I tend to agree with AliceMD. So many doctors seem a little too eager to push anti-depressants when they don't know what's going on with their patients. My first neuro actually prescribed an anti-depressant that is on the "do not take" list for MG! Granted I wasn't dxd at the time, but he suspected it (ordered my first AChR binding that was just barely negative). For me, it was a no go. I tried it because he felt it would help my FMS pain. What it did, and others before it (many years ago), was left me lethargic, slow, and foggy. If I saw any pain relief I don't know, cause I didn't care about anything. I stopped after only about 3 days. Personally, I don't recommend it unless you are truly convinced that you are suffering from true depression.