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Re: MAOIs and anxiety, confusing! my life an apology » ravenstorm

Posted by Ritch on October 29, 2004, at 10:19:54

In reply to MAOIs and anxiety, confusing! my life an apology, posted by ravenstorm on October 28, 2004, at 15:52:55

I get the worst anger from Remeron and/or Wellbutrin and have been on those in the past several times with other various meds. The anx. with WB has been pretty consistent as well-to the point of agoraphobia. I would consider myself an NE sensitive individual as well. But like yourself, find that stimulating meds are the only ones that work during lethargic seasonal depressions. I think what *might* be helpful for you would be to forget the Remeron and Wellbutrin (to get rid of the anger and anxiety) and go for a serotonergic at a lowdose and then add a dopaminergic kick for the alertness. What about using Celexa liquid at just 2mg/day to avoid the startup hell and to settle down the anxiety and then add a *fragment* of something like Provigil to get you woke up, and then titrate and balance the two together carefully? I tend to feel avoidant with a predominately noradrenergic med, but emboldened on a predom. dopaminergic med. I know this is all complicated and I have to struggle with very similar issues. I can pretty much wipeout my depression but at the cost of being horribly anxious. I can wipeout anxiety and then feel lethargic and depressed. What a hassle. I hope you can get something worked out-maybe the MAOI route would be best. I've thought about moclobemide as well. Best wishes.

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poster:Ritch thread:405309
URL: http://www.dr-bob.org/babble/20041029/msgs/408732.html