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Re: Best starting med for atypical depression?

Posted by Tomatheus on December 9, 2010, at 21:06:16

In reply to Best starting med for atypical depression?, posted by bmwfan07 on December 8, 2010, at 14:45:25

bmwfan07,

Hello, and welcome to Psycho-Babble. I'm afraid that I don't have a whole lot of advice to give you other than to tell you to probably expect an SSRI, an SNRI, or possibly something like Wellbutrin as the first medication you'll be prescribed for your atypical depression. There is some evidence to indicate that MAOIs may be more effective than the TCAs when it comes to treating atypical depression, but for a doctor to prescribe an MAOI as first-line treatment for any type of depression these days is pretty unheard of, for better or for worse. I would express the concerns that you listed here about taking an SSRI to your prescribing doctor and then work with him or her from there to figure out which antidepressant you should try first.

I'm sorry if I couldn't be of more help, but I figured that I'd reply to your post.

Tomatheus


Diagnosed with schizoaffective disorder. Currently taking 5 mg Abilify, 12.5 mg Lamictal, 2.25 mg Hydergine, and four supplements.


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URL: http://www.dr-bob.org/babble/20101203/msgs/973048.html