I was very grateul to everyone who answered my question about spikes of depression as drugs wear off. I've had a horrendous weekend and I was pinning my hopes, long term, on taking citolapram but this morning the PD nurse rang to say they'd changed thier mind and I can't take it as I take Azilect (rasagaline). I know I can't do without the Azilect because when I came off it for a month the madopar stopped working. When I asked what anti depressant I could take the nurse said the GP must find a suitable non SSRI. My GP is a trainee (qualified Dr but not fully qualified GP) who says he doesn't know what to give me. It's Alice in Wonderland territory out here. I seem to be quite sensitive to drugs and in the past have been knocked sideways by 'standard' doses. Does anyone have any recommendations?