Beach and LG,
Treating depression is tricky. There really is a genetic component to the disease as well as the treatment. Everyone reacts differently to the drugs and it can be super frustrating to treat people in the beginning. I gave a young woman Celexa which is the cousin drug to Lexapro (very similar drug with far less cost) and it just killed her sex drive. She showed up at my office without an appointment to see me in tears because her spouse was threatening to leave due to no sex. Poor thing was being turned away by my idiot MAs because she had no appointment and I happened to over hear the discussion. I pulled her onto a room and changed her to a tricyclic antidepressant which is kinda old school. But most people who get sexual side effects on one SSRI tend to get them with the other ones too.
Provigil is a stimulant. In my case, I would not want to use it due to my AI. Honestly, I see my PCP tomorrow to have lunch and get my labs done. I am considering switching to my Lexapro. Cymbalta for many causes fatigue for a week and then it lifts and energy returns. For others, the fatigue worsens. I have no time for this shit. I really do think much of my tiredness is depression. If I can lift it, the fatigue will lessen.
Cookie making went well. We made a lot of cookies!!! Probably 15-18 dozen or so of all different types. Plus cupcakes. My kids wrap them into chinese food containers with candy canes and chocolate to give to friends as presents. My son has already been out to distribute them. My parents came to help. It was a fun day with my family. Low stress, lots of laughter. I felt worlds better from yesterday. And despite the tiredness I feel the Cymbalta lifting my mood...something that took about 2 weeks on Lexapro instead of 2 days which is pretty cool. Plus kills my appetite. I need to lose weight!!! Lexapro made me gain. Decisions, decisions.
Hope you are all doing well. Love to you.