Posted by Joe Schmoe on October 3, 2003, at 14:47:17
In reply to Re: Choline idea is BS?, posted by linkadge on October 3, 2003, at 14:15:36
My situation is somewhat different than yours I think. Wellbutrin did an excellent job for my depression - the main reason Celexa was added was to counteract the chest pains and other musculoskeletal side effects the Wellbutrin was creating (like easily tearing ribcage muscles). The Wellbutrin seemed to wind up the muscles in my ribcage like a spring, leading to pain and frequent muscle pulls. The Celexa stopped that. Unfortunately it also had a negative impact on my libido. Meanwhile the klonopin did and continues to do a great job on my major complaint, social phobia.
I started to feel poorly again at some point and went up to 40mg of Celexa but it had no additional effect so I dropped back down to 20.
I went off Celexa recently, not because I felt great, but because I was starting to become depressed again and the lack of libido was definitely too high a cost to pay for any benefit I was getting from the Celexa. I didn't see any point to continuing with it. I would rather just see how Wellbutrin by itself works as an AD and take a smaller dose if necessary, skipping doses when necessary, to avoid chest pains, assuming I have not developed some tolerance to them by now.
To my knowledge Celexa and other SSRIs were approved for short term treatment of depression (up to a year or two). I am not aware offhand of any studies claiming long term efficacy.
Don't know what "rTMS" stands for.
poster:Joe Schmoe
thread:264315
URL: http://www.dr-bob.org/babble/20030928/msgs/265257.html