Psycho-Babble Medication | about biological treatments | Framed
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Re: Whats my next med option ??? Help please !!!

Posted by allisonm on March 8, 2001, at 10:43:47

In reply to Whats my next med option ??? Help please !!!, posted by ben on March 5, 2001, at 11:54:21

I'm no expert on this, but if you have only tried Celexa, you might want to go back and try one or more of the other SSRIs like Prozac, Zoloft, Paxil...

Have you tried a trial of Remeron or the Effexor XR alone? Both have worked well for some people. Remeron will cause sedation at first, but this usually lifts. Another possibility would be to try adding Remeron to the Effexor; it's known to be a powerful combination.

Have you tried Wellbutrin alone and/or augmentation with Wellbutrin?

I have read algorithms for depression that go in the above order. If those tacks fail, then they go toward MAOIs or the tricyclics.

I have not been able to tolerate SSRIs or Effexor, but have found Remeron and Wellbutrin somewhat helpful. I also tried Wellbutrin with Celexa. The Celexa helped mood, but there was too much fatigue, tremor, insomnia and no drive. I also am taking Neurontin, which has helped as a mood stabilizer; I've felt no side effects.

I expect to add Serzone next and may try Risperdal or Zyprexa.

Good luck.




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