Posted by Racer on October 23, 2007, at 9:27:42
In reply to Severe depression and suicidal ideation., posted by Galen on October 23, 2007, at 3:07:21
Welcome to Babble.
For someone who is experiencing suicidal ideation, I wouldn't expect to see any MAOIs nor TCAs prescribed on an outpatient basis, unless someone else can dispense them. And MAOIs are rarely considered before the newer medications have been explored pretty thoroughly. They may work well for many people, but they are also the Big Guns of antidepressants -- and sometimes you don't need to get out the 4 gauge when you're going after prairie dogs.
I'd be interested in knowing more about your friend's symptoms, but I'd say Seroquel, or maybe Risperdal, to help with some of the suicidal thinking and anxiety. If the Prozac has provided any benefit at all, I'd think about trying another SSRI, or maybe an SNRI, like Cymbalta. If the Prozac has done nothing, then Remeron, or maybe Wellbutrin, depending on energy and anxiety.
That's my thinking. I'll be interested in what others have to say.
poster:Racer
thread:790756
URL: http://www.dr-bob.org/babble/20071019/msgs/790788.html