Posted by laima on February 1, 2007, at 9:26:15
In reply to Re: Do you have to get a lot worse... - blueberry, posted by ralphrost on February 1, 2007, at 8:01:01
Yes, I agree, you have valid points, especially about the importance of maintaining faith in one's med, and it wasn't my intention to take an "off" tone. I guess the nuances of this situation are tricky to talk about-at least for me. I'm just concerned that Blueberry's mood could absolutely tank to a suicidal level over this waiting period experiment. There is no guarentee that it will end up working, and meanwhile, she's really suffering. I'm confused and concerned why people feel so certain about the cymbalta. Why must the med be cymbalta- I don't understand. I've also not sure I buy the must-feel-worse-than-before-for-awhile-and-you-might-improve-later philosophy, but not worth me arguing it here. (We'd go in circles, and I sure don't want to instigate arguements with anyone.) How exactly can it turn around 180 in a couple weeks to improve mood? Can anyone explain? I've been concerned too, that people are reading, understanding her report as something along the mood of, "Well it's been a couple days- not working yet! It sucks!" But perhaps, from how you and Quintal explain further, I am wrong in this assumption.
I've tried numerous antidepressents which didn't work, some that did work at varying degrees- only a very, very few caused such a severe drop, cymbalta was one, just by coincidence. I'm concerned that this pharmaceutically-induced worsened depression period is very dangerous-so I feel quite alarmed by that and helpless to help. My own experience with it led to fantasizing about all kinds of accidents, risky behavior like walking in front of speedy cars- scary stuff. How can anyone be sure that this is not a paradoxical effect? Why cymbalta? Is there not another medication that could at least stay neutral and ineffective during its pre-effective period? I just feel really worried. Maybe now I'll leave it at that, as I don't wish to risk any offense for anyone over my divergent viewpoint, or risk making the situation even more unpleasant for anyone in any way. I'm starting to feel a tad cloddish. I have only best wishes for everyone's safety and peace of mind-but I do feel awfully worried about this situation.
> Hello laima,
>
> I understand what blueberry is saying, because I also use to have initial mood boosts and then crashes, as soon as I start ADs. It's AWFUL, and I have many times strong suicidal tendencies in the beginning. I'm also sick of that effect and it's happening (again) right now with me, on Tianeptine.
>
> As posted above by Quintal, I also believe he should try to add something (benzo is the easyest and fastest) to make the initial period "livable", instead of giving up soon on a drug.
>
> My post was only about trying to encourage him to be positive about the drug, and about how long it takes for a cure (not an improvement) to happen.
>
> Ralph
>
> >
> > I feel like I am not on the same page as most people here? I am understanding Blueberry saying that cymbalta is making her feel markedly WORSE, not same, not dissapointed that it's not more effective, not impatient that it's not working fast enough or not well enough, or even not at all, but a "PLUNGE". Ie, a paradoxical effect. That doesn't sound good at all. I recall, she had a somewhat paradoxical effect with adderall, too. A lot of people report mood boost with adderall- witness remedyfind- Blueberry got a severe drop. Do I recall Blueberry, that a benzo, xanax was it, made you feel socially livlier? Or I might have that last example mixed up with someone else.
>
>
poster:laima
thread:728186
URL: http://www.dr-bob.org/babble/20070201/msgs/728715.html