Posted by Chairman_MAO on February 17, 2004, at 10:37:08
In reply to Refractive depression and meds, posted by mbailey on February 16, 2004, at 20:28:10
Norpramin + Lithium sounds like it could work. However, I'd have him drop the lithium and try adding a dopamine agonist before the lithium, although I will admit that the lithium has more data backing it up--doesn't mean it is as fun to take, though, or even more effective for your husband. It's just been around longer. Both mirapex and requip (new DA agonists) show promise as stand-alone antidepressants, augmentation agents, and mood stabilizers (requip seems to be anxiolytic in mice, too). Far too many psychiatrists never seem to try these before TCAs, etc. An MAOI + dopamine agonist is a safe and effective combination, too. I wish the pdoc hadn't dropped the MAOI, since the withdrawl is a pain and there was hope. Hell, he could've taken MAOI + norpramin + lithium.
Good luck!
poster:Chairman_MAO
thread:314314
URL: http://www.dr-bob.org/babble/20040215/msgs/314608.html