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Re: The best Tricyclic for anxiety....

Posted by linkadge on May 31, 2008, at 19:40:14

In reply to Re: The best Tricyclic for anxiety.... » johnj, posted by torachan on May 31, 2008, at 17:31:29

>When I tried just Effexor and Remeron there were >no problems, but I heeded the advice of Linkadge >in which he suggested Effexor/Remeron is not a >good combo for anxiety, and introduced the >Seroquel but didn't drop the Remeron. Possible a >bad mix I guess. But this goes back to my first >lengthy experience with Effexor.

If effexor/remeorn was working then certainly don't change it. I didn't realize you were already taking this combination. If its not causing anxiety then all the better. I just know of a few people who had bad experiences on the combination. Just watch your blood pressure on this combination.

>I think I'll just try Effexor at 37.5mg and >Remeron at 15mgs and drop the AP. Continue with >the benzo of course, and discuss with the doctor >what other options are available. But I don't >think there are many left. Perhaps wait for the >newer meds to come along. Valdoxan perhaps.

I'd personally like to see something like ritanserin (a potent/selective 5-ht2a/c antagonist) as an available augmenting agent. Cyproheptadine comes close to a selective 5-ht2a/c antagonist.


Linkadge


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