Posted by SLS on December 7, 2014, at 13:35:35
In reply to If you've always been melancholic, can ADs help?, posted by orochi on December 7, 2014, at 11:30:07
Tricyclics were once the gold standard for melancholic depression. They probably still are. Imipramine, amitriptyline, nortriptyline, desipramine are the ones most commonly chosen. I like imipramine if you want the best chance of responding. I like nortriptyline if you want the fewest side effects.
You should have been started on a SNRI. I would go for Pristiq first. If Wellbutrin helped at all, you might want to consider combining it with the SNRI.
- 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:1074003
URL: http://www.dr-bob.org/babble/20141120/msgs/1074006.html