Posted by SLS on September 7, 2001, at 8:14:00
In reply to Re: Which drugs do doctors choose first ?, posted by JohnL on September 7, 2001, at 4:27:43
>
> I don't remember the years. It was early 1990's.
>
> First choice: Prozac. In a very small town with a population of just a few thousand people, my GP has over 200 patients on Prozac and only 50 on all other meds combined. For some stupid reason I didn't want to take it. So...
>
> Second choice: Paxil. For some stupid reason I did agree to take this one. It ended my depression, but left me in an emotionless numb sexless state for about a year.
>
> Third choice: Zoloft + Nortriptyline. Worked very briefly for a couple days, and then pooped out.
>
> Basically I guess you could say my doc's strategy is SSRI first, then add either a tricyclic or Wellbutrin, then after that go back and try other SSRIs that had been missed, and then after that consider adding stimulants or antipsychotics. He very rarely uses anti-convulsants. Personally I think they would have a lot more success if they would get to the stimulants and antipsychotics quicker, and not spend so much time is SSRI monotherapy.
> John
I think you are probably right. Good synopsis.
- Scott
poster:SLS
thread:77972
URL: http://www.dr-bob.org/babble/20010907/msgs/78146.html