Posted by Ritch on October 19, 2004, at 9:50:29
In reply to Mitch/Anyone ..... best SSRI add on?, posted by smith562 on October 18, 2004, at 15:10:37
> Doing okay with zoloft and a pinch of lamictal and lithium, but I need some focus and motivation. Adding wellbutrin does help ... but wondering if there is anything better like mirapex, provigil, good old TCA? Thanks so much ....
>
> SmithI'd try 10mg/day of nortriptyline and wait two or three weeks before increasing it to 20 or 25mg. The Zoloft will inhibit metabolism of the nort. so you won't need much. Get a blood draw at some point for the NT(make sure it isn't too high). I've found it a good combo in the past. You could try desipramine instead (I got a lot worse side effects from it though-but others report fewer with desip). Provigil-haven't tried it-too expensive.
poster:Ritch
thread:404461
URL: http://www.dr-bob.org/babble/20041018/msgs/404682.html