is it a must to be treated with both tricyclic and SSRI antidepressants?

Answer 1

Not at all. It depends on you diagnosis, but everyone is different and responds differently to drugs. Tricyclics are old school, but still effective. It's whatever works for you.

Answer 2

It is recommended only in the rarest of rare occasions. Clomipramine + Fluoxetine may be useful in some OCD patients but it is very risk and tricky.

You have to try other drugs if one drug is not working. A combination of antidepressants should be used only as a last resort.

A wide variety of antidepressants are available like:

Fluoxetine - of the SSRI class (Prozac, Sarafem, Fluctin, Fontex, Prodep, Fludep, Lovan)
Sertraline - of the SSRI class (Zoloft, Lustral, Apo-Sertral, Asentra, Gladem, Serlift, Stimuloton)
Venlafaxine - of the SNRI class (Effexor, Efexor)
Citalopram - of the SSRI class (Celexa, Cipramil, Talohexane)
Paroxetine - of the SSRI class (Paxil, Seroxat, Aropax)
Escitalopram - of the SSRI class (Lexapro, Cipralex)
Fluvoxamine - of the SSRI class (Luvox, Faverin)
Duloxetine - of the SNRI class (Cymbalta)
Bupropion - of the DRI and NRI classes (Wellbutrin, Zyban)
Amitriptyline - of the TCA class (Elavil)
Dothiepin (Dosulepin) - of the TCA class (Prothiaden, Dothapax)
Mirtazapine

http://en.wikipedia.org/wiki/List_of_antidepressants

Answer 3

Hi, again! You must NOT give yourself such a medication, for you
will never recover!!!!
Do this: get in touch with the nearest Dianetic Centre and you will find happiness again!!!! Do it!

Ciao........John-John.