Posted by zeebop on August 2, 2004, at 5:08:11
In reply to Re: Question to zeebop » HappyGirl, posted by Sad Panda on July 30, 2004, at 7:23:35
> > Hi Zeebop:
> > I never heard/read the following meds. except Trazodone.
> > It sounds to me like all of those ADs are 'older,' ... but I wonder about their 'efficacy?'
> >
> > >>>AD's that have potent 5ht2 antagonism apart from Nefazodone :
> > Amitriptyline
> > Trimipramine
> > Clomipramine
> > Nortriptyline
> > Dothiepin
> > Trazodone
> > Mianserin
> > Mirtazapin<<<
> > Since I had no tolerance on all of SSRIs, then my pdoc. rxed Serzone which did help me tremendously. However, due to the mass' dosage along with more than 3 years' use, my system seemed NOT able to handle Serzone.
> >
> > Currently, I'm on around 100 mg. Trazodone, although I was on 450 mg. Serzone/Nefadone for the past three years. For me, it's so amazing this, 'tiny' dosage 100 mg. Traz. has been taking place of 450 mg. Serzone.
> > However, I'm worrying about whether this 'small' dosage continue helping the depressive side of my Bp.
> >
> > Your opinion and suggestion would be greatly appreciated.
> > H.G.
> >
>
> Mirtazapine is the generic name of Remeron, Mianserin is an older version or Mirtazapine. Trazodone(Desyrel) is a bit like the older version of Nefazodone(Serzone). Amitriptyline(Elavil, Tryptanol, Endep), Trimipramine(Surmontil), Clomipramine(Anafranil), Nortriptyline(Pamelor, Allegron), Dothiepin(Prothiadin, Dothep) & Doxepin(Sinequan, Deptran)
> are TCA's. Imipramine(Tofranil) & Desipramine are also TCA, but they aren't 5-HT2A antagonists.
> Most of the TCA's have better efficacy than the SSRI's & Effexor, it just depends which set of side effects you prefer.
>
> Cheers,
> Panda.
>
>Hi,
I totally agree with you Panda.Just like to add that unfortunatly ,lots of people(&doctors) now do not know or mention TCA's ,,as if SSRIs were the first and only option,although TCA's were around since the late 50's,and certainly for a lot of people and people with severe case,TCA's like Amitriptyline,Imipramine and Clomipramine are more potent and effective than any of the SSRIs,the atypical SSRI Effexor,and all other "newer" ADs.
poster:zeebop
thread:370122
URL: http://www.dr-bob.org/babble/20040730/msgs/373058.html