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Re: Depressed from ADs - how likely is it?

Posted by polarbear206 on March 3, 2009, at 22:03:55

In reply to Re: Depressed from ADs - how likely is it?, posted by hansi555 on March 3, 2009, at 14:09:21

> > ADs can cause depression. Sometimes it is a start-up effect, sometimes it will cause depression indefinitely. Just start with small doses and increase gradually.
>
> Okay
>
> I started out 14 months ago w. stress and TOTAL insomnia. Started out on 30 mg Remeron only to be able to sleep, I was NOT depressed (but exhausted)
>
> After 2 weeks on Remeron, I suddenly started crying out of nothing, dosage was increased, it helped some, but not enough, so after some months my psychiatrist added Lexapro, but it never went to some constant relief, only 2-3 weeks at a time, then set-backs. Summer and autum was like this.
> During october, Nortriptyline was gradually added and more or less all of the psysically symptoms went away (nausea, no appetite, dizzyness), but still mood swings. Since december Nortrip 85 mg has been my main drug, I have slowly stopped Lexapro and only take 15 mg Remeron at night time. The first 6 weeks of the year were rather good, I felt more or less cured as I tappered down Lexapro.
> But I have had a set back during the last couple of weeks w. crying spells, depressed feeling etc. (but also good days in between).
>
> So I am puzzled; after 14 months of treatment:
> 50% of the time: feeling normal/good
> 25%: so-so, I get by
> 25%: depressed
> ????
>

You may have some underlying cycling going on here. Antidepressants can exacerbate depression in these cases if a mood stablizer isn't on board. I went through a very similar situation. Adding a mood stablizer (lamictal) did the trick.


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poster:polarbear206 thread:883520
URL: http://www.dr-bob.org/babble/20090223/msgs/883610.html