Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Trinellix feel like an SSRI?

Posted by SLS on July 13, 2020, at 16:22:27

In reply to Re: Trinellix feel like an SSRI?, posted by Stargazer2 on July 10, 2020, at 20:38:54

> I am aware of that but at 60 mg the weight gain was more than I was comfortable with if a lower dose would work. So thats my rationale for being on 45 when 60 might work better. Hell 75 or 90 might be better but I could be 50 pounds heavier because of it. My philosophy over 35 years of drug trials is lowest dose, no matter what the literature or insert claim.
> Remember when Prozac 40 was the starting dose. Now many people start at 5 or 10 mg and 10 might be best for them.
> The majority of my drug failures I believe were from starting on too high a dose and overshooting the best dose for me.
> I actually cut back to 30 mg alternating with 45 mg in anticipation of a shortage. In one week I started to decompensate. Maybe Ill alternate 45 with 60 and see how I feel doing that.
> Are you worried about a supply shortage?

Believe me when I tell you that it is not my goal to take more of anything than I really need. I wouldn't take 60 mg/day if 45 mg/day would work just as well. You would know better than me how much weight gain is dosage-dependent with Nardil. However, I have tried decreasing my dosage of Nardil from 90 mg/day to 75 mg/day. I lost the improvement. Thankfully, I was able to recapture the response once I moved back to 90 mg/day.

I guess it comes down to cost versus benefit. If you have exhausted all other treatment alternatives, you might not conclude so quickly that under-dosing Nardil in order to mitigate weight gain makes sense. Do you have any other treatments lined up?

I would consider combining Wellbutrin with Effexor, Pristiq, or Trintellix. If there is any bipolarity in you or your family, I would also consider taking lamotrigine.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.




Post a new follow-up

Your message only Include above post

Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.


Start a new thread

Google www
Search options and examples
[amazon] for

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:SLS thread:1110801