Posted by med_empowered on March 25, 2006, at 16:16:13
In reply to Re: amotivational syndrome » lostforwards, posted by SLS on March 25, 2006, at 15:48:06
flat affect and what not is pretty bad on the SSRIs, but there are problems with other classes, too (TCAs can cause sedation, cardiovascular problems, and cognitive impairment; MAOIs are..tricky). Some people benefit from ssri+wellbutrin combos. As for effexor...at lower-end doses, its pretty much only workin on serotonin. As you move up, you'll hit norepinephrine and maybe a little bit of dopamine. Cymbalta is effexor-ish, but is equipotent w/ serotonin and norepinephrine, so at the standard dose (60mgs/day) you'll be getting more or less equal reuptake of both.
As for the apathy...I read one study where they used atypical antipsychotics. I think thats a bad idea, given the side effects and cost, but I guess its an option. BuSpar might help, too.
poster:med_empowered
thread:624520
URL: http://www.dr-bob.org/babble/20060322/msgs/624559.html