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Re: provigil monotherapy?

Posted by med_empowered on December 9, 2006, at 17:24:59

In reply to Re: provigil monotherapy? » SLS, posted by Meri-Tuuli on December 9, 2006, at 14:21:36

well..when you think about it....antidepressants can be stimulaintg (MAOIs, certain TCAs), sedating (trazadone, for instance) or kind of neuroleptic-ish (Surmontil, most tricyclics--Tofranil was dervied directly from Thorazine), so it would make sense that for some people, drugs that are primarily stimulating (provgil, older stims) would be just as effective (or more so) on "depression", while other people could derive similar benefits from benzos, neuroleptics, anti-convulsants, therapy, and placebo. "Anti-depressant" is really a vague term for what's going on in the brain.

Plus, it seems like docs are finally admitting that ADs aren't that great. AD prescribing is down, and more and more docs seem to be using mood stabilizers, stims, benzos, etc. w/ ADs or w/o them to help their patients. I think that the SSRIs and SNRIs may fall from grace, and I don't think they'll be terribly missed.


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