Posted by Karen Moore on January 19, 2004, at 16:08:53
In reply to Re: MOCLOBEMIDE with TRILEPTAL ?? Dr. BOB HELP, posted by Karen Moore on January 19, 2004, at 15:33:53
Ooops. Sorry about the title mess-up on my last post. Netscape can sometimes be overly zealous with it's caching...
> > It could work, but your doctor will be more likely to suggest something that works on the dopamine.
> The stimulants Ritalin and Adderall (another option I would suggest looking at) are almost entirely dopaminergic.
>
> >My guess is that he will suggest Effexor before he gives you a stimulant like ritalin.
> Yes, it might be a good option to first try another drug in the SSRI/SNRI class. But keep in mind, unlike the stimulants, Effexor is not very dopaminergic but rather noradrenergic.
> >Having said that, stimulants have been used with success as monotherapy for depression.
> Yes, definitely, for some cases of treatment resistant depression, only stimulants (like Ritalin/Adderall/certain MAOI's like Parnate) seem to work wonders. More to the point though, if sexual side-affects are the only reason you don't like Zoloft you might want to discuss with your psycdoc the following other two options:
> 1. add a very low dose of Ritalin to your current regimen, keeping the Zoloft. Sometimes a very tiny dose can go a very long way.
> 2. consider Wellbutrin: see article at http://www.biopsychiatry.com/bupropion.htm
> And if you'd like to see more research in the area try http://www.biopsychiatry.com/dopaminesex.htm
>
> Good luck + I hope I was helpful.
>
> KM
>
> > > I am going to ask my doctor in the next appointment to give me this combination. I was taking Zoloft and Klonopin before, but I canīt deal with Zoloft sexual side-effects. Could it be a good option? I tryed 10 mg of Ritalin sometimes and my depression went away. Do you have experiences on this?
> > > KXo
> >
> >
>
>
poster:Karen Moore
thread:302633
URL: http://www.dr-bob.org/babble/20040118/msgs/302846.html