Posted by SheilaC on August 3, 2009, at 15:16:55
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SLS on August 3, 2009, at 8:28:40
> > I've gone back to my old stand-by -- Seroquel and Klonopin. But I still feel like I need a "boost" for motivation and depression.
> >
> > I was thinking of adding an antidepressant, but one that doesn't hit serotonin tooooooo strongly. What do you think that would be?
>
>
> What kind of anxiety disorder do you have?
>
> I would try Pristiq if you have a choice. Many people find Cymbalta fatiguing. All three drugs are potent serotonin reuptake inhibitors. However, I wouldn't want to get too "smart" and try to figure out in advance with certainty how a drug will affect you at this point. You might even consider low-dose Prozac or nortripyline if you feel that strongly about staying away from potent serotonin reuptake inhibition. I happen to like Effexor. It is good for anxiety disorders. Pristiq, the metabolite of Effexor, might work just as well, but with fewer side effects. I can't be certain about that, though. Different is different. Perhaps Effexor has therapeutic properties that Pristiq does not.
>
>
> - Scott
>
>Since I did well with Effexor in the past, my doc is willing to let me try 50mg of Pristiq in the AM. I am going to stick with my Seroquel and Klonopin in the PM. He also mentioned adding Wellbutrin SR later if I needed a boost or had sexual problems from the Pristiq.
Seems like Pristiq, Seroquel, Klonpin and Wellbutrin pretty much hit everything right?
poster:SheilaC
thread:909977
URL: http://www.dr-bob.org/babble/20090801/msgs/910013.html