Posted by SLS on February 3, 2013, at 22:15:01
In reply to Re: My Anxiety - the end of the road - SLS, posted by jono_in_adelaide on February 3, 2013, at 19:27:25
> After thinking about it over the weekend, I'm begining to wonder wether i should try nortriptyline or mirtazapine first
>
> Nortriptyline will have a better side effect profile, but mirtazapine might have the edge on effectiveness.
>
> I think I'm also going to ask about changing from alprazolam to clonazepam
>
> I just dont want tomess with what has taken my depression from suicidal to total remission and screw that up in the process, but I need to do somthing, the anxiety and avoidant beheivior is effecting my work performance, and I am determined not to screw this up - i am determined I am going to keep working in some sort of a managament roll, even if I have to be doped on whatever to do itTough decision.
Don't forgo an opportunity to combine nortriptyline with mirtazapine. I believe Linkadge is having success combining amitriptyline with mirtazapine. I haven't seen anyone else use this strategy, but it is interesting.
I don't like reboxetine. My personal bias leads me to suggest switching from reboxetine to nortriptyline or desipramine. Hopefully, you will retain the antidepressant response and not need mirtazapine. Of course, it is possible that reboxetine is your best friend. I would not presume to know how your system would react to a change in treatment.
- 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:1036804
URL: http://www.dr-bob.org/babble/20130124/msgs/1037298.html