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Re: Hospital over, but med. advice seriously needed gpznos

Posted by ChicagoKat on January 30, 2013, at 9:34:00

In reply to Re: Hospital over, but med. advice seriously needed, posted by gpznos on January 26, 2013, at 17:16:05

Sorry for the late reply gpznos. I think you are lucky b/c it seems there are lots of things you have not tried yet. I wonder if trying a different SSRI might help. I know you were on Lexapro, but only at a low dose, so you may well not be resistant to SSRIs yet. So maybe Zoloft or Prozac might help.

I did see that you said that you didn't like the way Lexapro made you feel, so if you're not keen on the idea of another SSRI, there are still other options. It doesn't seem you've tried an SNRI like Effexor or Cymbalta. They can make some people jittery or anxious, but some people do great on them.

And of course, Wellbutrin is another option. It works on Norepi and Dopamine receptors. It works *great* for lots of people - my husband takes it and loves it - but for some people it can cause anxiety, which is a real shame. Because a lot of people lose weight on it - hubby lost 70 pounds! - and it has no sexual side effects which is a problem with lots of antidepressants.

It really does seem that the Nortriptyline has pooped out on you. But there are still lots of other TCAs you haven't tried, but stay away from amitriptyline, it is really the same thing as Nortrip, just one enzyme reaction away. Plus it is very sedating. I actually use it to help me sleep.

This is a start. There are other options too, but the heavier guns I think should be held in reserve until all of the above options prove to not work for you, have intolerable side effects, or poop out on you.

Good luck, and let me know if you have any questions.
Kat


On a steady diet of soda pop and Ritalin
-Green Day


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URL: http://www.dr-bob.org/babble/20130124/msgs/1036860.html