Posted by Elizabeth on August 9, 2001, at 22:25:31
In reply to please this is important, posted by ck on August 9, 2001, at 19:08:36
I don't know about Wellbutrin, but I think it's worth a try. It's a stimulant-like antidepressant.
Remeron seems like it might be a good option as well; it's worked for several people I know who have the sort of dysthymia you describe (anhedonia, boredom, sarcasm, cynicism, pessimism, etc.).
I'm not so sure about SSRIs (Prozac, Paxil, Zoloft, Luvox, Celexa). Personally, I think that Remeron and Wellbutrin would probably be better choices, but if those don't work, an SSRI might be a good thing to try next. (These medications can be used in combinations, too.)
Remeron should be started at 30 mg; lower doses tend to be too sedating. Some people experience weight gain on Remeron, and using it in combination with Wellbutrin might counteract that side effect as well as augmenting the Remeron and providing a bit of extra energy. Wellbutrin SR (sustained-release) is probably more tolerable than Wellbutrin (immediate-release).
Don't give up if the first thing you try doesn't work. There are many options, and not much information on which to base a choice of antidepressant, so it can take several trials before you get it right.
-elizabeth
poster:Elizabeth
thread:74372
URL: http://www.dr-bob.org/babble/20010809/msgs/74400.html