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Re: TCAs

Posted by Bob on October 29, 1999, at 12:31:46

In reply to Re: So much for stability (next med suggestions), posted by saint james on October 29, 1999, at 4:27:10

> Hmmm.... generally TCA's are more effective for severe depression ...

When I made the switch to nortriptyline from lithium as an augmentor for zoloft, particularly after a few months of letting it settle in, I really did feel it was the TCA that was giving me the biggest boost ... my pdoc and girlfriend/doc disagreed given how swiftly I'd crash even reducing my dose of an SSRI. I'm finally getting a chance to check that out. Immediately after starting the nortrip, I dropped to 150mg on zoloft and it hit me immediately ... but who's to say whether that was less zoloft or a new med causing the trouble? Now, I'm close to a week in dropping from 200mg to 100mg of Z and not much in terms of effects ... a little leg bouncing, a little spaciness, that's it. Well, as my pdoc said, we'll see how its going when we get down to 25mg every other day....

Anyway, as a number of you have mentioned (most recently torchgrl and st. james), I'm putting my money on the TCA plus some augmentation if needed (and it probably will be). I'm also keeping a close eye on the Rebox posts to see how those go. My pdoc is methodical, so it will be at least a month (barring a major crash) before I check on aumentation.

Thanks again for all y'all's support ... it's given me a lot to think about and, as usual, you've all taught me quite a bit.




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