Posted by Conundrum on December 13, 2010, at 0:03:16
In reply to Re: Not sure if escitalopram (Lexapro) is working, posted by Franz on December 12, 2010, at 21:54:52
Lethargy is common with lexapro. Try being assertive with your pdoc and try to get wellbutrin, an SNRI, Remeron, or a tricyclic.
Lexapro appeals to some because it is such a clean SSRI, well i think a lot of people are starting to realize thanks to lexapro, they need to do more than just increase serotonin. Cleaner isn't necessarily, for all, better.
> Thanks for the replies.
>
> I had good expectations for escitalopram. I was also interested in what I read here by peter Kramer about AD:
> http://www.doublex.com/section/health-science/real-depression-story?page=0,1
>
> Based on my own clinical observations, I suggested that certain antidepressants might make patients less socially anxious and more assertive. At the same time, I wrote that psychotherapy remained the most important intervention for minor depression. (Later, in Against Depression, I supported vigorous treatment, often including medication, for serious bouts of depression.)
>
> If we look only at the two recent studies, we might draw puzzling conclusions about antidepressants. They help with acute severe depression. They help with chronic minor depression. And yet they do little for acute, isolated bouts of minor mood disorder. Still, overall, they make patients resilient in a general fashion having to do with personality traits.
>
Complaints: post-SSRI problems: anhedonia, memory and concentration problems, sexual dysfunction. )
Country:USA
Currently taking SAM-e 1200mgs
poster:Conundrum
thread:973338
URL: http://www.dr-bob.org/babble/20101203/msgs/973373.html