Posted by azalea on December 4, 2008, at 19:02:09
In reply to Nortriptyline trial a failure?, posted by glennb on December 4, 2008, at 16:24:57
Why not start the Lamictal titration? It helped before, and it's an good mood stabilizer with antidepressant properties.
Although you mention no mania and no euphoria, you clearly describe mood cycling between dysthymia and major depression. Research suggests that mood stabilizers are more effective the antidepressants for people with chronic depression that respond but do not achieve remission with traditional antidepressants.
> I have been in a trd/mdd episode for over a year. Was previously taking fluoxetine on and off for about 10 years with different augmentors never really reaching remission or eating into dysthymia but staying mostly functional. Over the years experimented with most of the other SSRIs, wellbutrin, lamictal (i think was somewhat helpful), depakote.> I have no history of bipolar though am very irritable and sometimes have raciness and difficulty focusing which I attribute to the OCD. No mania or euphoria. I have comorbid ocd which is not bothering me as much as the depression. I have irritability which is controlled by SSRIs but is now pretty high; the nortriptyline doesn't seem to control it.
poster:azalea
thread:866692
URL: http://www.dr-bob.org/babble/20081204/msgs/866737.html