Posted by SLS on November 24, 2002, at 0:25:51
In reply to SSRI's After ECT, posted by Geezer on November 23, 2002, at 11:01:49
> Has anyone had success with an SSRI following ECT treatments? I had great success with Prozac (for a year and one half - prior to poop-out), spent the next 14 months in depression where nothing would work. Have now completed 10 ECT treatments (2 more to go). Have been taking Parnate for 10 days but having trouble with SE's. Stopped taking Parnate this AM, will wait the required 2 weeks prior to starting an SSRI. Would appreciate any experience anyone would wish to share.
Thank you,
Geezer
-
Hi Geezer.
What side-effects of Parnate are you intolerant of. Many of them tend to abate or disappear over time. How long had you been on it?You might want to investigate the use of a tricyclic antidepressant.
What is your diagnosis? Melancholic? Atypical?
If you feel worst in the morning, and have little or no appetite, I would recommend trying a tricyclic. Desipramine and nortriptyline have the fewest side effects. Better yet, perhaps, is to try combining both a tricyclic and Prozac. Tricyclics affect ECT by lowering the seizure threshold (the amount of energy necessary to induce a seizure). This is compensated for by the doctor by adjusting the ECT device.
Had you tried taking 60mg of Prozac? It works for some people.
Do you experience moderate to severe social anxiety or social phobia? Do you feel worse in the evening? If so, I would recommend continuing with Parnate or trying Nardil or Marplan sometime in the future.
That's about it for now.
Hang in there. You have company.
- Scott
poster:SLS
thread:128916
URL: http://www.dr-bob.org/babble/20021122/msgs/129009.html