You know the tianeptine will take a few weeks to kick in if you decide to try it, right. I used to use a TCA, nortriptyline, and it was very effective once it kicked in, although it caused me to be somewhat jittery at first. I also used to use Wellbutrin, which works mainly on dopamine rather than serotonin and norepinephrine. It was sort of effective, but made me quite jittery. Remeron was a good one: it works mainly on norepinephrine; however the weight gain from that was really a problem. Currently I take a combination of Effexor and Risperdal. Risperdal is an anti-psychotic, and I know from personal experience that too much of those can feel unpleasant, but for some reason a very small dose of it, in combination with the Effexor helps my depression. So...the human brain is pretty complicated; it's not simply a matter of certain neurotransmitters being depleted--it's a complex system. Hopefully you can find something that helps you..