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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Laney on December 16, 2009, at 10:56:17
Hi there. I'm new here. First post. I would like some help choosing an AD. I'm on 10mg. and really don't want to be on an SSRI. I'm depressed and have no motivation, lack of happiness in general, no passion, etc. I don't want the side effects of an SSRI or the W/D. Anyone have any good ideas? What about Wellbutrin? Have never taken anything except Paxil and have been on it for 13 years. Can't seem to get off of it and it pooped out on me a year ago. Need to get feeling better soon!!!
Thanks! Laney
Posted by Phidippus on December 17, 2009, at 15:33:31
In reply to Would like some help choosing an AD, posted by Laney on December 16, 2009, at 10:56:17
Anyone have any good ideas? What about Wellbutrin?
Wellbutrin will certainly help in the area of motivation. So would Pristiq or Effexor.
P
Posted by Phidippus on December 17, 2009, at 15:35:27
In reply to Would like some help choosing an AD, posted by Laney on December 16, 2009, at 10:56:17
Wellbutrin will help with motivation. So will Pristiq and Effexor
P
Posted by mtdewcmu on December 17, 2009, at 21:17:12
In reply to Would like some help choosing an AD, posted by Laney on December 16, 2009, at 10:56:17
You sound like an ideal candidate for Wellbutrin. Remeron and Serzone are also good antidepressants that are not SSRIs. The main problem with Remeron is the sedation that results from its antihistamine actions, but this is less of a problem at higher doses (30-45 mg), and it can be mitigated somewhat by taking it at night.
As someone else mentioned, Pristiq/Effexor may be candidates, although they are very similar to an SSRI in their effects.
You could also try something like nortriptyline, which has more of an effect on norepinephrine than it does serotonin, but it has more side effects than SSRIs.
You should also not automatically eliminate all SSRIs. Paxil is known for having a lot of side effects, so you shouldn't rule them out based on your experiences with Paxil. Lexapro is considered to be the SSRI with the least side effects. Celexa and Zoloft are also good choices.
If I were you, I would start with Wellbutrin.
Hope this helps.
Posted by Phillipa on December 18, 2009, at 13:55:40
In reply to Re: Would like some help choosing an AD, posted by mtdewcmu on December 17, 2009, at 21:17:12
It's energizing my experience short lived as I appeared manic to the doc and he stopped it. Phillipa
Posted by desolationrower on January 24, 2010, at 19:17:50
In reply to Would like some help choosing an AD, posted by Laney on December 16, 2009, at 10:56:17
i like nortriptaline about as much as bupropion, and it cost $4 a month
-d/r
Posted by Laney on January 24, 2010, at 20:15:27
In reply to Re: Would like some help choosing an AD, posted by desolationrower on January 24, 2010, at 19:17:50
Thanks for your replies!
Laney
Posted by Laney on January 24, 2010, at 20:15:40
In reply to Re: Would like some help choosing an AD, posted by desolationrower on January 24, 2010, at 19:17:50
Thanks for your replies!
Laney
This is the end of the thread.
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