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Re: treating depression w/o an antidepressant on board » linkadge

Posted by Roslynn on January 19, 2019, at 14:31:48

In reply to Re: treating depression w/o an antidepressant on board » Roslynn, posted by linkadge on January 18, 2019, at 18:27:21

> I assume you've tried some of the atypical antidepressants like trazodone, mirtazapine, or older TCAs like nortriptyline?
>
> I found that lithium and nortriptyline worked fairly well.
>
> Linkadge

I've tried mirtazapine (with and without Effexor) and some of the TCAs, but not all. Nortriptyline made me dizzy/fatigued. But I have heard it helps a lot of people. I thought trazedone was for sleep?

I believe my former pdoc was not a big fan of the TCAs, or did not like their side effect profile or mechanism of action for me. (Not sure about my current pdoc.)

However I did not understand this because it seems to me there is some variety within this class of meds. They do seem to have some differences.

I did look at my insurance formulary and some of the tricyclics are listed as prior authorization needed. Weird! Thought since they're older/cheaper, insurance would not have a problem paying for them.

Thank you for your suggestions,
Roslynn


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poster:Roslynn thread:1102826
URL: http://www.dr-bob.org/babble/20181024/msgs/1102867.html