Posted by tensor on January 19, 2013, at 15:59:52
In reply to Clomipramine - Augmentation options?, posted by CGDR2 on January 19, 2013, at 14:20:47
> Hey guys,
>
> I'm currently on 200mg of Clomipramine, which seems to be working very well. I'm a heavy smoker, in case that dose seems a bit high!
>
> Thing is, while my depression is definitely heading towards remission, there's no way I'm strong enough to stop yet. I was on Phenelzine for a while last year, and the side effects kept me stuck at 45mg, which wasn't enough for my depression. I ended up wasting a lot of time, because rather than admitting the Phenelzine wasn't enough, and trying a new drug, I simply carried on taking it until things got worse.
>
> Blah blah blah; what I'm asking is, has anyone had any good experiences augmenting Clomipramine? My Pdoc is fantastic, but generally likes to hear my ideas, so it seems worthwhile going in armed with some extra knowledge. My main condition is MDD.
>
> Thanks a lot, look forward to hearing from you,
>
> (Previous Drug History, in chrono. order: Citalopram, Fluoxetine, Sertraline, Mirtazapine, Lofepramine, Tranylcypromine, Phenelzine, Imipramine (all failed for one reason or another)Mirtazapine comes first to my mind. It should not be anything that are an SRI. Clomipramine is such a strong SRI. Can be used with bupropion with caution. Then there are lithium (great results with TCAs) stims and the AAPs. Do you have a favorite candidate? I would love to elaborate on this but I'm so tired I have to go to bed.
'night
tensor
poster:tensor
thread:1035819
URL: http://www.dr-bob.org/babble/20130112/msgs/1035824.html