Posted by B2chica on August 22, 2011, at 8:48:40
In reply to Re: Change in mood rhythm...SLS » B2chica, posted by SLS on August 15, 2011, at 17:18:23
Hi SLS.
one pdoc mentioned that i had been on TCA's with no luck...i assumed it was the trazadone and remeron.. i wonder if he was even looking at the right file?? he was a bit flighty so that does not surprise me a bit. so that's another story.if i'm on pristiq, perphenazine and adderall, gabapentin at nights for sleep/relax and day PRN for anxiety. which of the TCA's would you think work well for me.
my depression tends to cycle between aggitation/anxiety and lethargic hopeless/delusional depression. at its worst i do have some auditory/visual illusions.i am not really bad off. but im just not above water. i feel like im bobbing in the ocean, not quite able to stay above water.
which (if any) TCA could i augment with? i see pdoc this friday.
thank you so much for your help
> Neither one of these drugs is a TCA. Examples of TCA are: imipramine, desipramine, amitriptyline, nortriptyline, doxepin, trimipramine, protriptyline, amoxapine, and clomipramine.
>
> For depression, I prefer nortriptyline and desipramine because they have relatively mild side effects compared to the others. For OCD, clomipramine is the most effective. I am currently taking a combination of Nardil and nortriptyline.
>
>
> > should i try another TCA?
>
> You haven't tried one yet, I don't think. :-)
>
> > should i just jump in and try Maoi next...
>
> I don't know. What are the main symptoms of your illness?
>
> > i have always made the assumption that dopamine was my key.
>
> Can you detail for me the reasons you have for coming to this conclusion? It would be helpful.
>
>
> - Scott
poster:B2chica
thread:993827
URL: http://www.dr-bob.org/babble/20110822/msgs/994525.html