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Re: More Melancholic depression - Cymbalta or TCA

Posted by hansi555 on September 26, 2008, at 2:57:39

In reply to Re: More Melancholic depression - Cymbalta? » hansi555, posted by bleauberry on September 25, 2008, at 19:40:53

> > Milnacipran, never herd about, is it like Cymbalta or Effexor? Or something different?
> > I dont think it is on the Danish market...
> >
>
> It is a SNRI, except much stronger on norepinephrine than cymbalta or effexor.
> The norepinephrine-to-serotonin ratios are approximately:
> Effexor 1:30
> Cymbalta 1:9
> Milnacipran 3:1
>
> If it isn't on the Danish market, it is nearby. It is from Europe and Japan primarily. Many people get it from mailorder pharmacies or anti-aging places in United Kingdom.


I have read a lot scary stuff regarding withdrawal symptoms for Cymbalta.

So I am also concidering to go for a TCA instead, Nortriptylin (Pamelor) as this should also be well for treating Melancholic symptoms.
Havent read much about withdrawal problems with Nortriptylin, but maybe I am wrong...?

Which one is the best choice? I know it is a tough call, but I dont like the idea of becoming addictive to ADs like Cymbalta


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