Posted by Quintal on December 21, 2006, at 9:32:10
In reply to Re: Imipramine for anxiety? Anyone tried?, posted by med_empowered on December 20, 2006, at 23:33:33
>Personally, I'd avoid TCAs if you can. They really aren't good drugs. If you have anxiety, try starting with the safest, most effective meds and then working out to less tolerable, less demonstrably effective meds. So...I'd say try starting with a benzo and possibly a first-tier Antidepressant.
That's curious because imipramine was the 'gold standard' to which the efficiency of other antidepressants were compared, and still are to some extent. The TCAs are generally very effective, sometimes more so than the SSRIs - it's mainly the toxicity that makes the SSRIs the preferred first-line treatments. Side effects can be harsh, but personally I prefer the side effect profile of the TCAs over most SSRIs.Benzos also cause cognitive impairment though people are not usually aware of how badly they are affected.
Q
poster:Quintal
thread:715145
URL: http://www.dr-bob.org/babble/20061217/msgs/715406.html