Posted by Tony P on March 25, 2006, at 0:59:21
In reply to Re: Never thought I'd hear this..... » Tony P, posted by SLS on March 24, 2006, at 7:19:02
> Hi Tony,
> How are you doing on the tianeptine? Any side effects? How much are you taking?
>
I was taking the manufacturer's suggested 12.5 mg 3x/day (12.5 -- weird number -- I suppose they did their first trials with 100 or 50 mg then titrated down by halves). I stopped taking it in order to a) see if it was having a real effect, b) get a new emotional baseline without the Lamictal. I may re-start the tianeptine earlier than I had planned as I am getting fairly depressed fairly fast, and also experiencing some anxiety.I got an immediate lift from it (which might have been placebo) and felt like it was helping moderately with both depression & anxiety, but I figured the only way to be sure it was doing something real was to stop and restart. The only side-effect I experienced was a slight digestive upset; I felt at times like there was something caught in my throat or I'd eaten too much. I need to lose weight anyway ;)
I wonder if the anxiety today might be Lamictal withdrawal -- it has a long half-life so it's hard to be absolutely sure; I'm going down from 200 mg/day by 50 mg every three days and this is day 4 (my pdoc suggested 50 mg every 2 days) - how does that sound to anyone with experience with this AD?
> Have you ever tried an MAOI or tricyclic?
>
Never tried an MAOI, was always put off by the potential side-effects and forbidden foods list, and the profile didn't sound right for me -- I don't do well with a lot of NA activation; the newer selective MAO-B ADs like selegeline might be OK.Tried Elavil (amitriptyline) and Sinequan (doxepin) years ago, Elavil was a bit too activating, Sinequan at 25 mg tid (if memory serves) drove me straight up the wall -- intolerable anxiety around day 7-10.
Cheers,
Tony
poster:Tony P
thread:620137
URL: http://www.dr-bob.org/babble/20060322/msgs/624374.html