Posted by bleauberry on December 23, 2009, at 17:43:04
In reply to switching from venlafaxine/mirtazap to moclobemide, posted by europerep on December 23, 2009, at 12:39:08
Moclobemide has a very poor track record in the real world. There must be some people out there getting benefit from it, but I've never seen them in over 15 years of looking.
What about reducing the effexor dose and adding a different complimentary med to it? I'm thinking Nortriptyline, Desipramine, Milnacipran (Savella in USA).
In the real world, Remeron is actually a rather poor performer as well, so I'm not surprised the combo isn't doing more than it is. Get a REAL med in there...like Nortriptyline or Savella...and you'll be in a whole new ballgame. If your gut tells you Effexor is just not the one, fine, switch to Cymbalta or Zoloft or Paxil. But for pete's sake, don't stay with a loser. Whatever you decide the primary SSRI or SNRI is to be, be absolutely sure it is partnered with one of the NRIs mentioned above.
poster:bleauberry
thread:930533
URL: http://www.dr-bob.org/babble/20091217/msgs/930580.html