Posted by Robert35 on May 22, 2006, at 16:10:50
In reply to Re: Cymbalta vs imipramine » Robert35, posted by ed_uk on May 22, 2006, at 13:05:10
Hello Linkadge, Philippa, Ed_Uk,
Thanks for thinking with me.
Linkadge: maybe more a question for a doctor but which drugs can couteract cognitive problems on imipramine ?
B.t.w. I have read that imipramine can especially do good (because of the action on norepinephrine) for concentration and motivation (it is used sometimes for adhd).
Also imipramine seems do work on more brain chemicals (for lack of a better word) like ACTH (which Cymbalta doesn't).I have the idea that doctors in the Netherlands are not really fond of or specialized enough to augment e.g. a tca with prozac or ad's with stimulants; though of course ad's together with a anxioletic or neuroleptic are prescribed.
At least I don't know of a doctor who might do this.
My gp says I have to find one myself ("use the phone directory" .. then he is willing to refer me).
(I was under the impression that he might ask around among collegues but apparently I am wrong.
Though sceptic about it I still could do some research on internet to get to know a good specialist who is willing to take me as a patient.)Ed_uk: a list would rather be an exclusive list because most ad's are available, unfortunately not the most interesting like desipramine, reboxetine and tianeptine.
Wellbutrin is available as Zyban (not registered as a.d.) and is not covered by insurance when used as an antidepressant.
Zyban I cannot use together with tramadol and an ad (because of risk of seizures).
To my knowledge all other tca's are available in the Netherlands (I have to look it up tomorrow when I have more time).
Maoi's: Nardil and Parnate are available but only after permission for the doctor (about Marplan I am not sure).
I have tried Aurorix to no avail.
Trazodon, Celexa, Zoloft, Seroxat, Effexor, fluvoxamine (Luvox), amytriptiline I have used in the past as well.
Of all these Prozac did at least something and was tolerable for me (regarding immediate side-effects (I could do my job with it)).As it is getting late I will look up more in detail if there are medicines not available here but I think I pretty much summed them all up ;).
For now: the best to you ,
cheers,Robert
poster:Robert35
thread:646652
URL: http://www.dr-bob.org/babble/20060520/msgs/646961.html