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Re: Some TCA/Wellbutrin Questions - Concerns » zeugma

Posted by Althea8869 on February 27, 2004, at 17:23:42

In reply to Re: Some TCA/Wellbutrin Questions - Concerns » Althea8869, posted by zeugma on February 27, 2004, at 16:17:33

Wow - thank you zeugma. Thats some seriously well thought out advice. Regarding remeron, I tend to agree with you - I think many people who suffer from depression induced insomnia sleep so well on remeron that this alone can improve mood. Ive never been in that camp.
Given your response, I'll post one follow up question: Which TCA offers the best side effects/efficacy profile for severe depression, melancholic with anhedonia. Ive done a fair share of reading and it seems to point to clomipramine first, followed by either Nortriptyline or Desipramine. Desipramine seems to have the best side effect/tolerance profile of the group.
Again thank you in advance for any advice.


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