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Re: Add Risperdal or switch to Emsam for unipolar

Posted by med_empowered on April 27, 2006, at 22:44:45

In reply to Re: Add Risperdal or switch to Emsam for unipolar MDD?, posted by Phillipa on April 27, 2006, at 20:12:03

hey! OK, personally, I'd avoid all antipsychotics, new or old...they can cause dysphoria/depression, make anxiety worse, etc. Plus...I'm kind of concerned about people using them for OCD. With Zyprexa, for instance, the serotonin antagonism has actually caused OCD in some people or made it worse, so thats a little disconcerting.

Maybe you could add a stimulant? For me, the amphetamines (Dexedrine, Adderall) didn't impact anxiety much; if anything, it helped me handle the anxiety a little better. Bumping the Klonopin and/or adding BuSpar is another option. Instead of an MAOI, maybe you could try Anafranil? Its kind of hardcore, but it seems to help a lot of people. Luvox might also be a good option.


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