Posted by Conundrum on December 16, 2010, at 2:22:30
In reply to Re: Looking for some med advice, posted by morgan miller on December 16, 2010, at 0:55:46
> That's too bad TCA's are out for now on account that your doctor doesn't like to use them. She should be more open minded. Maybe she just wants to cover all bases before resorting to TCA's.
I don't know if she dislikes them for people she thinks only have unipolar depression. She did mention desipramine causes constipation like it was the worst side effect in the world.
> Have you ever thought about Valdoxan?
Perhaps as an add on to a serotonergic drug. I found remeron which also works on the 5 HT2C receptor pooped out. Also abilify also works on post synaptic receptors, and while it gave me some drive at first it stopped working. Prozac blocks the 5 HT2C receptor but also agonizes it and other serotonergic receptors and doens't seem to poop out. However it causes really annoying headaches and sexual dysfunction, but at least it is consistent. Perhaps it would be useful for showing my doctor that I can hold a good mood? She says that the fact that I responded to some drugs then they stopped working shows I have mood instability. Honestly, I haven't been all that impressed by what I have read about Valdoxan, and it is really expensive. If I could afford it, it might make a good substitute for remeron without the weight gain.
> I think a low dose of Lithium could possibly be a good adjunct to whatever antidepressant treatment you try. As long as lithium comes with very little or no noticeable side effects and it seems to help, it could be a staple for a very long time.
I really don't think I need a mood stabilizer, but I would be willing to try them if it means I could take a tricyclic or MAOI then I would do it.
Complaints: post-SSRI problems: anhedonia, memory and concentration problems, sexual dysfunction. )
Country:USA
Currently taking SAM-e 1200mgs
poster:Conundrum
thread:973640
URL: http://www.dr-bob.org/babble/20101203/msgs/973693.html