Posted by bleauberry on June 8, 2009, at 16:46:42
In reply to to change or not to change,by william manic, posted by manic666 on June 8, 2009, at 13:30:29
Get zoloft down to 75mg or 50mg.
Introduce Savella at 12.5mg twice per day for a week, and then 25mg twice per day after that.
Optional, instead of Savella add Nortriptyline, starting at 10mg bedtime and climbing up to 50mg-150mg.
I think you'll find a lot more potential in overall efficacy, speed of efficacy, and lack of blahness, by getting one of these norepinephrine meds in partnership with zoloft.
I would avoid a total switch. Do the above. If a switch is to be done, that is not even on the radar screen yet.
That's how I see it.
poster:bleauberry
thread:900005
URL: http://www.dr-bob.org/babble/20090531/msgs/900030.html