Posted by Roslynn on July 19, 2013, at 14:28:22
In reply to Re: Switching from Pristiq to Effexor HELP PLEASE! » Roslynn, posted by SLS on July 18, 2013, at 17:32:38
Hi Scott,
To answer some of your questions:
>
> Mood reactivity is a phenomenon in which someone will feel significantly improved in response to a positive experience. It doesn't sound like this pertains to you.I actually do have this! I was misinterpreting the meaning of it. My mood can brighten is response to a positive event, comment, etc. It can do the opposite too.
> As I suspected. You are a tricyclic responder. You may yet respond to Effexor. If you respond to it, but only partially, you might ask your doctors about adding a second antidepressant to it rather than switching.
My pdoc wanted to add Remeron to my Pristiq rather than switching me to Effexor, but I was worried about weight gain and appetite increase with Remeron.
>It would have been nice if your doctors had tried adding lithium to the clomipramine and Prozac.I actually am on 675mg of lithium as an augmenting agent, for several years now. I am not able to increase above this dose.
> What was it about nortriptyline that you had trouble tolerating? How long did you take it for, and at what dosage?I think I took nortriptyline for 6 months trying to get up to 50mg, but never made it due to dizziness and drowsiness/spaciness.
>
> If you are not a nortriptyline responder, it may be that you respond only to the imipramine series of drugs (imipramine, desipramine, clomipramine, trimipramine). In this case, amitriptyline would not be your next choice.
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> How do you respond to Wellbutrin?I felt more alert, no effect on depression, had to discontinue due to facial tics.
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> Which mood stabilizers have you tried?Lithium, lamictal (terrible cognitive effects, worst of all of them)
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> Which antipsychotics have you tried? Some of them have antidepressant properties and are known to treat bipolar depression.I have been on 100mg seroquel for sleep/panic since 2007.
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> I feel confident that you will find a treatment that works. You are not completely areactive to medication. It might take some time, though.
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> - ScottThank you!!
Roslynn
Maybe someday we'll live our lives out loud
We'll be better off somehow, someday.
poster:Roslynn
thread:1047369
URL: http://www.dr-bob.org/babble/20130706/msgs/1047475.html