Posted by Hal on March 19, 2002, at 6:28:33
In reply to Re: Actually, why do *PSYCHIATRISTS* prefer SSRIs, posted by chiaratara on March 19, 2002, at 2:03:59
Hey Chiaratara,
I agree with you for the most part. I don't advocate MAOIs as a first med and probably not as a second med for most patients. I do think secondary amine TCA are first line meds, desipramine and nortriptyline. I find many patient report that they have a lower side effect profile that the SSRIs. They prefer dry mouth and mild constipation of the TCAs to insomnia, sexual dysfunction and anxiety of the SSRIs. It may take and extra week or two to taper the med correctly or even a blood level on my part, but it is worth it when you see the patient have a much better response to a TCA rather than SSRI. I see people who have been on years of various SSRIs and still depressed, and then on desipramine/nortriptyline final feel normal again.
Take care.
Hal
poster:Hal
thread:98340
URL: http://www.dr-bob.org/babble/20020318/msgs/98765.html