I bought 99% of those drugs myself.I personally think you are the luckiest person on this world. I've seen your regimen with the massive cocktail of drugs on this forum and wow Cool doc.
Possibly; only one way to find out.I always thought NRI would block excessive NE. Selegiline also increases anxiety tenfold for me but the SNNRI would counter this.
Selegiline doesn't = placebo; it's proven many times in depression. Mirtazapine does make a good addition to duloxetine though, yeah.Don't mix duloxetine with selegiline.No one use that strategy because it's controversial and may precipitate mania or hypomania.Second thing:SSRI or SNRI+selegiline=SSRI or SNRI+placebo.It's better to ad mirtazapine or bupropine to duloxetine for full beneficial effect,and THIS IS COMMON strategy.