Posted by West on January 16, 2010, at 15:08:10
In reply to Re: switching from venlafaxine/mirtazap to moclobe, posted by West on January 16, 2010, at 4:41:55
If this doesn't work then consider asking your doc about adding bupropion, though it is often a bit hit and miss. I don't know anything about the noradrenergic tricyclics like desipramine/nortriptyline, but some here are adding them to their primary antidepressants with good results.
Other ideas might be adding a DA agonist (pramipexole, cabergoline, bromocriptine, piribedil (NE effects also, probably more activating than the others), amantadine, any of the psychostimulants (few protocols call for this though). Looking up pramipexole I found this doc's opinion:
"Recently, I have been prescribing ropinirole, which is similar to pramipexole except that it possesses some opioid characteristics. In the few months that I have been prescribing it, I find that patients prefer it to pramipexole and that it is more likely to raise self-esteem than pramipexole or conventional antidepressants. However, it seems to induce sleepiness as a side effect more often than does pramipexole."
W(http://ajp.psychiatryonline.org/cgi/content/full/159/2/320-a)
poster:West
thread:930533
URL: http://www.dr-bob.org/babble/20100113/msgs/933947.html