Discussions that mention prozac

Depression board

Dera wondering,

Pamelor (nortrtriptyline) is a Tricyclic Antidepressant (the TCAs are well-proven and have defeated the SSRIs --Prozac, Paxil, etc. in some clinical trials.) Pamelor is closely akin to Elavil (amitriptyline), but supposedly with milder side effects.

You can expect antihistamine side effects that should subside after a couple of weeks. Your mood could begin to lift by then, but it may take a full month to get good results...that time frame is typical of most antidepressants.

Topamax (topirimate) was indeed introduced as an anti-convulsant, but it's one of the latest in a line of anti- seizure medications that have found a second use in treating mood disorders. It can enhance the effect of anti-depressants and promotes mood stability. It tends to have a calming effect. It helps to curb obsessive and impulsive behaviors and cravings for food, alcohol, and drugs. It is famous as one of the few mood medications likely to promote weight loss rather than weight gain. It mixes safely with most other medications.

I'm impressed with this combo. Your doc's choice of older, off-patent Pamelor indicates he's not enslaved to drug company hype. His choice of the much newer Topamax indicates he's up-to-date. And the fact that the combo is a little obscure indicates he has tailored it to you rather than prescribing "off-the-rack".

But you are right to ask questions and do your own research. Many of these doctors are utterly incompetent, while the best ones genuinely appreciate their patients' suggestons.

Good luck.

Thanks so much for replying. I was too scared to take the topamax after reading up on it and all the side effects. I have been on prozac in the past, but had very bad sexual side effects. The doctor told me he had something to help with that, so he no prescribed me prozac 90mg once weekly and focalin 5mg to help with the sexual side effects. He said the focalin might even help me better with my ADD then the adderall I am using now, so that would be great if it did. We shall see. Thanks for the info!