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Re: Perfect Drug for Everyone? » Cecilia

Posted by Elizabeth on July 21, 2001, at 21:47:49

In reply to Re: Perfect Drug for Everyone?-Elizabeth, posted by Cecilia on July 21, 2001, at 5:23:30

> Desipramine was the lst AD I ever tried-only lasted 2 weeks on it-coudn`t stand the racing pulse, sweating, anxious caffeinated feeling.

TCAs do that a lot, and desipramine doesn't have the sedating effect to counteract the activation. I couldn't deal with the anticholinergic effects of most TCAs I've tried, so desipramine seemed like the best choice.

> The only tricyclic I managed to stick with long enough for an adequate therapeutic trial was Nortriptyline and I only managed that by starting at 10 mg and working up to a therapeutic dose over 2 months-still had plenty of side effects even doing it that way.

That's the way ago if ADs tend to make you jittery: start low and go slow.

> I tried 3 separate times to tolerate Effexor, but even starting with a quarter of a 25 mg tablet couldn`t stand the nausea, diarrhea, insomnia.

Did you try Effexor XR? I got sick to my stomach on regular Effexor, but the XR didn't cause that problem.

> I only tried Ritalin for 4 days and Dexedrine for 3-more than long enough to convince me that stuimulants were not the way to go.

What caused you to try stimulants in the first place?

> I really don`t know what else to try, my pdoc is the one at my HMO who deals with the treatment resistant cases and I had a consult with a Big Wig doctor at my city`s university hospital when I was considering ECT.

What did the consultant recommend?

-elizabeth


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