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Re: Hang on...... » uncouth

Posted by ace on June 11, 2009, at 22:03:26

In reply to Luvox not working yet, posted by uncouth on June 9, 2009, at 10:11:38

> Hi,
> I've been on Luvox CR for a little over a week now, at 100mg at night for the first 3 days, then 200mg at night. I came off of Clomipramine to Luvox, so the mechanism (SSRI) was essentially the same.

This is not correct. Clomipramine and Luvox act in many dissimiliar ways.

>
> I still feel like utter sh*t and am suicidal to boot.

It's early days.
Any positive response under a week is deemed as a placebo effect.
Unfortunately, you may have to give this agent up to 8 weeks at a high dose.
Suicidal in terms of just suicidal ideation, or, have you made/entertained specific, tangible plans?
Certainly do inform family about this or to close friends, and to an MD. Even if you feel you don't feel you have the strength to do this, I would advise to: push against this apathy.

The Luvox was chosen to help with my obsessive-nature of my depression. While I have more energy now that i'm off the clomipramine and don't have to deal with TCA side effects, the Luvox at 200mg isn't working at all. It feels like a sugar pill. I thought Luvox was supposed to kick in early.

How did you go with the Clomipramine?
I am not a fan of the SSRI's, but I do feel that Luvox is the best one for OCD.


> Also, is it worth trying 300mg, and if so, how long should I wait at 200mg before begging my pdoc?

Ramming up the dose early in treatment won't necessarily work. It could do nothing and cause you a lot of side-effects.
At this point in time, I feel you would benefit from a drug like Xanax, which does have AD and anti-anxiety properties.

However possible I would surround yourself with friends and family, and let them know how you are feeling. Let go off life's responsibilities for a period of time, and spend time where you are cared for by other people and have time to recover.
If necessary (the aforementioned situation is not plausible) I would admit myself to a psychiatric ward/hospital, although I would like to see people be encouraged to do more than take medication, smoke, and eat in these places!
If your problem is a long term depression with OCD, I cannot but recommend a trial of Nardil or Parnate.


I'm miserable, helpless, suicidal, wishing all of this would just end, in unbearable pain, and wanting to die. Please have mercy on me.
> God i'm so sick of these antidepressant cocktails NOTHING F*CKING SEEMS TO WORK, EVEN ECT!

Keep going, stay alive. Very easy for me to say, I know.
Keep in mind that this horrible period you are going through WILL AND MUST TERMINATE!

YOU WILL AGAIN FEEL HAPPINESS- even if everything you are feeling at this moment is telling you otherwise.


Hang on, endure, persevere.............


Ace:)



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