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<blockquote data-quote="ButtterflyLady" data-source="post: 900320" data-attributes="member: 43498"><p>It may be possible to get an antidepressant that works as well as this one, without the bad side effects. The key is to take them at the highest safe dose for a good amount of time, usually 4-6 weeks. Often people give up on an antidepressant without doing this. The usual first line option is an SSRI, and there are 2 good options in that class that are stronger than Sertraline - Citalopram and Fluoxetine. Then there are SNRIs, and one of those that does not tend to cause weight gain is Venlafaxine. These can all be augmented with other drugs, and only after trying those sorts of options would a doctor usually move to a tricyclic, because of the side effects and risks. They are usually seen as a last resort, so it's a shame you have been taken to that after only trying a couple of other drugs.</p></blockquote><p></p>
[QUOTE="ButtterflyLady, post: 900320, member: 43498"] It may be possible to get an antidepressant that works as well as this one, without the bad side effects. The key is to take them at the highest safe dose for a good amount of time, usually 4-6 weeks. Often people give up on an antidepressant without doing this. The usual first line option is an SSRI, and there are 2 good options in that class that are stronger than Sertraline - Citalopram and Fluoxetine. Then there are SNRIs, and one of those that does not tend to cause weight gain is Venlafaxine. These can all be augmented with other drugs, and only after trying those sorts of options would a doctor usually move to a tricyclic, because of the side effects and risks. They are usually seen as a last resort, so it's a shame you have been taken to that after only trying a couple of other drugs. [/QUOTE]
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