Posted by SLS on October 16, 2017, at 16:09:41
In reply to Re: Depression switch to anxiety. Starting Effexor., posted by phidippus on October 15, 2017, at 15:53:00
> >Out of curiosity, have you tried taking nortriptyline or any other TCA?
>
> The only TCA I have been on is clomipramine. It was a superior antidepressant and anti-obsessional, but it came with a price. Anorgasmia. I couldn't c*m to save my life. I would jerk myself raw taking clomipramine. My psychiatrist was very sympathetic and switched me to Zoloft.
>
> EricUnderstood.
Again, I would suggest that you consider adding a full therapeutic dosage of nortriptyline to Effexor 300 mg/day, especially with the symptoms you describe. You could even add Wellbutrin to Effexor. The latter strategy is used more often, but I would not abandon SRIs until you try adding nortriptyline.
How does Abilify affect you?
A friend of mine who is diagnosed with having MDD did pretty well on Abilify, Lamictal, and Wellbutrin. She didn't like the weight-gain from Abilify, so she later found remission using a combination of ketamine (intranasal) and Lamictal.
What are your reasons for taking Invega? Would you be willing to add a low dosage of Abilify to it?
Anxiety -> Depression
Depression -> AnxietyIt's a nasty loop.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1095430
URL: http://www.dr-bob.org/babble/20161215/msgs/1095461.html