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Re: Lofepramine/Prozac » zeugma

Posted by colin wallace on August 2, 2003, at 9:37:55

In reply to Re: Lofepramine/Prozac » colin wallace, posted by zeugma on August 1, 2003, at 20:10:43

> Hi Colin
>
> I haven't taken an SSRI long enough for it to have featured in any combinations, but I do take a noradrenergic TCA, and I do have severe inattentive ADD (plus depression, and a few other things) and I can say that TCA's do work for motivation, and they can improve attention as well. But the TCA I am on (nortriptyline) is somewhat sedating, and I find this limits the help I can get for the general 'drifting off' feeling. So I have recently added Strattera, which has really woken me up! I'm planning to taper off nortriptyline in the next month, or maybe cross-taper to a low dose of amitriptyline; I don;t feel like I should stay indefinitely on therapeutic doses of TWO noradrenergic antidepressants.
>
> From what I understand, lofepramine is one of the less sedating TCA's. It might well be as beneficial for ADD as Strattera.

Hi there,

Your reasoning for switching to Straterra seems very sound.It's also reasurring to hear that noradrenergic TCA's do actually exert a beneficial effect on inattention issues.
Straterra was actually my first choice as I mentioned, but not having it available, I realized it had to be either Lofepramine(can't get desipramine here either),or Reboxetine.Interestingly,although Reboxetine and Atomoxetine are structurally very similar, the former didn't show much benefit for ADD at all.
Wonder why?....
Let me know how you get on with Straterra,'cos I'm trying to overcome that 'drifting off' feeling too.Also,it would be nice to be able to read a page of a book in under five minutes again!!!

Col.

Ps. Any sexual side effects on Straterra???


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