Posted by blueberry on February 21, 2006, at 16:09:40
In reply to Re: Question for SLS, posted by SLS on February 21, 2006, at 7:45:03
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> I'm guessing you have already tried the SSRIs.Yeah, all except luvox and effexor.
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> Nortriptyline or desipramine might be a good place to start. Many people feel a great somnolence or sedation with nortriptyline when they first start taking it. This more often than not disappears, leaving an energizing effect once it becomes effective for depression. The dry mouth might persist, but probably will not be as significant as time passes.
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> What were your responses to Effexor and Cymbalta?Cymbalta very nice almost right away. But after 3 days the same pattern kicked in...getting a lot more depressed that I was to start. I wanted to ride it out and give the receptors a chance to adjust, but it was just too severe to hang in there.
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> What are the most burdensome features of your depression?
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> Sadness?
Not much.
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> Depressed mood?
Sort of.
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> Melancholia?
Yeah.
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> Dysphoria?
Yeah.
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> Loss of interest?
Big time.
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> Loss of Energy?
No not really.
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> Loss of Motivation?
Big time.
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> Concentration or memory impairments?
Not really.
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> Early morning awakenings?
Always.
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> Having the morning be the time of greatest severity?
Actually morning is fair, usually with more free floating fear than depression. 2pm to 6pm is the worst in terms of depression, and then after 6pm is sporadically pretty decent.
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> Loss of appetite?
Not usually.
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> Loss of libido?
Usually.
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> Irritability?
Never.
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> Social inhibition?
Always.
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> Anxiety?
Yeah, the free floating kind not directed at anything in particular.On top of depression, I have a recent diagnosis of adrenal fatigue with extremely low cortisol and dhea levels. If I ever am to feel half decent, it is ALWAYS in the evening after 6pm. And no coincidence, that is a primary symptom of adrenal fatigue.
Doc has just started me on a mix of different ginsengs for adrenal support, and rhodiola rosea for adrenal support and depression. I am on day 4 of the rhodiola alone. Immediate antidepressant effect, instant energy, but can now feel things getting worse instead. Tinnitus has quieted down somewhat. I see the same pattern happening here.
Honestly I think the ginseng method of adrenal support is not good. The stimulation might just wear out my adrenals even more and worsen my mood even worse because of it.
To be quite frank about it, I personally think I should be on xanax for about 3 months because it makes me calm, serene, tranquil, and paradoxically elevates my mood and restores interest and motivation, but without stimulating me to overdrive the adrenals. A benzo for a few months to recover, and then go from there. I don't know.
I do appreciate very much the time and thought you are putting into my situation.
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> - Scott
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poster:blueberry
thread:611554
URL: http://www.dr-bob.org/babble/20060219/msgs/611795.html