Posted by maggiemae on September 11, 2011, at 16:54:42
In reply to Re: EMSAM vs Lexapro/Remeron to address apathy??, posted by creepy on September 11, 2011, at 16:37:52
thank you. we did talk about trying wellbutrin, either adding it or replacing the lexapro. but it would not address the pain. he seems to think emsam would help with everything. adding wellbutrin just seems like i am starting up the crazy polypharmacy trainwreck, so common with fm...
can't tolerate the tricyclics so desiprine is out. nortryptiline at even tiny doses was a disaster - poor metabolism it seems. the cardiac side effects were intolerable. but it worked like a charm for the pain - it was ironic and frustrating.
> Lexapro at higher doses turned off my irritability as well as my desire to do anything.
> It was a lot easier on my sexual function than zoloft.
> You could ask your doc about adding wellbutrin or desipramine to lexapro. desipramine is good on pain and wellbutrin can help with sexual dysfunction and libido.
> Im not sure what effect emsam has on pain, but desipramine was good stuff for me.
> Im not sure how you can escape the apathy from SSRI's. Every one of them does it to me, but the depression only responds to serotonin.
> Maybe try serotonin receptor antagonists like nefazodone or the AAP's?
poster:maggiemae
thread:996468
URL: http://www.dr-bob.org/babble/20110902/msgs/996479.html