Posted by SLS on March 2, 2012, at 5:45:17
In reply to any suggestions to ask my doc next week?, posted by JohnLA on March 1, 2012, at 22:08:26
Nortriptyline is a reasonable choice. However, having not responded to previous drug trials might hint at TRD. This condition might require polypharmacy. The suggestion to add Lamictal and lithium is a good one.
Remeron cannot be evaluated at 30 mg. A dosage range of 45 - 90 mg is more appropriate for depression.
Did you experience a partial response to Effexor? Did it help at all?
You original symptoms indicate an endogenous depression rather than an atypical depression. This subtype of depression is thought to respond well to tricyclics.
Possible polypharmacy treatment:Nortriptyline + Effexor + Lamictal (lithium)
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1012169
URL: http://www.dr-bob.org/babble/20120302/msgs/1012195.html