Posted by med_empowered on October 28, 2005, at 5:38:49
In reply to Re: meds for psychotic depression, posted by xbunny on October 28, 2005, at 4:58:06
hey! xbunny made an important point--the usual combo is an antidepressant and antipsychotic..the antipsychotic is usually tapered after a while, while the antidepressant is kept longer-term. Amoxapine (Asendin) is a tricyclic that both helps with depression and deals with psychosis..its chemically related to loxapine, the old antipsychotic. Speaking from experience, I found Tofranil-PM (its the new-ish Tofranil with one-a-day dosing) and Abilify to be really helpful. Depending on your symptoms, other medications may also be useful...I found Adderall to be very helpful, and there are some studies that apparently show stimulants help with some cases of psychotic depression. Like xbunny said, tricyclics are the antidepressants of choice most of the time...I guess its because they're better studied. If you use an antipsychotic, adding a benzo and/or buspar can help with anxiety and akathisia..it can also help with some of the depressive symptoms. If your doc opts for a benzo, you could try Limbitrol, which is an Elavil/Librium combo pill. Good luck!
poster:med_empowered
thread:572602
URL: http://www.dr-bob.org/babble/20051024/msgs/572626.html