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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 5941 to 5965 of 8406. Go back in thread:
Posted by Yogi on January 14, 2004, at 3:23:44
In reply to Re: IS IT THE DREADED *POOP-OUT*??? » Esmarelda, posted by Mariposa on January 13, 2004, at 22:02:10
Hi, has anyone taken Lexapro for OCD? If so, did it help?
Posted by BLKVETTES on January 14, 2004, at 4:53:54
In reply to Re: IS IT THE DREADED *POOP-OUT*??? » Esmarelda, posted by Mariposa on January 13, 2004, at 22:02:10
SORRY I POSTED THIS TWICE!!!!!!!! I PUT THE WRONG SUBJECT. THATS WHAT HAPPENS WHEN YOU THINK BEFORE DAYLIGHT!!!!!! I have a feeling quite a few of you consume a lot of caffeine. In a sense some develop a toxicity. It can mimic biopolar disorder and also anxiety disorder. The article is kind of deep but parts are easy to understand.
>With the upswing of "chemical imbalance" disorders that surfaced in the latter twentieth century, many researchers frantically attempt to unravel the brain's intricate clockworks. In turn, as the number of persons suffering with mental issues mount, it seems that doctors, pressed for time, are quick to refer patients to psychiatrists. Failing to request a medical physical, many psychiatrists hand out medications, often masking the underlying physical problem.
People have overlooked two simple but deleterious factors: 1,3,7 trimethylxanthine and allergy. Simply put: caffeine allergy. It is medical knowledge that the longer a person is exposed to a drug, the higher the chances are for developing a tolerance, and an allergy to the substance. Once this happens, caffeine allergic persons can't properly metabolize caffeine, which is rapidly absorbed by all organs, and distributed into intracellular compartments, and extracellular water.
Mentioned in a 1936 article by Drs. McManamy and Schube, a young woman, allergic to caffeine, presented with alternating states of delirium and mania, resembling schizophrenia (1). After the recorded case, allergy documentation becomes rare. And not surprisingly.
The drug's stimulating properties masks its allergic symptoms. Circulating adrenaline (epinephrine) increases in caffeine consuming persons (2,3). In its synthetic form, epinephrine is the drug of choice for anaphylactic reactions, halting allergic reactions. But added to a stimulant reaction, excess adrenaline may induce delusions. And the breakdown of some adrenaline byproducts mimics symptoms of schizophrenia (4).
Brain levels increase proportionately with dosage (5). In allergic persons, each cup of coffee, cola, tea, every piece of chocolate, and any ingested caffeine products, intensifies toxic psychosis. Half-life increases. Subsequent doses, including minute amounts, act as a bolus. Cells are poisoned, including neurons.
Symptoms of cerebral allergy can range from minimal reactions, such as lack of comprehension and inability to focus, to severe psychotic states, such as delusions, paranoia, and hallucinations (6). It's known that amphetamine psychosis can't be distinguished from schizophrenia (7,8). With a caffeine allergic person's inability to eliminate, continually ingesting caffeine, neurotransmitter levels, including dopamine and adrenaline, quickly increase. Cells rapidly absorb the drug.
Dopamine increases proportionately to the amount of stress (9). The higher the adrenaline level, the greater the increase in dopamine. Serotonin also increases. Dopamine and serotonin decrease during partial, toxic withdrawal states. But as long as caffeine remains in the toxic body, neurotransmitters never adjust to the victim's natural state.
Toxicity is known to cause excitement, agitation, restlessness, shifting states of consciousness, and toxic psychosis (10), mimicking amphetamine psychosis. Allergic individuals may be erroneously diagnosed, medicated, and lost in a dark disturbed world, until death.
Adenosine receptors are blocked by caffeine (11,16), maintaining neuronal firing. Persons remain excited and often euphoric.
Caffeine toxicity may be mistaken for bipolar disorder (1,12). Symptoms include: chattiness, repetitive thought and action (resembling obsessive compulsive disorder, OCD), restlessness, psychomotor agitation, alternating moods, anger, impulsiveness, aggression, omnipotence, delirium, buying sprees, lack of sexual inhibition, and loss of values.
Allergy can mimic Attention Deficit Disorder (ADD) (13). As far back as 1902, T. D. Crothers noted that many caffeine consuming children "exhibit precocity" and "functional exaltation" (14).
Caffeine poisoning may also resemble schizophrenia. One woman's conversational topics wandered from subject to subject. She screamed, and believed that she was in prison. Natural judgement was impaired (1). In 1931, a truck driver brought to the hospital in a confused and irritable condition, complained of being attacked by flies. Flies were never present. Examination revealed that he'd consumed large amounts of cola (15). One gentleman ended his political speech with predictions and threats, out of the ordinary for his personality, stunning the audience (14). Another case describes a man, who imagined himself very wealthy, and assumed that his mental state was normal (14).
Caffeine toxicity may also masquerade as depression, and anxiety. In 1925, Powers described nervousness, visual problems, and dizziness, in patients he discovered suffered from caffeine toxicity (16). In 1974, caffeine toxic patients, experiencing the same symptoms, were erroneously admitted to a psychiatric hospital, for treatment of anxiety (16,17). In other studies, depression and anxiety are also correlated with caffeine intake (18,19,20,21).
In several reports, patients diagnosed with anxiety disorder experienced panic attacks with ingestion of caffeine (18,19,20). One study reveals that six persons improved with caffeine cessation and remained improved for at least six months (21). Other reports reveal that some persons not afflicted with panic disorder, experienced panic attacks with intravenously administered caffeine (22, 23).
Written materials on panic disorder symptoms and anaphylactic symptoms do not clearly differentiate between the two. Parasthesia (pins and needle sensations), a feeling of choking, hyperactive symptoms, chest pains, and hyperventilation, amongst other symptoms, are common in both conditions. They're also common in many caffeine consuming persons.
This suggests that caffeine allergy may be responsible for many cases of panic disorder. In which case, panic attacks in allergic individuals are suppressed anaphylactic reactions - mimicking ADHD, and panic disorder. They're "have to get up and run" and "I think I'm losing my mind" feelings, brought about by increased neurotransmitter levels, associated with the "fight or flight" syndrome.
Dr. William Walsh connected anxiety and severe allergic reactions. Dr.Walsh maintains that allergic anxiety stems from a choking sense, and loss of air; not a psychological deficit (24).
Caffeine converts into many byproducts, including theophylline. Theophylline keeps the bronchial tubes open. Allergic individuals are less likely to suffer respiratory collapse, during an anaphylactic reaction.
A proficient Boston neurologist mentions that sixty-six percent of elevated CPK MM (creatine phosphokinase of muscle) levels are of an "unknown origin" (25). Innumerable mid to late twentieth century studies reveal that a high number of persons diagnosed with mental disorders, including personality disorder, mania, BPD, depression, catatonia, and schizophrenia, exhibit elevated CPK MM levels (26,27,28-38,39,40-50).
The high majority of these studies, and others, attribute elevated CPK levels to a commonality between patients with mental disorders. Not one focuses on caffeine allergy as a contributing factor of mental disorders.
CPK MM, a muscle enzyme, increases with severe muscle trauma, burns, inflammatory states, and poisoning. This may stem from drugs (36,37,38,39), including cocaine, alcohol, amphetamines, heroin, and stimulants (37,40). Antihistamines, salicylates, cyclic antidepressants, theophylline, and others also cause this disorder (37).
This condition, called rhabdomyolysis, stresses and inflames tissues, including brain cells, breaking down muscle fibers, and discharging potentially toxic cellular matter into the bloodstream (37). Caffeine poisoning can cause rhabdomyolysis (10,37,41).
Myoglobinuria is a symptom of rhabdomyolysis, but often urine myoglobin disappears early in the course of the disorder, or is absent altogether (37). Generalized muscle cramping (associated with rhabdomyolysis) (14,37) may also be absent, or subside early on. Accumulation of caffeine acts as morphine, alleviating pain and discomfort, often inducing muscle rigidity.With toxins leaking into the bloodstream, the CPK increases. The higher the CPK, the higher the neurotransmitters, and the deeper into psychosis a person spirals.
In the late 1960's, Bengzon et al proposed that the leakage of CPK and aldolase might explain schizophrenia (26). Studies on patients with non-restrictive diets, concentrated on various factors, including medication, but failed to include caffeine as a possible factor (26). More recent studies have also overlooked caffeine allergy as a factor in any mental disorders, including schizophrenia.
A study theorized caffeine as a possible, psychosis inducing agent. Researchers eliminated patients' caffeine for a short duration. It was decided that caffeine aggravates symptoms of thought disorder and psychosis (42). Caffeine was reintroduced-never allowing for sufficient withdrawal times-and significant improvements.
Proportionate to toxicity, physical withdrawal may take up to 12 months, or longer. Recovery symptoms include memory loss, confusion, tremors, agitated states, insomnia or somnolence, and nightmares associated with amphetamine withdrawal. Following physical recovery, residual mental symptoms, primarily confusion and mood alterations, may exist for several months.
Evidence suggests that caffeine, and synthetic neurotransmitter altering medications, merely balance one another, and that upon cessation of caffeine, medication is no longer needed. Several reports indicate that upon caffeine cessation, tremors increased in lithium consuming individuals (43). In some patients, caffeine withdrawal increased lithium levels (44). After experiencing a 10-year course of seasonal BPD, a woman eliminated caffeine from her diet. She no longer needed BPD medication (45).
Caffeine may compete for benzodiazepine receptors (5). In which case, benzodiazepines reduce caffeine's effects and vice versa; balancing each other.
Chronic toxicity may affect functional aspects of every organ (14). Allergic persons may become sensitive to bright light, and resort to sunglasses. It's not uncommon to find dilated but reactive pupils on examination (14). Toxic persons usually present with a whitish, or grayish coated tongue (14, 46). Other findings imply that caffeine inhibits anaphylaxis, by suppressing histamine release (47,48). Due to caffeine's antihistamine properties, a skin test for caffeine allergy may be negative.
Several laboratory tests may be used as markers for allergic toxicity. A detectable Theophylline level in a patient not receiving Theophylline therapy, and an elevated CPK level are indicative of caffeine toxicity. Along with these, an increased glucose level (10,49) and an elevated white blood count (1,49) may also be significant of toxicity, as many patients assumed afflicted with mental disorders present with elevation of these (1,50). An elevated sedimentation rate, indicative of inflammatory processes, might signify rhabdomyolysis.
It's highly probable, that millions of consumers developed an allergy to caffeine, especially since availability and production increased rapidly mid- twentieth century. In which case, natural insights, and physical and mental health, have been sacrificed to chronic toxicity, resulting in organic brain, silently posing as ADD, ADHD, anxiety, BPD, depression, OCD, panic, and schizophrenia. Physical ailments resemble amphetamine poisoning, and include drug eruptions, masquerading as "rosacea."
Back in 1936, McManamy and Schube maintained that in all probability, many people of that era might have already been erroneously diagnosed with some form of mental illness. The doctors further predicted, that in the future, with lack of time, and proper medical insight, many doctors would not be able to diagnose simple disorders such as caffeine allergy, and would label many patients as psychotic (1).
Well, here we are. Welcome to the future.WAYNE
Posted by vandy on January 14, 2004, at 6:27:31
In reply to CAFFEINE, posted by BLKVETTES on January 14, 2004, at 4:53:54
Reminds me of that Three Stooges bit: "I am trying to think but nothin' happens!" Nyuk nyuk nyuk
Posted by Mrs C. on January 14, 2004, at 8:53:47
In reply to Re: Loosing my mind on Lex? - HELP , posted by dreaminoftx on January 12, 2004, at 9:10:25
> Your messages have helped me so very much to understand that I can get through the side effects with time. The medication has helped me feel so very much better! Thanks for sharing!
I'm so glad that you are feeling better and that I have helped. This board got me through the first difficult weeks too. Mrs. C.
Posted by hanging on on January 14, 2004, at 8:54:07
In reply to Re: Loosing my mind on Lex? - HELP , posted by Gaza on January 13, 2004, at 14:32:26
day 8 of lex and feeling anxiety today. to many pressures in the world. job insecurity, the economy, wife and child... is this really going to help me get through life? how does anyone handle this? Please someone tell me what you do to get through...
Posted by Mrs C. on January 14, 2004, at 8:56:26
In reply to Re: Loosing my mind on Lex? - HELP , posted by hanging on on January 12, 2004, at 11:15:45
> just started on 10mg of lex. on day 6. its going a little rough. I think I have had long term depression, but it has been brought to the surface due to recent job insecurity. Was on effexor for about a year in 2001... didn't work well.
>
> Trouble focusing. No end in sight. Will this actually get better? Will I actually feel better? Even if my life situation doesn't improve? thanks for some support.It will absolutely get better. Hang in there and as I have said before, please read old posts on this board. Anything you are feeling right now I am positive someone else has felt it and is now feeling great! Mrs. C
Posted by Mrs C. on January 14, 2004, at 9:00:34
In reply to Day 21 and a ?, posted by sexylexy on January 12, 2004, at 21:17:50
I like my husband alot better since I started Lex. Although the first month I sort of felt numb. Not really sad but not happy either. That has been replaced by more patience and more acceptance towards his annoying habits and more appreciation for his good qualities. We've been married 15 years this February so we are obviously committed to eachother but every little bit helps. Good Luck! Mrs. C.
Posted by LynneDa on January 14, 2004, at 9:09:49
In reply to Re: Loosing my mind on Lex? - HELP , posted by hanging on on January 14, 2004, at 8:54:07
Hanging on -
Give it a little more time . . . you will get there! From all the posters here, it seems to take an average of 4 - 6 weeks to feel evened out. Your body is still adjusting. Once it starts working, you will be better able to deal with all the pressures and stress. I find that troubles come in layers and the more I have, the more it hurts. But with this medication, my anxiety has diminished to the point that I can peel away some of the layers and don't feel quite so burdened by every little thing. That way, I can deal with the really big things and let go of the smaller, nagging things.You'll start seeing small changes in your abilities (like I finally had the mental energy to clean out under my bathroom sink or I finally cleaned out a particular file drawer at work). Sounds insignificant, but you'll start seeing these changes in a couple of weeks.
I hope this makes sense and helps a bit! Please don't give up, you just need a little more time. We're here for you!
~ Lynne
Posted by Esmarelda on January 14, 2004, at 9:20:00
In reply to Re: IS IT THE DREADED *POOP-OUT*??? » Esmarelda, posted by Mariposa on January 13, 2004, at 22:02:10
I am not sure what to do. I upped my dosage around the first of December because I was staying depressed since before Thanksgiving. I think the holidays may have something to do with it as I never do well during them, I think I have always had seasonal affective disorder and this was the first holidays without my beloved grandmother. However, be that as it may, I stayed busy enough that the holidays weren't too bad, but as soon as everything was over, I felt like I crashed. So, about a week ago, I started taking Wellbutrin with Lexapro to see if that helps. I seem to just not be able to get up and do it in the mornings. I get better as the day wears on. But, the bad part is I can really feel the disease lying to me again and putting negative thoughts in my head although I try to push them out. I hope this helps. I am hanging in there. If I have to increase or the Wellbutrin winds up helping, then so be it! Take care and you have helped me alot over the last few months. I truly wish you the best!
Posted by BobYuma on January 14, 2004, at 11:15:33
In reply to Re: Loosing my mind on Lex? - HELP , posted by hanging on on January 14, 2004, at 8:54:07
> > > day 8 of lex and feeling anxiety today. to many pressures in the world. job insecurity, the economy, wife and child... is this really going to help me get through life? how does anyone handle this? Please someone tell me what you do to get through > > >
Dear, hanging on:
First of all, God bless you, life can certainly appear to be anything but a bowl of cherries most of the time, can't it?
Second, yes, Lexapro really will help you get through life. I promise. At eight days, you're still taking baby steps as far as Lexapro being able to help you. Trust that with each day, Lexapro is settling itself deeper within your system in order to do what it's meant to do ... help you through life.Meanwhile, there are things you can do to help yourself. First of all, if you're a religious or spiritual person, or even if you're not, don't forget to say a prayer every morning that you live. This is imperative for being able to "get through life on earth" ... trust me. Just ask God to help you though the next few hours, don't worry about tomorrow, it'll be taken care of in time.
That's pretty close to the second thing you need to do, and that's live life one-second at a time. Everyone tells us to take things "a day at a time" .. well, a day is too much to take at one time. Don't think any further than the moment that you're now living in. Think about how you feel "now" .. but know that you are going to feel better no matter how bad you may feel at any given moment.
I honestly believe that being able to do this can help us more that just about anything else we can do, other than prayer. Try not to think about how you're going to handle what happens tomorrow, or next week or month, just the present moment.
I'm not saying it's easy to live one moment at a time, it takes a lot of practice. But if you try it, and succeed, you'll be surprised at what a load it takes off of you, and how good you feel about life.
MomentsOur lives are made up of a millions different moments.
Some moments are spent searching for love, searching for peace and harmony, and laughing with loved ones. Other moments are spent simply surviving life.
But that life, with all it's joys and sorrows, is meant to be lived one moment at a time. It is with this knowledge that we discover a most wonderful truth ...
that Life was actually meant to be enjoyed.Whether we live in a forty-room mansion, surrounded by servants and wealth, or find it a struggle to manage the rent month to month, we have it within our power to be fully satisfied and live a life full of true meaning.
Living one moment at a time we have that ability, through cherishing each moment and rejoicing in each smile, each dream.
Bringing tender awareness, forgiving awareness, merciful awareness to each moment. We can experience each day anew, and with this fresh start we have what it takes to make all our dreams come true.Each moment is new, and living one moment at a time enables us to truly enjoy our life and live it to the fullest.
Take care, BobYuma
Posted by LynneDa on January 14, 2004, at 11:23:20
In reply to Re: Loosing my mind on Lex? - HELP hanging on, posted by BobYuma on January 14, 2004, at 11:15:33
Bob - that's wonderfully inspirational for us all (as your posts usually are!). Thank you, I'll be looking back at that one again and may even print it out :-) I wish everyone the ability to be able to live in the moment and appreciate the small things that are sent our way!
~ Lynne
Posted by Gaza on January 14, 2004, at 11:43:30
In reply to Mariposa - THE DREADED *POOP-OUT*???, posted by Esmarelda on January 14, 2004, at 9:20:00
2 questions: How much Wellbutrin are you taking, and do you have to go to work when you get up in the morning.
> I am not sure what to do. I upped my dosage around the first of December because I was staying depressed since before Thanksgiving. I think the holidays may have something to do with it as I never do well during them, I think I have always had seasonal affective disorder and this was the first holidays without my beloved grandmother. However, be that as it may, I stayed busy enough that the holidays weren't too bad, but as soon as everything was over, I felt like I crashed. So, about a week ago, I started taking Wellbutrin with Lexapro to see if that helps. I seem to just not be able to get up and do it in the mornings. I get better as the day wears on. But, the bad part is I can really feel the disease lying to me again and putting negative thoughts in my head although I try to push them out. I hope this helps. I am hanging in there. If I have to increase or the Wellbutrin winds up helping, then so be it! Take care and you have helped me alot over the last few months. I truly wish you the best!
Posted by hanging on on January 14, 2004, at 11:45:42
In reply to Re: Loosing my mind on Lex? - HELP hanging on, posted by BobYuma on January 14, 2004, at 11:15:33
thank you so much for the support... it realy does help.
I feel I have so much to be thankful for and am very fortunate, but many times I feel I have no where to go but down from here. Any shift in the "plan" makes me think its all going to go down... I am hanging in there... thanks again.
Posted by Esmarelda on January 14, 2004, at 11:51:03
In reply to Re: Loosing my mind on Lex? - HELP hanging on, posted by BobYuma on January 14, 2004, at 11:15:33
You're Great Bob!
Posted by Gaza on January 14, 2004, at 12:09:55
In reply to Re: Loosing my mind on Lex? - HELP , posted by LynneDa on January 14, 2004, at 9:09:49
Hanging on - Man dude. Do I know how you feel!
One thing that worked for me was to take 30 mg right up front. It was quite unpleasant, but it seemed to kick in well in just a week.
Quoting Lynne, I think - this was how I felt too.
Every little task was an impossible mountain before me.> Hanging on -
...and don't feel quite so burdened by every little thing.
...You'll start seeing small changes in your abilities (like I finally had the mental energy to clean out under my bathroom sink or I finally cleaned out a particular file drawer at work).
Posted by BobYuma on January 14, 2004, at 12:10:34
In reply to Re: Loosing my mind on Lex? - HELP hanging on » BobYuma, posted by Esmarelda on January 14, 2004, at 11:51:03
> > You're Great Bob!> >
Ah shucks, Esmarelda ... and God bless you, sweetheart.
Love ya, Bob
Posted by Esmarelda on January 14, 2004, at 12:11:38
In reply to Re: Mariposa - THE DREADED *POOP-OUT*???, posted by Gaza on January 14, 2004, at 11:43:30
I take 150 mg SR in the morning with my Lexapro and, yes, I go to work in the morning. Why? Do you have any experience with the combo?
Posted by BobYuma on January 14, 2004, at 12:12:14
In reply to Re: Loosing my mind on Lex? - HELP - Esmarelda, posted by BobYuma on January 14, 2004, at 12:10:34
Sorry, E, didn't mean to post that twice.
Babble got crazy ... it wasn't me .. you know it wasn't me that got crazy ... right?
Posted by BobYuma on January 14, 2004, at 12:14:36
In reply to Re: Wonderful inspiration! » BobYuma, posted by LynneDa on January 14, 2004, at 11:23:20
> Bob - that's wonderfully inspirational for us all (as your posts usually are!). Thank you, I'll be looking back at that one again and may even print it out :-) I wish everyone the ability to be able to live in the moment and appreciate the small things that are sent our way!
~ Lynne > > >Thanks, Lynne. Bless you. You're a sweetie.
And I wish the same for us all.
Bob
Posted by Gaza on January 14, 2004, at 12:21:14
In reply to Re: Mariposa - THE DREADED *POOP-OUT*??? » Gaza, posted by Esmarelda on January 14, 2004, at 12:11:38
Yes I do have experience with these. Double that dose of Wwllbutrin, now. It'll kick in faster and you can cut down later if you want. I'm taking 10-20 mg lex, 400 wellbutrin.
Mornings were absulutely awful for me. EVERY DAY, wanting to call in sick. And I have a good job, good boss, good company, work with good people, excellent family, - EVERYTHING going my way. Thinking about all of that didn't even help. I knew I had to get help before I crashed permanently. I was tested as having "extreme depresion", and I thought, "Well that's stupid. I could have told you that."> I take 150 mg SR in the morning with my Lexapro and, yes, I go to work in the morning. Why? Do you have any experience with the combo?
Posted by Gaza on January 14, 2004, at 12:30:45
In reply to Re: Loosing my mind on Lex? - HELP hanging on, posted by BobYuma on January 14, 2004, at 11:15:33
"Wongerful inspiration" -- pooh!
Mr. "hanging on", everything Bob said is usless unless you can keep it in your mind and do it. You've got to do what he wrote, "hanging on". Submit yourself to God and see what happens. Test it. Also, you have really got to do the part where Bob says to take every day, RIGHT NOW, as only a few minutes - all there is is now. Ask yourself if you can go for 5 more minutes, and time it. Then time the next 5 minutes. And the next, and the next. That was another thing that helped me.
But regarding Bob's information, it was good, but you've *GOT* to live it, or it's wasted.
Posted by Esmarelda on January 14, 2004, at 12:50:13
In reply to Re: Mariposa - THE DREADED *POOP-OUT*???, posted by Gaza on January 14, 2004, at 12:21:14
Thank you so much Gaza - you may have saved my life. I was ready to throw in the towel because I felt like I was doing all the right things and nothing was working. I think I feel better already on the 150 mg. Do you really think I should double it? Do you take all the Wellbutrin at one time in the mornings?
Posted by Jayslace on January 14, 2004, at 12:59:34
In reply to Re: Loosing my mind on Lex? - HELP hanging on, posted by BobYuma on January 14, 2004, at 11:15:33
Bob,
Thank you for that post! I have tears right now, but they are happy tears just from reading the inspirational words you have written.
Also, I am going to be printing them out so I can read them often. My husband will also be smiling just to see what you have written.
Peace and comfort to you always.
And to us all!
Ruthie
Posted by Gaza on January 14, 2004, at 13:06:21
In reply to Re: Mariposa - THE DREADED *POOP-OUT*??? » Gaza, posted by Esmarelda on January 14, 2004, at 12:50:13
Mariposa, I embrace you with love. I was at my absolute, absolute! end also. Double the wellbutrin, like I said, NOW. I'm taking 400 mg/day. I take about 100 mg 30-50 minutes before getting up. That makes actually getting out of bed much easier. Getting help to just get out of bed was critical. Death was preferrable. Sometimes I will also take 50 mg caffiene tablet (liquid is absorbed too fast) at the same time in the morning, then I go back to bed, and go to sleep, knowing I will be ok to get out of bed when the alarm goes off 30-50 minutes later.
Then, I will take the rest of the 300 mg during the day, usually taking 100-200 mg at a time, untill I've taken 400 mg. I try to not take it later than about 5 pm or so, so I'll be able to sleep ok. I split the lexapro in half, between late morning, and before going to bed.
I hope this helps you, and many others. Man-o-man, I completely sympathize. Thinking where I was, how deep in that pit... I can't think of the words to describe how mentally & emotionally painful it was.> Thank you so much Gaza - you may have saved my life. I was ready to throw in the towel because I felt like I was doing all the right things and nothing was working. I think I feel better already on the 150 mg. Do you really think I should double it? Do you take all the Wellbutrin at one time in the mornings?
Posted by Esmarelda on January 14, 2004, at 13:13:18
In reply to Re: Mariposa - THE DREADED *POOP-OUT*???, posted by Gaza on January 14, 2004, at 13:06:21
Thanks Gaza! I am not at the bottom of the pit again yet like I was a few months ago. I usually can get up (eventually) at some point, but I feel like I could slide back down real easy! Take care and much love to you and others here!
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Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
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