Posted by linkadge on December 19, 2004, at 19:41:00
In reply to Re: Shall I stop the citalopram and ask for Parnate?, posted by KaraS on December 19, 2004, at 19:07:22
I'm not saying that the idea is totally out of the water, but I remember the hell of swiching from celexa to parnate.
The withdrawl is utter hell on earth. And for me, parnate was too overrated. It was a good dopaminergic (Ie wasn't apathetic), but I was very "blue" on it. 60mg of parnate didn't seem to cover the serotogenic aspect of even 20mg of citalopram, and you can't do much about that.
I would try some of the other augementation stategies you have:
Wellbutrin, Mirapex, Requip, more/stronger TCA,
Selegeline, stimulant, etc, modafanil, etc.In depression, apathy is usually takes the longest to resolve. Oftentimes, apathy is the result of chronic anxiety that has not remitted for a long time.
When I was anxiety free on celexa for about 10months, thats when the apathy started to abate.
Its your call, of course.
Linkadge
poster:linkadge
thread:431712
URL: http://www.dr-bob.org/babble/20041217/msgs/431837.html