Posted by Oppycat on July 19, 2007, at 11:58:07
In reply to Need recommendations of activating ADs, posted by juanantoniod on July 16, 2007, at 0:36:03
> Hello fellow Babblers,
>
> I have a question for you all. I have gotten my depression under control thanks to VNS Therapy, and a couple of ADs, so this is about my partner. Although I should know the answer to this question, it has been so long that I cannot remember what I need to know.
>
> He is currently experiencing a major depressive episode. He does not want to see “another [additional] doctor”, so our PCP is treating him, rather than my PDOC. The PCP tried him on Effexor XR, but he experiences a lot of somnolence on this medication. He has been on it for one month. It was working, and he thought he would become accustomed to the drug, so he did not want to DC it. However, the sleepiness persists and we must consider other options. I would like your recommendation of another AD to try that either has an activating effect, or at least, does not tend to cause somnolence. (Or weight gain!) This way I can go in to the PCP next time with a couple of “ideas” for “him” to consider prescribing.
>
> His depression has an anxiety component, so he has been on Paxil in the past, and responded initially, but stopped taking it because it stopped working effectively. Wellbutrin is also out of the question because that is *too* stimulating.
>
> Any ideas or suggestions? Your thoughts and comments are most appreciated.
>
> Thanks for your help!
>
> Antonio
I've never taken Prozac so I can't comment on that. I recommend Parnate because it's activating and most people know if will help them within a couple of days. If he tries Parnate and it doesn't work, he can move to Prozac in 2 weeks at the longest. If he tries Prozac first and doesn't respond, he will have to wait 5 weeks before he can take Parnate.Another possible solution is try another AD and supplement it with a stimulant or Provigil to get rid of the daytime somnolence. I use Adderall with Remeron currently, and have used it with Parnate and other AD's in the past. I suppose one could also add it Effexor
poster:Oppycat
thread:769813
URL: http://www.dr-bob.org/babble/20070719/msgs/770550.html