Posted by blueberry on December 6, 2005, at 5:02:04
In reply to Effexor: The agony and the ecstacy, posted by bigcat on December 5, 2005, at 15:46:54
Though there is an ongoing controversy about it in the psychiatric world, many pdocs now believe that the poopout phenomenon is an indication of bipolar. Those pdocs recommend a mood stabilizer like lithium, depakote, or lamictal as the primary treatment and an antidepressant as an add on. And some of them claim that if you haven't tried a mood stabilizer all by itself for depression, then you haven't tried a mood stabilizer. All controversy though, no one really knows, I'm just sharing what I've heard.
Adding 25mg to 50mg of naltrexone was popular a few years ago for treating ssri poopout, sometimes restoring effectiveness to a level even better than the original one. Haven't heard much about it lately.
For me the one thing that prevented poopout better than anything was a mere 2.5mg zyprexa added to an antidepressant. I got 5 good years out of that strategy and still wasn't depressed. Other weird longterm prozac side effects caused me dump the prozac and switch to other ssri's. I still rely on 2.5mg zyprexa as an augmenter, an ssri side effect canceller, and a poopout preventer.
poster:blueberry
thread:585804
URL: http://www.dr-bob.org/babble/20051203/msgs/586006.html