2. Fluoxetine (Prozac) is effective at a dosage of 20-60 mg per day. Other SSRIs are also effective.
3. Imipramine (Tofranil) or desipramine (Norpramin) at a low dosage (50 mg per day), increasing by 50-mg increments every 3-4 days, to a daily dose of 150 mg. The serum drug level is measured after 1 week.
4. Bupropion is contraindicated because of the increased risk of seizures in these patients.
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Are You Depressed? Heard the horror stories about anti-depressants and how they can just make things worse? Are you sick of being over medicated, glazed over and too fat from taking too many happy pills? Do you hate the dry mouth, the mania and mood swings and sleep disturbances that can come with taking a prescribed mood elevator?