hi all
currently on 300 traz and 300 quetiapine, not really having much effect. The Psych is open to my suggestions so....has anyone any experience od adding another AD to trazadone?
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hi all
currently on 300 traz and 300 quetiapine, not really having much effect. The Psych is open to my suggestions so....has anyone any experience od adding another AD to trazadone?
Quote:
Originally Posted by Ojmit
What about taking trazodone to the maximum 400mg, maybe a little more first? Some of us just need to take around the maximum to get a response.
If this doesn't work then switching to something else which might would be better, imho, as just adding more and more meds isn't a good idea.
I assume trazodone and quetiapine aren't the first meds you've tried so what else have you taken, what was the maximum dose, how long did you take it at that dose and did it help at all?
over the years have tried many different ADs together with depakote, lithlum. nothing really seems to solve the anxiety, which is worse than the depression. seen my Psych today and am tapering off quetiapine with a view to adding anothet ssri to the trazodone. he is also willing to give me ect. only thing keeping me going is lorazapam. just want my life back.
Have you tried one of the more potent of the tricyclic class antidepressants (TCAs) such as Anafranil (clomipramine), or Tofranil (imipramine)? If not, Anafranil is definitely worth a try. It is the most potent antidepressant currently available.Quote:
Originally Posted by Ojmit
The TCAs Pamelor (nortriptyline) and Norpramin (desipramine) which primarily target noradrenaline, aka norepinephrine, reuptake rather than serotonin could be worth a shot too if you haven't already tried them.
If therapy is an option it should also be considered. The cognitive, and behavioural - CBT, REBT, etc - or mindfulness therapies can be at least as effective as medication.