Posted by jono_in_adelaide on October 20, 2011, at 19:42:17
In reply to Re: what a jip » jono_in_adelaide, posted by SLS on October 20, 2011, at 19:25:50
I take it along with an SSRI (sertraline 100mg om)
I took high dose Effexor (300mg/day) and didnt get any benifit, nor did any of the SSRI's by them selves help.
I then read on Dr Ken Gillmans site (psychotropical) about combining an SSRI with an NARI for a more robust response. I have tried Sertraline plus Nortriptyline (75/g at night)sertraline with bupropion (300mg/day) and sertraline with reboxetine (4mg twice a day)
All were about equaly effective, but the reboxetine produced fewer side effects than the nortriptyline, and was much cheaper than the buproprion (In Australia it is only aproved for short term use in smoking, and insurance wont pay for long tem use in depression, so if you want it, you pay the fulll cash price..... and unlike most drugs, which are cheaper in Australia, bupropion is more expensive here)
I think that is reboxetines main role (and nortriptylines these days) - as a booster for the SSRI's
I'd encourage ggg to try both nortriptyline and reboxetine (and bupropion if it was a viable alternative in Australia, which sadly it isnt)
poster:jono_in_adelaide
thread:999961
URL: http://www.dr-bob.org/babble/20111016/msgs/1000344.html