Posted by fachad on February 4, 2003, at 9:16:36
In reply to Re: ADHEDONIA QUESTIONS ?? please read » fachad, posted by LAURA777 on February 4, 2003, at 6:12:21
> hey fachad , yes yes yes on everything you said about vicodin , that is why i would not want to go that route , but i am very encouraged about the news on tcas.
I think TCAs can help a lot of people that are not helped, or are actually harmed, by SSRIs. They really do have nuisance side effects, which is why SSRIs are so popular, but if they work, and SSRIs don't...
Nortriptyline and Desipramine are probably the ones to try. They are the mildest in terms of side effects and the most potent in terms of reuptake inhibition. Low dose doxepin or trimipramine are great for sleep.
>as far as the stimulants do they make you anxious ??
No, they don't really make me anxious, but then I'm not prone to anxiety. I've always said there is not enough energy in my nervous system to be anxious. I suppose if I took very high doses stimulants could cause me anxiety, but at normal doses they just relieve lethargy and apathy. I do get some somatic side effects from stimulants, like faster heartbeat and dry mouth, but not worry type anxiety.
>as far as stimulants go the only experience I ever had with them was cocaine and i absolutely HATED it , sorry for the strong words but the depression that caused was off the charts ..
Me too. see above post.
> vicodin does cause me to be depressed afterwards also , and it is not long acting at all , 2 pills of 5/500 will only have me feeling well for 3 hours but the stimulant effect of them seems to last longer , i won't be tired until 7.00 pm or 9.00 pm , if i had taken it at say 8.00 am ..
Vicodin only causes me to be depressed if it is used several times a day for several days in a row. Otherwise it just relieves pain and does not cause any depression when it wears off.
I was not sure how you could possibly experience stimulation from opiates. Yesterday my back was hurting quite a bit (my disk is herniated, but not ruptured, so they will not operate - I just have to live with it) and I took 1/2 of a 5/500 Vicodin about 5pm.
I was extremely exhausted from a long day at work. Curiously enough, I did feel less exhausted when the Vicodin kicked in. I wouldn’t call it stimulation, but it definitely lessened the experience of exhaustion. It could never be a long term solution for me, because as I said before, if I take it for a few days in a row I start feeling melancholy. But at least I kind of understand how someone could say it relieves anhedonia/anergia.
> what are you currently on now ???
Dextrostat 40 mg/day
Prozac 5mg/day
Ambien 10 mg at bedtimeI have tried Ritalin, Adderall, and Dextrostat and for me Dextrostat is the best. I posted my rational for preferring Dextrostat here:
http://www.dr-bob.org/babble/20020718/msgs/112993.html
About the Prozac 5mg/day. After the Vicodin fiasco, I found myself very depressed so I went back on Prozac 20mg/day out of panic and desperation. Then when I tried to quit Prozac, I had withdrawal or discontinuation or whatever they are calling the misery when you quit SSRIs. Yes, Prozac is not supposed to cause this because of long half life, active metabolites, blah blah blah. But it does.
So I've gradually tapered down to 5mg/day, and seem stuck there for awhile.
The Ambien is for the insomnia cause by the Prozac. Before my last episode of depression I was sleeping fine taking 60mg/day of Ritalin. When I started Prozac, I immediately got insomnia. Ambien is expensive, but it does work well and does not cause any side effects for me.
poster:fachad
thread:138954
URL: http://www.dr-bob.org/babble/20030204/msgs/139304.html