Posted by jono_in_adelaide on November 14, 2012, at 18:56:26
In reply to Re: Something to add to Cymbalta? » jono_in_adelaide, posted by emily elizabeth on November 14, 2012, at 18:01:03
If pain is a concern, go an SSRI such as Zoloft (50-100mg) or Lexapro (10-20mg) plus nortriptyline (75mg-150mg) at bedtime. Start at 75mg, and increase in lots of 25mg untill the sweet spot is reached.
It is a highly effective noradrenalin reuptake inhibitor (better than cymbalta) and is active against pain as well.
This combo is generaly more effective than the SNRI drugs such as Effexor and Cymbalta on depression, and it should still provide good coverage for pain.
He could aslo take a mild NSAID (such as meloxicam, 15mg daily) if he needs an added boost for his pain
Endrogenous (NARI responsive) depression, GAD and Panic Disorder
Rx Edronax (reboxetine) 10mg/day
Zoloft 100mg/day
Risperidone 1mg at night
Xanax 1mg three times a day
poster:jono_in_adelaide
thread:1031321
URL: http://www.dr-bob.org/babble/20121113/msgs/1031340.html