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Re: Fluoxetine/sertraline and dopamine

Posted by desolationrower on April 1, 2009, at 4:30:28

In reply to Fluoxetine/sertraline and dopamine, posted by sowhysosad on March 31, 2009, at 22:30:18

hi, sounds like you already know a lot about whats going on.

i don't have expereicne with the meds your situation, but have you considered:

DA agonists like pramiprexole

low dose of selegiline - doc may say 'sure no problem' if she's got lots of pensioners, or freak out at ssri+maoi combo

i'm not totally sure the cause of akathisia, but one of the 5ht receptor blockers might help. my guess is to get the sertraline to be dopaminergic the dose will really have to be pushed, so if 5ht is causing the problems it could be problematic. my guess is that fluoxetine would be better, but who knows. st johns wort might be worth trying, at least part of the moa seems to be serotonergic but it also has some dopaminergic component, among other things.





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