Posted by Racer on August 24, 2006, at 15:17:49
In reply to Re: treatment resistant depression ...what works?, posted by jealibeanz on August 24, 2006, at 11:44:43
> No, I was being serious. I realize apathy is an unwanted side effects. I guess my point was that something did happen... I had a side effect!
OK. I was thinking that you might not realize that that *isn't* what it's supposed to do... (Some doctors seem to accept that as "good enough," and tell their patients the medication is working as it should, when in fact it's only flattening them, which it shouldn't be doing.) I'm sorry that's the best it did for you...
>
> You mentioned TCA's before MAOI's. Why do doc's feel this is the correct order? It's not like TCA's are without great side effects. I refuse to ever consider one, if offered, because of the weight issue. Even MAOI's carry that risk, but not as much as tricyclics.There's the weight issue, but Nardil at least carries that, too. More so, on average, than nortriptyline or desipramine.
The big problem, though, with MAOIs is the dietary restrictions. It's a choice that can be made, but for a lot of people the dietary restrictions are too much of a sacrifice. What's more, the consequences of slipping up can be severe. Some people might think the MAOIs are a better second line class than TCAs, but I think many people would go for the TCAs first, because they don't come with the hypertensive/dietary issues.
And, honestly, it seems as though they *all* cause weight gain.
Again, my opinions, nothing more...
poster:Racer
thread:679475
URL: http://www.dr-bob.org/babble/20060818/msgs/679683.html