Posted by bleauberry on February 25, 2010, at 17:00:42
In reply to Tianeptine for escitalopram's emotional blunting?, posted by vic80 on February 25, 2010, at 12:57:37
The best bet is to not take any medication that is likely to cause or worsen emotional blunting, which includes any medication that is primarily serotonin based. Of the ssris, I would say prozac is the least likely of the bunch, but they are all quite guilty.
A good strategy to battle depression and anxiety yet avoid emotional blunting is to avoid focus on any single neurotransmitter, but instead hit a combination of them. That includes things like SSRI+Nortriptyline, SSRI+Ritalin, Parnate, Nardil, Savella. Of the antipsychotics to consider adding to an antidepressant, abilify at very low doses would be reasonable.
I think more and more the emotional blunting effect of ssris is coming to public view. I've seen it showing up in magazine articles and TV shows for the first time, even though we've all seen it happening for years.
The moral of the story is...don't take anything that puts an unequal favor on serotonin. As for the anxiety and klonopin, a better option to handle temporary anxiety with the least depressive risk is xanax.
poster:bleauberry
thread:937868
URL: http://www.dr-bob.org/babble/20100216/msgs/937879.html