Posted by chemist on May 11, 2005, at 4:28:12
In reply to Day four -- still feeling zonked » chemist, posted by AMD on May 10, 2005, at 15:48:50
hello there, amd...the concentration issue sounds like it is directly related to pre\"occupation with which neurons were sacrificed last week and things of that sort, to me...perhaps the lowering of celexa is meant to address to overactivation that is being interpreted as OCD-like, or just plain overactivation? it is up to you, just as the ketamine/cocaine/booze/etc. is, and it might be of help...
otherwise, i opine (seriously, and without sarcasm) that you dump the meds and the doctor: it's costing you time and money and you can get free opinions here and elsewhere; and from a pharmacological standpoint, the medications prescribed are weak compared to alcohol, nicotine, cocaine, 3,4-MDMA, and ketamine, so it makes absolutely no sense to follow both treatment courses with vigor. if you can mix the first course with moderation and choices from the second that are legal and not detrimental to your physical and/or mental health (good luck on that one: nicotine is used as an insecticide and is so toxic that skin contact with fresh tobacco leaves will leave a rash at best and a trip to the ER within hours at worst, and ethanol is a not unattractive replacement for gasoline in powering automobiles), it is your choice...
speaking for myself: therapy and medication is optimized when used as directed. the three parties involved have mutually agreed - implicitly, i add - that there is no reason to waste our collective time and effort as well as my money if we are not all going to follow through on what we decide is a reasonable plan of action. this does not mean that i have a chaperone following me around town day to day, nor am i prohibited from purchasing alcohol in the region; likewise, therapists and doctors have vacation time, sick days, and personal lives that preclude regularly-scheduled appointments with patients as scheduled, although these interruptions are infrequent in my experience...the only person who is likely to be a loose cannon is yours truly, so i have to be on my game..
as for ``what did you do,'' the answer remains ``almost certainly nothing.'' you keep coming back to ketamine and other medication interactions as a focal point for continued anxiety: i have to point out that at some time in your life, you will likely be (or have been) the lucky winner of a minor or major surgical procedure, which will include a generous assortment of chemicals. the physicians like to be aware of what you are taking to prevent things like respiratory failure and death presenting while the patient is on the operating table...a blood test and your word should be good enough: if a polygraph is called for, this is not a good sign.
yours, c
> Day four and I still feel pretty bad. My mind is racing, and I don't feel "right." I am fearful the ketamine and some of my medicines interacted in a rather unfavorable way. I hope I get my concentration back soon -- I really need it!
>
> My doctor has suggested I lower my dose of Celexa to 30 m.g., which I did today. That said, I have not yet intimiated her regarding my latest experimentations. Perhaps it would be best to keep the Celexa at 40 m.g. But then, I feel a bit manic, my mind is racing, and I'm in full-on panic mode that this isn't going to go away. What did I do to myself?
>
> :-(
>
> amd
poster:chemist
thread:495381
URL: http://www.dr-bob.org/babble/subs/20050506/msgs/496299.html