![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by smith562 on October 18, 2004, at 15:10:37
Doing okay with zoloft and a pinch of lamictal and lithium, but I need some focus and motivation. Adding wellbutrin does help ... but wondering if there is anything better like mirapex, provigil, good old TCA? Thanks so much ....
Smith
Posted by Ritch on October 19, 2004, at 9:50:29
In reply to Mitch/Anyone ..... best SSRI add on?, posted by smith562 on October 18, 2004, at 15:10:37
> Doing okay with zoloft and a pinch of lamictal and lithium, but I need some focus and motivation. Adding wellbutrin does help ... but wondering if there is anything better like mirapex, provigil, good old TCA? Thanks so much ....
>
> SmithI'd try 10mg/day of nortriptyline and wait two or three weeks before increasing it to 20 or 25mg. The Zoloft will inhibit metabolism of the nort. so you won't need much. Get a blood draw at some point for the NT(make sure it isn't too high). I've found it a good combo in the past. You could try desipramine instead (I got a lot worse side effects from it though-but others report fewer with desip). Provigil-haven't tried it-too expensive.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.