Posted by gilmourr on January 17, 2013, at 13:32:08
In reply to Gillmore (again), posted by jono_in_adelaide on January 17, 2013, at 0:27:45
> Dont worry, I'm not stalking you!
>
> After reading what treatments have and havent worked for you in the past, it seems as though you have had some sucsess with Zoloft, so, before going down the path of ECT, could i suggest that you
>
> - Go back on Zoloft, and push the dose above the "usual" 50mg to 100-200mg/day
>
> - Augment the Zoloft with either Nortriptyline or Welbutrin, both of these hot noradrenalin, which is especialy indicated in endrogenous depression. Nortriptyline helps anxiety to some extent as well, because of its activity at the 5HT2A receptor. Welbutrin might be more "activating" and give you kick start if you need it.
>
> I would definatly urge you to try either of these stratergies before having ECT (or try both, pick one and give it a decent trial, if that doesnt work, trial the other)I'm not sure about wellbutrin, I feel like it would just make me wired and anxious. So nortrypiltine would be my first bet.
Have you googled magnetic seizure therapy? Tell me what you think about it. I have an option for that or rTMS in a few weeks. If I do one, I believe I won't be able to do the other for a couple months or maybe a year, which is why I don't like the idea of doing rTMS (because it's less effective).
poster:gilmourr
thread:1035661
URL: http://www.dr-bob.org/babble/20130112/msgs/1035678.html