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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by em_kath on March 21, 2010, at 19:54:39
I have done a lot of research, nearly all of which says that tricyclics are generally not effective for atypical depression. I have tried most of the classes of antidepressants except for TCAs, and I am just curious if anybody here with atypical depression has tried and/or responded to them. I am on an MAOI now, which is supposedly the preferred class for atypical depression, but I am not sure it's for me. Thanks for any input!
Posted by bearfan on March 23, 2010, at 1:09:44
In reply to Any success with TCAs for atypical depression?, posted by em_kath on March 21, 2010, at 19:54:39
I was wondering the same thing. Which MAOI? Parnate?
Posted by em_kath on March 23, 2010, at 17:09:12
In reply to Re: Any success with TCAs for atypical depression?, posted by bearfan on March 23, 2010, at 1:09:44
> I was wondering the same thing. Which MAOI? Parnate?
I'm currently on the 12 mg Emsam patch. Are you on an MAOI now for atypical depression too?I've had a pretty unsatisfactory response to Emsam, my pdoc put me on the highest dose just to make sure we weren't missing something but I see him tomorrow and it's possible I may switch. I have no idea which direction to go... Parnate? Try Wellbutrin again (the only thing that has ever really helped, but quit working)? My other thought was a TCA but that's likely to be a waste of time from what I've read.
I hate this trial and error thing, it's so exhausting. And no matter what I do, I have to endure the 2 week washout period first :(
Posted by conundrum on March 23, 2010, at 23:06:47
In reply to Re: Any success with TCAs for atypical depression? » bearfan, posted by em_kath on March 23, 2010, at 17:09:12
I don't think emsam is really as powerful as parnate or nardil for atypical though. My grandmom took nardil for atypical depression for years and it seems to have worked.
Posted by hopefullynow on March 31, 2010, at 7:55:26
In reply to Re: Any success with TCAs for atypical depression?, posted by bearfan on March 23, 2010, at 1:09:44
Yes, I have succes with a combination of Anafranil 25 mg and Maprotiline (TCA-NRI)75 mg.
I cant sleep because of Anafranil, so i take 2 mg clonazepam and 0.5mg risperdone at bedtime.Maprotiline is an old TCA, similar to Nortryptiline, which unfortunately isn't available in my country.
> I was wondering the same thing. Which MAOI? Parnate?
This is the end of the thread.
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