Posted by bleauberry on September 24, 2008, at 20:22:12
In reply to More Melancholic depression - Cymbalta?, posted by hansi555 on September 24, 2008, at 1:37:34
Cymbalta...some people do absolutely amazing with it, some people do absolutely horrible with it, and a few people don't get much out of it either way. There is no way to tell without trying it.
While the psychiatric world puts labels on different types of depression, some of them mimic other conditions. In your case, you fit the description perfectly of a haywire adrenal system, likely adrenal fatigue. ADs that have norepinephrine reuptake inhibition (not norepinephrine stimulation/release) are good choices for that, as they supply the needed boost in NE, but at the same time create a feedback loop situation that helps over months to get the adrenal system back in balance. From personal experience the best med I've tried for that was Milnacipran, second best Cymbalta.
Too much of a norepinephrine dump all at once can make someone feel a lot worse, so go easy on starting doses and take your time. Adrenal/norepinephrine issues can get nasty if too much change happens too fast.
poster:bleauberry
thread:853751
URL: http://www.dr-bob.org/babble/20080915/msgs/853876.html