Posted by ed_uk2010 on April 1, 2010, at 16:21:40
In reply to Re: Reboxetine (Edronex) vs Milnacipran - ED, posted by Meltingpot on April 1, 2010, at 15:25:55
Hi Denise,
Have you tried bupropion? Although it is one of the most widely prescribed antidepressants in the US, your psychiatrist may not be familiar with its use an an AD since it's only approved for smoking cessation here. We don't have the Wellbutrin brand but we do have Zyban. Have you ever taken Zyban?
Unfortunately, you can't take Zyban with Seroxat due to the interaction. Although Zyban is officially contra-indicated with all SSRIs in the UK, combining Zyban with citalopram appears to be safe. Citalopram + bupropion was used in the STAR*D trial. No unexpected side effects occured. Perhaps you could switch from Seroxat to citalopram and then add Zyban? Alternatively, you could taper off Seroxat and try Zyban on its own.
Just a thought.
> Hi Ed,
>
> Yes I tried adding Mirtazapine to Seroxat but it didn't work that well. I know Mianserin is chemically similar to Mirtazapine but the Psychiatrist seems to think they are slightly different in the way they act.
>
> I don't really know what to do next. I've had enough of this. I thought it was possible to get Milnacipran on line.
>
> I can't get a prescription for it.
>
> How are you anyway?
>
>
> Denise
poster:ed_uk2010
thread:940650
URL: http://www.dr-bob.org/babble/20100328/msgs/941649.html