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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by ed_uk on December 25, 2004, at 16:01:32
Has anyone experienced a good anti-depressant effect from trazodone? (I'm asking this question because trazodone has a reputation for being a rather 'weak' anti-depressant).
Ed.
Posted by bart on December 25, 2004, at 16:53:42
In reply to Trazodone as an antidepressant, posted by ed_uk on December 25, 2004, at 16:01:32
I've heard the same. Since I take it for sleep, I usually use it for late evening or nighttime irritability and/or depression. I don't think I would respond well to it during day time since I've been on a good effexor regiment during the day for the last several months.
cheers.
Posted by anxiety_free on December 26, 2004, at 2:49:17
In reply to Trazodone as an antidepressant, posted by ed_uk on December 25, 2004, at 16:01:32
I imagine it would suck. I've taken it for sleep and its OK as a sleep-aid, but it didn't improve my mood any. I've read that it has a tendency to cause a bit of cognitive imapirment when used as an AD. And then there's the priapism issue...
Posted by Iansf on December 26, 2004, at 16:40:07
In reply to Trazodone as an antidepressant, posted by ed_uk on December 25, 2004, at 16:01:32
> Has anyone experienced a good anti-depressant effect from trazodone? (I'm asking this question because trazodone has a reputation for being a rather 'weak' anti-depressant).
>
> Ed.I actually did use it as an antidepressant for about six months till it began to prove inadequate. I'm rather amazed that I was able to use it, since now 50mg is plenty to put me to sleep. But I don't recall oversleeping being a problem when I was using it as an antidepressant. I don't remember the exact dosage I took, but it was considered in therapeutic range.
You have me curious. I'd virtually forgotten about taking it and, curiously, have come to accept as fact the notion that it would inevitably cause round-the-clock sleep at a higher dose. Maybe one of these weekends I'll experiment and try, say, a 150mg dose to see what happens. It would be interesting if I discovered that the only difference for me between 50mg and 300mg were the rapidity and depth of sleep and not the length.
John Mc
Posted by ed_uk on December 26, 2004, at 17:44:22
In reply to Re: Trazodone as an antidepressant » ed_uk, posted by Iansf on December 26, 2004, at 16:40:07
Hi John,
Yes, I think it would make sense to try it, you might find that you like it!
Ed.
Posted by Colleen D. on December 26, 2004, at 19:49:02
In reply to Re: Trazodone as an antidepressant » ed_uk, posted by Iansf on December 26, 2004, at 16:40:07
Hi John,
From what I understand, some of the TCAs including trazodone and doxepin (which is what I use for insomnia) are actually more sedating at lower dosages. At least that's what my GP and PDoc have told me. You shouldn't be as sleepy on it when taking it at a therapeutic anti-depressant dose.
Colleen
>I actually did use it as an antidepressant for about six months till it began to prove inadequate. I'm rather amazed that I was able to use it, since now 50mg is plenty to put me to sleep. But I don't recall oversleeping being a problem when I was using it as an antidepressant. I don't remember the exact dosage I took, but it was considered in therapeutic range.
>
> You have me curious. I'd virtually forgotten about taking it and, curiously, have come to accept as fact the notion that it would inevitably cause round-the-clock sleep at a higher dose. Maybe one of these weekends I'll experiment and try, say, a 150mg dose to see what happens. It would be interesting if I discovered that the only difference for me between 50mg and 300mg were the rapidity and depth of sleep and not the length.
>
> John Mc
Posted by Wildflower on December 28, 2004, at 10:04:20
In reply to Trazodone as an antidepressant, posted by ed_uk on December 25, 2004, at 16:01:32
> Has anyone experienced a good anti-depressant effect from trazodone? (I'm asking this question because trazodone has a reputation for being a rather 'weak' anti-depressant).
>
> Ed.I asked my doctor about this when I was taking it. He said that when it prescribed for depression-only, it was a very, very, very high dose. I can't remember the dosage but the difference between a dose for depression and a dose for insomnia was astronomical.
I took it for insomnia and it was very hard to wake up the next day. There was no AD benefit for me --- at all.
Posted by yxibow on December 29, 2004, at 14:45:09
In reply to Trazodone as an antidepressant, posted by ed_uk on December 25, 2004, at 16:01:32
> Has anyone experienced a good anti-depressant effect from trazodone? (I'm asking this question because trazodone has a reputation for being a rather 'weak' anti-depressant).
>I'm not sure if its what you would call an antidepressant effect, but when I was prescribed it in the past for sleep and I waited up... well, I got a happy loopy feeling plus I wanted to raid the entire fridge. I think it hits some of the same receptor areas maybe that other hunger-inducing drugs such as remeron and the like do, but thats pure speculation.
Oh, to the other post, its a drug in its own class, not a TCA..
A full adult dose would seem to me to knock a horse down.. 150mg up to 400mg and more in hostpital situations.
On the other hand, for sleep, I did get up to 150mg as I got used to the initial 50mg dose, on one occasion. Groggy was I though in the morn. I had to cut back a little.
TMI, and off topic, mayhaps, but priapism isnt completely rare... we will leave that there for the sake of general audience
And on that note....!
Posted by ed_uk on December 29, 2004, at 15:14:05
In reply to Re: Trazodone as an antidepressant, posted by yxibow on December 29, 2004, at 14:45:09
This is the end of the thread.
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