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Re: Vortioxetine revisited at 20 mg

Posted by undopaminergic on January 23, 2024, at 10:38:14

In reply to Re: Vortioxetine revisited at 20 mg, posted by SLS on January 8, 2024, at 12:15:36

> Hi.
>

Hi SLS!

> Memantine produced no noticeable improvement for me. I'm pretty sure I used the maximum recommended dosage.
>

It is my experience and understanding from what I've read, that the initial dose, if sufficient, should make you feel "weird".

My first dose was 10 mg, and I did feel weird, so I did not take more, until weeks or months later, and then it produced a nice antidepressant response, without any "weirdness". I don't recall whether my second dose was 10 or 20 mg.

At a (months) later point, I needed 60 mg, so the maximum recommended dose may not be sufficient. I survived an overdose of several grams (a gram is 1000 mg), so I would not personally worry about taking a couple of 100 mg or so on a regular basis.

> I also chose to add bromocriptine and pergolide (separately) to this combination, as both are DA receptor agonists. Both are available in the U.S. to treat Parkinson's Disease. I experienced a few days of relief before I relapsed.
>

Unfortunately, it may not be a good idea to take ergoline-based dopamine agonists in the longer term, as they can produce fibrosis and valvulopathy. Lilly was sued over this.

> Did any of the DA receptor partial agonist antipsychotics have any positive effects on you at all?
>

No, they didn't, but I never tried 2.5 mg of aripiprazole (Abilify), only higher doses.

-undopaminergic


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URL: http://www.dr-bob.org/babble/20230117/msgs/1122308.html