Posted by Conundrum on September 6, 2011, at 16:36:10
In reply to Re: Nardil anhedonia, need TCA? SLS? » Conundrum, posted by SLS on September 6, 2011, at 10:36:22
> > It seems that since I've started Nardil I've been more lethargic and lazy than normal. Usually I just want to sleep or do nothing. I find less interest in things that always helped my anhedonia a little like video games.
> >
> > I am wondering if things improve with a higher dose, or perhaps I should consider asking my pdoc on wednesday for nortriptyline, desipramine, or protriptyline to help with the anhedonia. I know he likes the stim + MAOI combo, but I have never had positive or pleasant experiences from stimulants.
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> The first time I added desipramine to Parnate, I experienced a robust improvement that lasted for several months. It was as if the Parnate helped to stabilize the tricyclic response. Otherwise, desipramine poops-out on me within three days of the appearance of an antidepressant response.
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> Regarding anhedonia, TCAs can do a good job. No theory here. It is simply an empirical observation. Theory is often a fruitless way to attack depressive illness.
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> - ScottThanks Scott. Are there any TCAs in particular that you have seen anhedonia respond to and others not so well?
Complaints: post-SSRI problems: anhedonia, memory and concentration problems, sexual anhedonia. )
Country:USA
Currently taking 2.5 mg prozac, Multi B vitamin
poster:Conundrum
thread:995974
URL: http://www.dr-bob.org/babble/20110902/msgs/996033.html