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Re: MOCLOBEMIDE with TRILEPTAL ?? Dr. BOB HELP

Posted by Karen Moore on January 19, 2004, at 15:33:53

In reply to Re: Klonopin + Ritalin, posted by Maxime on January 19, 2004, at 8:56:00

> It could work, but your doctor will be more likely to suggest something that works on the dopamine.
The stimulants Ritalin and Adderall (another option I would suggest looking at) are almost entirely dopaminergic.

>My guess is that he will suggest Effexor before he gives you a stimulant like ritalin.
Yes, it might be a good option to first try another drug in the SSRI/SNRI class. But keep in mind, unlike the stimulants, Effexor is not very dopaminergic but rather noradrenergic.
>Having said that, stimulants have been used with success as monotherapy for depression.
Yes, definitely, for some cases of treatment resistant depression, only stimulants (like Ritalin/Adderall/certain MAOI's like Parnate) seem to work wonders. More to the point though, if sexual side-affects are the only reason you don't like Zoloft you might want to discuss with your psycdoc the following other two options:
1. add a very low dose of Ritalin to your current regimen, keeping the Zoloft. Sometimes a very tiny dose can go a very long way.
2. consider Wellbutrin: see article at http://www.biopsychiatry.com/bupropion.htm
And if you'd like to see more research in the area try http://www.biopsychiatry.com/dopaminesex.htm

Good luck + I hope I was helpful.

KM

> > I am going to ask my doctor in the next appointment to give me this combination. I was taking Zoloft and Klonopin before, but I canīt deal with Zoloft sexual side-effects. Could it be a good option? I tryed 10 mg of Ritalin sometimes and my depression went away. Do you have experiences on this?
> > KXo
>
>


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poster:Karen Moore thread:302633
URL: http://www.dr-bob.org/babble/20040118/msgs/302840.html