What med should I add tomorrow?

Hey guys, I (37M)have an appointment with my doc tomorrow.

I have a long history of recurrent major depressive disorder and comorbid ADHD. I have failed many SSRIs and SNRIs and my genesight test said I have the a short serotonin allele that may make me less responsive to such meds.

I am currently on Adderall IR 40mg and having a positive response to that. It definitely helps my focus and energy. It somewhat helps my mood, but I feel my depression is still holding me back from a full response. Wellbutrin hasn’t seemed to pair very well with stimulants for me.

My doc is willing to work with me but not a psych by trade so I can only expect so much. I’ve basically narrowed it down to these 3

Trintellix, Viibryd, or Remeron.

Trintellix is very intriguing to me but my concern there is long term cost.

Viibryd makes sense to me as it’s in between. Newer, basically the Buspar + Lexapro combo in one pill from what I’ve read.

Remeron makes a lot of sense as it’s outside the SSRI drug class. It also tends to help with sleep which has been a chronic issue for me. I’ve read mixed results about combining it with stimulant medication, but I know my outlook would at least be a bit more optimistic if I knew I was actually trying something NEW, as opposed to the same old same old.

Any opinions would be appreciated!