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?
- 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:1083714
URL: http://www.dr-bob.org/babble/20151119/msgs/1084492.html