Posted by Quintal on August 6, 2007, at 3:00:22
In reply to Apathy from SSRIs -- any suggestions?, posted by Racer on August 1, 2007, at 15:43:56
If you've exhausted the SSRIs how about another antidepressant that acts on serotonin, but via a different mechanism - like tianeptine for example? All the other atypical serotonin meds I can think of cause substantial weight gain and I know that's something you want to avoid. Tianeptine is said to have a mild and pleasant psychostimulant effect at the higher doses, tends to enhance motivation and cognitive function whereas SSRIs tend not to. Also (and I know this is a sensitive issue) I'm reminded of the 'excess serotonin' theory of AN because although I don't have an ED I'm one of those people who feels sick and nervous after eating, and this went away while I was taking tianeptine. It didn't really alter my appetite but I enjoyed my meals so much more somehow. I was left feeling satisfied and relaxed. SSRIs were awful in this regard, as if all the muscles in my throat and stomach would rise up in objection if they sensed any food coming their way.
Q
poster:Quintal
thread:773349
URL: http://www.dr-bob.org/babble/20070730/msgs/774244.html