Posted by psych chat on September 30, 2009, at 23:20:05
In reply to HELP! 10 years on Effexor XR - now it quits on me!, posted by hemingwaykitten on September 30, 2009, at 22:33:32
Sorry to hear about your troubles. I was once on the SSRI/SNRI merry go round for way too long.
If I understand correctly, for atypical depression, after Effexor, it's common protocol to try a second trial of Wellbutrin as an augment, before moving on to another drug class. If that doesn't work, you might want to check into Remeron or a MAOI. Ensam may be a good MAOI to start with, but that alone may increase your anxiety.
For depression that's not atypical, Lamictal may be worth exploring as a next step.
Go to this algorithm chart and click on "consultation" or "flow chart" to check your options if you don't want to go through numerous, time-consuming, miserable SSRI/SNRI trials that seem to causing adverse effects to your education endeavors.
http://mhc.com/Algorithms/ver4/startDep.html
Good luck to you. Maybe starting school led to your symptom changes and they will subside in time?
poster:psych chat
thread:919213
URL: http://www.dr-bob.org/babble/neuro/20090701/msgs/919222.html