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Re: Having Mental Illness in Canada

Posted by Christ_empowered on October 30, 2019, at 20:14:30

In reply to Re: Having Mental Illness in Canada Prefect, posted by linkadge on October 30, 2019, at 7:10:44

hi. if its worse in the AM, then I would think a tca would be worth bringing up to a doctor. Tofranil was OK(ish) for me...2nd time around, kinda rough...but it seemed less apathy-inducing than cymbalta.

is tianeptine available in canada? it isn't in the US, but...after amineptine got banned or whatever, tianeptine came out...some people love it, other people find it ineffective.

if a tca isn't on the table, sometimes starting out with 2+ drugs is...sadly... the least horrible option. i mean...if it works, you'll get some relief, faster...better than waiting out 1, then 1, then another 1+1...

effexor+remeron is fairly well established as a valid option, in some cases. other antidepressant+antidepressant combinations that might help: cymbalta+remeron, remeron+wellbutrin, (insert ssri HERE)+wellbutrin, ssri or ssnri + buspirone (buspar)....

have you ever tried 'atypical' tranquilizers, aside from Abilify? olanzapine works nicely with Prozac (symbyax...generic, now, in the US), but the metabolic probs and the usual from neuroleptics (read: eps, akathisia, td) are something to be concerned about...

low dose risperidone has been used to boost antidepressants, but i find that kinda scary, because risperidone is on the rougher end of atypicals, plus...prolactin elevation, big concern...

cymbalta can be dosed up to 120mgs/daily, I think...as long as your liver is OK and you can get some blood work now and then, that seems like it be a less harsh option than Tofranil or the other tca drugs...

im not a huge fan of mood stabilziers, personally. lots of people swear by them, but I personally have found a lot of them to function as glorified sedatives. true story.

hope this helps, somewhat. :-)


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