Posted by SLS on December 9, 2009, at 7:15:12
In reply to Re: Swapping Parnate for Effexor., posted by bleauberry on December 8, 2009, at 16:57:44
Hi Bleauberry
> I send you my best wishes SLS!
Thanks. I appreciate it.
> I recall so many stories similar to yours and others. One of many examples. A guy at revolution health had been through the MAOIs. Was now on Cymbalta, not great but fair, added Wellbutrin, still not good, then added Milnacipran to the mix and whammo remission!
Milnacipran was added to the Cymbalta? Interesting.
> Speaking of which, now that it is a USA drug, it could be placed on your backup radar screen.
I don't like to exclude anything from consideration. So far, there does not seem to be too many success stories with the use of milnacipran as monotherapy. Maybe I'm wrong.
> I won't go into some of the other oddball things I think you should try (strategies, challenges, off-the-path agents) because I know you are a concrete psych drug kind of guy.
I would drink elephant urine if I thought it would help. It would be a natural remedy.
> But as long as the toolbox is going to be limited to just brain altering psychotropic agents, your chosen combination sounds like one with high odds of winning to me.
I hope so. Like I said, I did experience a partial improvement with the Effexor plus nortriptyline combination 5 years ago. It is just that I am a rapid metabolizer of nortriptyline, and the more recent titration demonstrates that I should have been taking twice the amount of this drug in the past.
Regarding Pristiq, I told my doctor that I was receptive to trying it, but I left it up to him to make the decision. I don't think he is very impressed with Pristiq. He says that the best candidates for its use are for people who have already demonstrated partial receptivity to Effexor. Perhaps this is an artifact of his subject selection. I hope Pristiq turns out to be more useful than my doctor indicates. It is still early.
- Scott
poster:SLS
thread:928515
URL: http://www.dr-bob.org/babble/20091206/msgs/928606.html