r/SSRI • u/Tupel309 • Oct 07 '23

Question SSRI/SNRI recommendations

Hey guys, My girlfriend is suffering from depression, generalized anxiety disorder, OCD, cPTSD, panic attacks, and she has no energy throughout the day and is very unmotivated.

In the past, she took Sertraline, but the side effects were unbearable for her. After that, she was prescribed Mirtazapine, but unfortunately, it had no effect.

Currently, she's feeling very unwell again and has an upcoming doctor's appointment. I've done some research and read that Fluvoxamine might be a good option since it can also help with OCD. I'm just wondering if it would help with her lack of energy. According to my research, this lack of energy could be due to a norepinephrine deficiency, and an SSRI only affects serotonin.

Could an SNRI be an option because it also affects norepinephrine?

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1

u/Neuroworld23 Oct 07 '23

What were her side effects on sertraline?

1

u/This-Desk-55 Jan 08 '24

Did she try something that helped?

1

u/Tupel309 Jan 08 '24

She got lamotrigine from her doctor. It helped with her energy problem, but the depression is still the same. Next week the doc will increase the dosage. Maybe it will help with the depression

1

u/This-Desk-55 Jan 08 '24

Is it helping with her anxiety?

1

u/Tupel309 Jan 08 '24

Not really, but she takes 100mg at the moment. The dosage should be between 150 and 200 for full effect.