Posted by Tabitha on August 24, 2016, at 16:52:46
In reply to Re: thanks » Tabitha, posted by SLS on August 24, 2016, at 16:10:30
> If you do opt to try Paxil, be aware that it is probably the SSRI most likely fail to work once it is discontinued and restarted. If it is working, just leave it alone. I also suspect that Paxil can cause cross-tolerance to other SSRIs. Because of this, I would try Lexapro and Zoloft first, and reserve Paxil as a second-line or third-line antidepressant.
Thanks, I didn't know that. Paxil is probably the last one I would try since it's notorious for weight gain anyway.
> How high did you go with Effexor, and did you add Wellbutrin, nortriptyline, or Remeron to it?
I don't even recall the dosage. And no, we never tried multiple ADs. I don't think I've ever done that. Generally I end up with an AD + mood stabiliser combo.
>
> You might consider low-dosage lithium - maybe 300 mg/day to add in the background. A low dosage avoids toxic or irreversible effects on thyroid and kidneys. I'm taking lithium because it helps to a mild degree with depression, and is possibly a treatment to prevent Alzheimer's Dementia, which occurs at a significantly higher rate with people with severe depression.Yes, I've been using lithium 300 mg for a while now. The most recent experiment was increasing to 900 mg, but it wasn't doing anything for my depression and I felt generally awful on it. I also was really averse to going high enough to require regular blood work.
I didn't know that depression increases risk of Alzheimer's. I guess that's one good reason to stay on the lithium.
poster:Tabitha
thread:1091494
URL: http://www.dr-bob.org/babble/20160819/msgs/1091519.html