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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by chinaboy on July 25, 2014, at 5:29:05
Hi there:
So far, I have tried all the SSRIs, but they never worked.
Drugs that are of some use to me include: Nardil, Parnate, Mirtazapine, Wellbutrine, Reboxetine.
But Why? I wonder Why SSRI worked crap and why NE drugs were better?
Does that suggest the underlying cause to my disorder lies on NE instead of 5HT?
So,in this sense, will TCAs influencing both NE and 5HT work?
To save money, my pdoc wanted me to try amitriptyline plus 2.5mg Abilify. Is this a reasonable combo?
Posted by Christ_empowered on July 25, 2014, at 5:58:10
In reply to SSRIs never worked! Why?, posted by chinaboy on July 25, 2014, at 5:29:05
Psych meds don't seem to correct imbalances or anything. Its an issue of making the right alteration in brain chemistry to create the right alteration in mood and outlook and possibly behavior. See what I'm saying?
Your doc's combo sounds good enough to me. Elavil can be rough stuff. At least the Abilify is low dose and shouldn't be sedating.
Posted by chinaboy on July 25, 2014, at 6:53:15
In reply to Re: SSRIs never worked! Why?, posted by Christ_empowered on July 25, 2014, at 5:58:10
Thanks for the reply!
Today was the 2nd day of taking amitriptyline. With the addition of 2.5mg Abilify, the crying bell had came to an end and I could think more clearly, which never happened when I was on low dose Abilify plus antidepressant before. I felt good, though never as good as when I was on Nardil or ParnateAccording to manufacture's remarks, Abilify could only augmenter SSRI, but the possibility of Abilify augmenting TCA was never mentioned. What a surprise to me!
Really hope it could last! Best wishes to those who has read my post.
Posted by phidippus on July 26, 2014, at 18:14:29
In reply to SSRIs never worked! Why?, posted by chinaboy on July 25, 2014, at 5:29:05
How do you respond to stimulants?
Eric
Posted by chinaboy on July 27, 2014, at 5:33:48
In reply to Re: SSRIs never worked! Why? » chinaboy, posted by phidippus on July 26, 2014, at 18:14:29
> How do you respond to stimulants?
>
> EricI responded to Ritalin very well! But stimulants are strictly controlled in China, so I cannot get them easily.
I really feel that there must be something wrong with my NE, but strangely, I responded to TCAs poorly:)
Posted by phidippus on July 27, 2014, at 13:09:11
In reply to there must be something wrong with my NE, posted by chinaboy on July 27, 2014, at 5:33:48
Is it possible you have ADHD?
Eric
Posted by chinaboy on July 27, 2014, at 22:13:45
In reply to Re: SSRIs never worked! Why? » chinaboy, posted by phidippus on July 26, 2014, at 18:14:29
Hi Eric:It's very likely that I may have ADHD at the same time.
Drugs for ADHD are strictly controlled in China, so I use Wellbutrin, thanks to its NE property, to help me concentrate.
It seems that TCA don't work for me,either.
Posted by phidippus on July 28, 2014, at 16:19:50
In reply to I may have ADHD » phidippus, posted by chinaboy on July 27, 2014, at 22:13:45
Some of the depression you experience may be ADHD related. I recommend you take a stimulant along with an SNRI.
Eric
This is the end of the thread.
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