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Re: so, I've been depressed for a while... » phidippus

Posted by SLS on December 7, 2015, at 7:10:53

In reply to Re: so, I've been depressed for a while... » SLS, posted by phidippus on December 7, 2015, at 4:07:28

> I suggested Remeron because Christ empowered stated SSRIs were not good for him over the long haul. I considered recommending an SNRI but they're similar in action to SSRIs. I suppose I could recommend a TCA like Imipramine...

Thanks.

Perhaps a combination of SNRI + Remeron, especially if there is a partial response to SRIs?

Back in the old days before Remeron and Effexor, Andrew Nierenberg suggested to me that I consider combining TCA + yohimbine, a NE alpha2a autoreceptor antagonist. This rationale may apply to TCA + Remeron, a combination treatment that I have never seen proposed. I suppose imipramine or clomipramine would yield the best chances of producing a positive response.

Any thoughts?


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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URL: http://www.dr-bob.org/babble/20151119/msgs/1084492.html