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Augment Effexor or TCS or MAOI or other?

Posted by Ada Marie on December 9, 2012, at 19:07:42

Hello,

I am new to this forum; this is my first post actually. So, I have Dysthymic Disorder with episodes of MDD, atypical type. I have 1-2 episodes of MDD per year. The first time I was treated for MDD, I was 18 years old. I am 30+ now. I have been on SSRIs, SNRIs, Atypical Antidepressants, and combinations of each. No medication has been effective for longer than 12 months. I have never had a manic episode, but I do notice mood instability. My episodes of depression are worsening. I also have some symptoms of ADHD, but do not meet criteria for ADHD, inattentive type. I take Effexor 150, Vyvanse 30, and Trazadone 75. I am wondering if it is best to augment Effexor with Lamictal (or something else) or move to a TCA or an MAOI. I will not continue to take a medication if it causes over 5# of weight gain. I am wondering if anyone has experienced what I am experiencing and what was most helpful. I will appreciate your feedback very much!


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poster:Ada Marie thread:1032720
URL: http://www.dr-bob.org/babble/20121130/msgs/1032720.html