Posted by Racer on January 12, 2006, at 13:04:20
In reply to Cravings, hyperphagia, posted by River1924 on January 11, 2006, at 21:34:16
My experience was that Cymbalta reduced my appetite at first, but then seemed to raise it after a while. Lexapro pretty much caused me to stop eating -- but it also caused me to stop speaking, or moving, or anything else, too. {shrug} SSRIs are known to cause weight gain, after the first few months, so maybe Cymbalta is a better first choice?
The bottom line, though, is which drugs actually improve your symptoms? If you can find a drug that works, then the other problems can be addressed. For weight gain, adding Topomax is a pretty common choice -- and some studies say that Metformin is also effective. Once you find an effective AD, you can talk to your doctor about trying one or the other, and see which works better for you with fewer side effects.
Also, for atypical depression, MAOIs are said to be particularly effective, so you might read up on Parnate. It may not work out for you -- I don't know if I'd be able to deal with the dietary restrictions, but then we eat a lot of Chinese food, whether take out or home cooked.
Hope that helps.
poster:Racer
thread:598156
URL: http://www.dr-bob.org/babble/20060108/msgs/598359.html