Posted by spike4848 on January 15, 2002, at 17:36:11
In reply to Re: augmentation..... » spike4848, posted by IsoM on January 15, 2002, at 13:34:35
> I'd take the SSRI alone for a short while to make sure you can tolerate it & to see how well it works. Then, if necessary (& it probably will be), I'd augment it with a TCA that's worked well for you in the past.
>
> After that's stable & you find a combo that helps (it doesn't have to help 100%), I'd top it with Provigil (or adrafinil). It's used in Europe as an AD too, not just for memory & alertness. After all, the type of drugs they belong to are called eugeroics or good arousal.I think that is exactly what I am going to do .... hey when I treat high blood pressure, I use one or two potent medication and sometimes top it off with a third .... why not do the same with depression. Hit it hard with medication that have different modes of actions ..... I really like the celexa with possibly pamelor or desipramine combo ..... thank isom .... and thank for sticking with me when I did respond to your first post ask my medication history. I was kind of embarrassed to have been on so many medication without sucess .....
I will keep you updated!
Spike
poster:spike4848
thread:90162
URL: http://www.dr-bob.org/babble/20020110/msgs/90344.html