Posted by SLS on January 29, 2005, at 18:58:59
In reply to Re: How do Like Zoloft Mirtazapine Together? » SLS, posted by tensor on January 29, 2005, at 9:44:57
> > If you don't mind my asking, what side effects are getting in the way?
>
> Anxiety/anguish, akathisia and headache.I'm surprised that reboxetine didn't produce anxiety.
If you are willing to go the TCA route, either of the two drugs you mentioned can certainly work, but given your response to reboxetine, I'm surprised you are not more focused on the selective NE drug desipramine. Of course, you can remain on lithium while you make the switch. Given how much positive data there is regarding the addition of lithium as an augmentor of a TCA, it probably makes sense. Lets see how you do with the increased dosage of lithium. 1200mg usually gets people to around 1.0 mEQ/L. You seem to need a bit more than most people.
> I will let the lithium take its time it need before doing any switching. I'm wondering how i will notice the effect of lithium if it does work, will there be an 'omph'?
The thing about lithium when it is used as an augmenter to antidepressants to treat unipolar depression, the response is usually immediate (2-7 days) and robust. Yes, it is likely there will be an oomph. I hope there is.
- Scott
poster:SLS
thread:449366
URL: http://www.dr-bob.org/babble/20050128/msgs/449899.html