Posted by linkadge on January 21, 2013, at 19:34:26
In reply to Corticosteroids and Relief from Depression, posted by cellular on January 21, 2013, at 19:14:23
Prednisone can have a stimulant like effect - releasing dopamine and norepinephrine.
It appears your depression symptoms are atypical. The combination of an SSRI and antipsychotic may not be the best for you at this time. SSRIs alone can induce fatigue, apathy. Antipsychotics might increase this.
Some ideas / options:
- switch to (or add) something more stimulating (wellbutrin, desipramine, clomipramine)
- check vitamin D and b12 status
- add some chromium (good for atypical depression)
- caffiene augmentation
- ditch the antipsychotic if the depression is not psychotic (add a 'Z' drug if sleep is the issue)
-switch the zoloft to imipramine or fluvoxamine (these drugs have partial glucocorticoid agonist activity)
- bright morning light
- partial sleep deprivationLinkadge
poster:linkadge
thread:1036019
URL: http://www.dr-bob.org/babble/20130112/msgs/1036025.html