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09 Jul 2010

change of meds
Hi Doc
My GP has suggested that I change from Cilift to Trepiline. My concern is that I''ve been on Cilift for 3 years now &  if I don''t take it for about 2 days I feel like I''m going insane. Do I have to wean myself off the cilift before I start taking the trepiline? If cilift made me feel better how come its not working anymore? Or is the problem that I just don''t know what its like to feel " normal" ?
Answer 428 views

01 Jan 0001

OK, antidepressants vary, and indeed some of us feel wobbly and not too well if we stop them abruptly. Whether or not one is actually helping you, suddenly stopping may give you the wobblies for a few days - so gradually reducing the dose is wise. If the Cilift is apparently not working for you anymore, a careful choice of an alternative is needed. Trepiline is an old form of antidepressant that has been around for years, and suits some people very well.
I am puzzled about who is treating you. It sounds like it may be a GP, who is not always the best person to deal with a depression with any complications, raher than a proper specialist Psychiatrist ( and the Society Of Psychiatrists guidelines would say so ).
Whoever it is needs to properly re-assess your current situation. If the Cilift is being taken at the right dose and is not relieving your depression, then a different AD needs to be chosen, and you need to be advised BY THE PRESCRIBING DOC ( who is being paid to do so ) of what to expsect from the change over and how to acomplish it
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