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Re: SSRI withdrawal symptoms really scare me! » fido

Posted by Robert_Burton_1621 on March 1, 2015, at 23:53:52

In reply to Re: SSRI withdrawal symptoms really scare me!, posted by fido on March 1, 2015, at 18:35:23

> hello,
> the book is in german so except you can read german giving you the name of the author will probably not be much help. it's from a female professor woggon. a swiss psychiatrist who treats hard cases.
>

Ok, thanks, no I don't read German unfortunately.

> but neither wellbutrin nor cymbalta worked for me. they both work on noradrenalin.>

But you are considering taking strattera, which is a selective NRI.

In regards to cymbalta, you can't really play around with the relative potencies of serotonin vs noradrenaline because, as I said in an earlier post, they are fixed. Because you have co-morbid depression and anxiety, perhaphs the combination of sertraline (SSRI) with a TCA which acts powerfully on noradrenaline (nortriptyline) might be worth trying out.

See: http://www.psychotropical.com/anti-depressants/general-intro-4

Below is some information on TCAs for ADHD. You do not appear ever to have tried any TCAs. Note that you most certainly cannot combine all TCAs with any SSRI - definitely ruled out in the former category are TCAs with significant serotonin reuptake inhihibition, like clomipramine, and in the later category(usually) paroxetine, fluoxetine and fluvoxamine because of interaction with P450 enzymes.

http://www.ncbi.nlm.nih.gov/pubmed/22303520

http://www.ncbi.nlm.nih.gov/pubmed/11052409

http://www.ncbi.nlm.nih.gov/pubmed/8428873

http://www.ncbi.nlm.nih.gov/pubmed/8444763

http://psycnet.apa.org/psycinfo/1995-18598-001

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518387/ (desipramine)


> what i fear is that going to other doctors and getting different opinions will leave me totally clueless. i mean what if i go to a new doctor and he suggests something totally different or something which scares me? then how do i decide what to do? or what if he wants to send me to a mental institution? this wouldnt help me AT ALL.
> it would only make me feel worse.

Are you not already in a state of confusion because you are not receiving the benefit of good psychiatric care? While there is a possibility that going to an alternative doctor may exacerbate this confusion, I would suggest that there is a greater possibility that some of your confusion at least may be dissipated by receiving competent advice and guidance.

Is the possibility of being institutionalised involuntarily a real one? Or is this a possible voluntary option for a short period?


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