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Should I try Milnacipran?
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31M, GAD and recurrent depressive episodes .

So I've been on Lexapro 10mg which made me completely anhedonic, then on 150mg Venlafaxine with 300mg Wellbutrin, it stabilised my mood and intrusive thoghts (OCD) but still I didnt feel like it gave me a lot of energy, it's more like I can do the basic most necessary stuff go to work etc, but I dont enjoy my hobbies anymore. Then i tried Anafranil 75mg but that just made me insanely sleepy, like I was on holiday and I slept all day. Then Fluoxetine up to 60mg it helped very well with my OCD thoughts but my mood and energy was still quite mellow, so now back on Venlafaxine 225mg which also the OCD thoughts are a bit more there than with Fluoxetine and my energy levels are still quite low. I Can go to work and clean my apartment but that's about it. I was thinking I really don't get a lot of noradrenergic tonus? Maybe add Reboxetine? Or switch to Milnacipran? Moclobemide?

I would be happy for any opinions, I've been in this anhedonic state for month now.

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2 months ago