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Re: Treatment-Resistant Depression - Please Help

Posted by blueberry on May 22, 2006, at 18:18:01

In reply to Treatment-Resistant Depression - Please Help, posted by aturtle16 on May 22, 2006, at 14:18:59

Often times when antidepressants aren't working, a medication from a different class will.

There are several mood stabilizers where lithium or lamictal both have built in antidepressant. Often with topomax and sometimes with depakote.

There are antipsychotics like zyprexa or seroquel, where either one added to one of your previous ADs might have worked great. There are stimulants like ritalin or adderall, for ADHD and treatment resistant depression. Some theories out there say depression can have a GABA origin, in which case xanax or klonopin could work. If you want to stay in the antidepressant class, go with one that works on serotonin and norepinephrine both, like cymbalta or nortriptyline. Or if you can handle harsh side effects, go with one of the other powerhorse tricyclics.

In any case, whatever you do, if you get even a hint of improvement on whatever you try, but it isn't enough, don't give up on it. Instead, think of adding something else to it from a different class of meds.

Sometimes we keep trying to play baseball and losing the game, without realizing we are on a football field, if that makes any sense.


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URL: http://www.dr-bob.org/babble/20060520/msgs/647054.html