Posted by Tomatheus on March 21, 2013, at 13:46:39
In reply to Re: Atypical Depression?, posted by damnthislife on March 21, 2013, at 12:45:34
damnthislife,
It does sound like you may be experiencing at least some mood reactivity. I think that it would definitely be worth mentioning this, along with your other symptoms, to the psychiatrist that you're about to see.
Unfortunately, I have not had any long-term success with treating my fatigue, although I will say that my energy level isn't nearly as low as it used to be before the onset of my psychosis. Nardil is really the only medication that I've tried that's significantly reduced the severity of my symptoms for more than a few days at a time, but ultimately, I couldn't even get Nardil to last indefinitely for me. I also experienced some partial relief when I tried a combination of tranylcypromine (generic Parnate -- the version made by Goldshield, which I ordered from a U.K. pharmacy) with SAM-e, but it was on that combo that I started to experience my psychosis.
As you may or may not know, the MAOIs can be particular beneficial for individuals suffering from atypical depression. There is research to indicate that they're more effective than the tricyclics in treating depressed patients with atypical features. These days, medications such as the SSRIs, SNRIs, and Wellbutrin are used before the MAOIs to treat atypical depression because they don't carry dietary restrictions and are less likely to interact with other medications. I don't know how the MAOIs compare with the newer-generation medications as far as effectiveness is concerned, but I think that there are some patients who've responded to either Nardil or Parnate after failing trials with the newer medications. So, given the reputation that the MAOIs have as treatments for atypical depression, along with the possibility that you may be suffering from atypical depression, I would be optimistic about your chances of responding to an MAOI. That's not to say that you'll necessarily be prescribed an MAOI or that the chances are 100 percent that you'll respond to an MAOI if you're prescribed one, but I would say that you should have some reason to be hopeful about responding to an MAOI if you end up being prescribed one.
Tomatheus
Dx: schizoaffective disorder
Treatments: Abilify & serrapeptase
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