Posted by jono_in_adelaide on October 16, 2011, at 18:57:23
In reply to Scott: Would like you to weigh in on something I', posted by Laney on October 16, 2011, at 14:39:31
Laney, if I can weigh in....
1. Combining a TCA with an SSRI is pretty common (though it is moe usual to use sertraline than paroxetine due to an interaction..... might be worth asking your doc about switching your SSRI to sertraline 50mg per day)
2. The anxiety at the begining of treatment isnt unusual - you could add a low dose of benzo (for example Klonopin 0.5mg twice a day) for a week or two till your body adjusts
3. I'd consider pushing the dose you're on, upto say sertraline 50mg per day and desipramine 75mg per day
4. If the anxiety persists and doesnt settle, you might consider trying mirtazapine (Remeron) 15mg at night for a couple of nights then 30mg at night.
poster:jono_in_adelaide
thread:999905
URL: http://www.dr-bob.org/babble/20111016/msgs/999924.html