I’m curious how you choose the order to try the drugs in. Vortioxetine is such a positive outlier on the “effectiveness and acceptability” chart that when I saw that I assumed you would have tried it first, or at least early/soon, but instead it was the sixth you tried. Is there some generally-applicable reason why it’d be wiser to start with the other five first?
(Note: My intuition that it made sense to start with vortioxetine based on the chart info was definitely strengthened when I saw that it’s the drug you decided to stick with, but in reality I probably shouldn’t update much at all based on your one case about which drugs it’d make sense to start with.)
Yea, good question. It’s basically because I started with NHS psychiatrists (who strongly prefer to prescribe SSRIs), and only later moved to a private psychiatrist (who recommended I start first with agomelatine because of the excellent side effect profile, given that side effects were my main complaint).
I’m curious how you choose the order to try the drugs in. Vortioxetine is such a positive outlier on the “effectiveness and acceptability” chart that when I saw that I assumed you would have tried it first, or at least early/soon, but instead it was the sixth you tried. Is there some generally-applicable reason why it’d be wiser to start with the other five first?
(Note: My intuition that it made sense to start with vortioxetine based on the chart info was definitely strengthened when I saw that it’s the drug you decided to stick with, but in reality I probably shouldn’t update much at all based on your one case about which drugs it’d make sense to start with.)
Yea, good question. It’s basically because I started with NHS psychiatrists (who strongly prefer to prescribe SSRIs), and only later moved to a private psychiatrist (who recommended I start first with agomelatine because of the excellent side effect profile, given that side effects were my main complaint).