Posted by BGB on June 11, 2008, at 22:34:43
In reply to SNRI + Remeron question, posted by bissie66 on June 7, 2008, at 10:36:04
Just to throw in my two cents, I am currently taking 120mg of Cymbalta with 60mg of mirtazapine (Teva generic). It does nothing for me. It didn't at lower doses of Cymbalta, either. I've tried 30, 60, 90, and am now at 120mg of Cymbalta and it just does nothing for me. Neither does the Remeron. I'm also taking 600mg of bupropion SR and 50mcg of Cytomel for my depression. For my bipolar symptoms, I take Trileptal 1200mg and Lamictal 200mg. And to sleep, occasionally I take 50-150mg of Trazodone. And once in a blue moon I take 5-10mg of Valium. Needless to say, I am trying to get off of this crap since it's not working anyway!
I think that I tried Effexor and Remeron years ago and had a slight success with it. Neither one helped me by themselves. But, like I said, the Cymbalta and Remeron combo does nothing for me. So there may indeed be something magic about Effexor and Remeron that does not exist between Cymbalta and Remeron. Who knows what Pristiq will do?
Augmentation with Provigil is a great strategy. It not only helped me stay awake, but it slightly boosted my mood as well. If you can't afford Provigil, and many of us, even with insurance, can't, you could try adrafinil. It is legal to import it into the US (disclaimer: I'm an accountant not a lawyer). It is easy to find sources online with excellent prices. It costs me much less to import brand-name Olmifon from overseas than it does to pay my insurance co-pay for Provigil.
I have found that Olmifon (adrafinil) is identical to Provigil (modafinil). I have some of both and literally cannot tell the difference between the two. I know that many people do have a distinct preference for one or the other, but there's no doubt that they are very very similar. Again, I'm just a humble accountant and not a scientist but from what I understand the body converts adrafinil into modafinil. Of course, you should always ask your doctor, your mileage may vary, void where prohibited by law, and batteries are not included.
poster:BGB
thread:833453
URL: http://www.dr-bob.org/babble/20080606/msgs/834251.html