![[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 dapper on July 26, 2008, at 16:14:10
So as I posted earlier, I got off effexor (painfully) and switched to stablon. I have been on it for maybe month and a half/two months, so it has run its course. It feels 'less potent' than effexor. I am functional, but still carry a constant depressive quality around with me daily. I keep thinking about getting back on the effexor, but it started to have a poop out effect on me when I got off it, and I don't think I could stand going through the withdrawals again when I try something in the future. I just don't think the stablon is powerful enough. What action do you all think I should take?
Current cocktail:
Trivastal 50mg x1 a day
Lamicatal 200mg x1 a day
Stablon 12.5mg x3 or 4 a day
Posted by bleauberry on July 26, 2008, at 17:58:58
In reply to Your opinions??, posted by dapper on July 26, 2008, at 16:14:10
Maybe try adding in a small amount of effexor? I wouldn't let the reuptake inhibitor versus reuptake enhancer thing get in the way. There's a lot more than that going on with both of those meds. Even for euthymic people who don't need tianeptine, it has good benefits. In a 16 month study tianeptine was very effective at preventing relapse. In a long study people who had benefits in the first 14 days had more benefits at 3 months and then experienced even more benefits between month 9 and 12. So just staying the course might be an option too, along with other natural things to help, such as brief bursts of heavy exercise several times a week, heavy emphasis on raw fruits and veggies, lots of purified water, stuff like that.
In an abstract at pubmed there is a case of someone who failed a traditional AD, failed tianeptine, but responded to the combo of them together. So it has been done. No one knows about ther serotonin sydrome risk, so if it were me I would try 37.5mg for a while and feel it out from there.
Maybe a bad idea, maybe a good idea, I don't know. Just a thought. Easiest thing to do without rocking the boat too much.
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.