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Re: Monotherapy vs. Polytherapy for Depression? bleauberry

Posted by simcha on August 19, 2010, at 19:00:43

In reply to Re: Monotherapy vs. Polytherapy for Depression?, posted by bleauberry on August 19, 2010, at 18:05:44

I don't know of any psychiatrist that would put me on Ritalin, honestly. I don't have ADD. And I know that if I were to ask to be put on Ritalin, most docs would consider that request to be akin to "drug seeking behavior" due to the controlled status of that particular drug. I understand what you are saying that it could potentiate the Cymbalta. Perhaps you are aware of some advanced chemistry the pdocs haven't caught onto yet.

Another reason that I can't take a stimulant is that I have chronic insomina and Ectopic Atrial Tachycardia (rapid heart rate caused by a locus of over-active cells in my right atrium that make my heart beat fast while forcing my heartbeat to start from their location instead of where it's supposed to start, the sinus node). For both of those reasons, I'm not sure a stimulant would be a good idea. I'm supposed to avoid caffeine just because of both conditions so I don't think that a cardiologist or sleep specialist would allow me to go on a stimulant. I'm also on Sotalol for my EAT. I take 180mg 2 times per day. This complicates things for the pdoc, as you would imagine.

I had to make a decision. This depression sucks. I hate it. The best I could do for myself, given potential side effects of the three and the limitations of my other medical conditions, was to try Lamictal. If it doesn't work, I might get more aggressive about suggesting other solutions.


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