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Re: Exotic Meds for Treatment Resistant Depression » Bob

Posted by SLS on September 29, 2008, at 7:46:19

In reply to Re: Exotic Meds for Treatment Resistant Depression » SLS, posted by Bob on September 28, 2008, at 23:45:39

Hi Bob.

I was first place on a combination of MAOI + TCA in 1983 by the research team at Columbia University. Unfortunately, they were too sheepish to increase the dosage of Nardil beyond 45mg. I responded briefly. Subsequently, another doctor tried Parnate 60mg + desipramine 150mg. It worked.

It took some effort to have my current doctor combine MAOIs and TCAs. This time it would be nortriptyline that I was to use as the TCA. I chose it because it produced a better response when combined with Effexor than did desipramine.

My switch from Nardil to Parnate was motivated by my not maintaining a full remission with Nardil, although I was still making progress. It was just happening too slowly. I have nothing to lose except for 50 pounds, as long as nortriptyline doesn't put up too much of a fight.

> One last question... are you able to function sexually on your cocktails?

Yes, although my "performance" has been somewhat diminished, and reaching orgasm difficult. For the times I have been on Nardil, I found that the ability to reach orgasm returns after a few months - even at 90mg.

What dosages of medication are you taking?


- Scott

 

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