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Re: Need some advice on anxiety I'm experiencing..... » Laney

Posted by Chairman_MAO on October 14, 2011, at 19:23:41

In reply to Re: Need some advice on anxiety I'm experiencing....., posted by Laney on October 13, 2011, at 18:09:40

"An SSRI + TCA is suppose to be a really good way to go as you can adjust the effect of the neurotransmitters instead of getting a fixed amount."

I think I know what you're trying to say, namely, that it is better to be able to adjust the dose of the drug that blocks reuptake pump X independently of the drug that blocks reuptake pump Y.

However:

(*) We have several selective NE uptake inhibitors now that aren't TCAs. I advise trying those first, if that's what you want.
(*) It is not a matter of adjusting "levels", but even if it were,
(*) The clinical effect is all that matters.

It only makes sense to try an SSRI + TCA combination, IMHO, if you've tried all the other dual action drugs which have the same mechanism of action that don't have anticholinergic side effects.


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URL: http://www.dr-bob.org/babble/20111006/msgs/999735.html