far as side effects go with WB, I am getting some itchiness (not a rash yet) when I try to push the dose up. Also, I am getting blood pressure and heartrate boosts (and sleep troubles) from it that are just as bad as TCA's. Soooo, the latest idea is to try some Provigil, but I wonder if I should simply use a standard pstim instead since they have short half-lives and Adderall didn't mess up my sleep before. The Schedule-II thing is such a drag. I know that is what the problem is with my pdoc-it hasn't been said, but I can sense it-I almost think it is just the headache of having to write scripts every month.Mitch
poster:Ritch
thread:92656
URL: http://www.dr-bob.org/babble/20020208/msgs/93416.html