Posted by SLS on July 14, 2008, at 4:47:30
In reply to Re: California Rocket Fuel +, posted by Fivefires on July 13, 2008, at 21:39:24
Hi 5F.
I feel honored that you should think so much of me to have shared so much.
When I hear of agoraphobia, my first thought is of a tricyclic. Imipramine has shown efficacy in treating it. However, nortriptyline is closely related enough that I think it is worth a try before Wellbutrin.
Which SSRIs have you tried? Which of them felt best?
It is imperative that you reduce your anxiety load. This can happen automatically when a treatment for the depression works. You might, on the other hand, need an anxiolytic indefinitely. Most people use Klonopin for this. Ativan would make a good alternative. A third way to reduce your stress is to investigate any psychological issues that might be promoting it.
If Effexor + antidepressant#2 does not work, you can simply add antidepressant#3. It would not hurt to add Wellbutrin to Effexor + nortriptyline. I would also consider adding Lamictal to these three if you sustain any positive effect at all.
Still thinking...
Any panic attacks? How often?
- Scott
poster:SLS
thread:265743
URL: http://www.dr-bob.org/babble/20080706/msgs/839642.html