Posted by harryp on May 9, 2004, at 14:48:57
In reply to Friend with long-term depression, posted by nephron on May 9, 2004, at 9:35:26
From what you have said, it sounds like your friend is not bipolar, so I'm making that assumption with these suggestions:
I agree that it is time to try TCA's or MAOI's. It is a marketing myth that these drugs generally have worse side effects than the newer drugs. The older drugs often prove more effective, too.
I agree that Nortriptyline would be a good TCA to try.
I would recommend Trazodone for the insomnia.
A real MAOI (moclobemide doesn't count) might really make a difference as well. I would suggest a trial of Nardil if the TCA doesn't work. The dietary restrictions are usually more than worth the results.
poster:harryp
thread:345044
URL: http://www.dr-bob.org/babble/20040505/msgs/345108.html