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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 57 to 81 of 94. Go back in thread:
Posted by Declan on June 16, 2006, at 0:43:06
In reply to Re: Emsan-Day 37-gave up, posted by cecilia on June 15, 2006, at 21:20:30
Hey Cecilia
ADs haven't worked for you.
Opiates are almost impossible to get.
Tolerance with them is pretty well total, addiction etc, but even so........they will work, IMO.
Better than ADs.
What do you think?
Declan
Posted by cecilia on June 16, 2006, at 2:16:49
In reply to Re: Emsan-Day 37-gave up » cecilia, posted by Declan on June 16, 2006, at 0:43:06
I don't think opiates would do anything for my depression-when I've had them after surgery I never noticed anything remotely beneficial for my mood-certainly no desire to continue taking them. Cecilia
Posted by Declan on June 16, 2006, at 2:53:27
In reply to Re: Emsan-Day 37-gave up- Declan, posted by cecilia on June 16, 2006, at 2:16:49
Really? Well that's food for thought. I was thinking along the lines of something comforting, in the way those drugs have affected me. Words like depression, euphoria, dysphoria, social phobia etc etc don't tell us much. At least a word like 'dread' , for example, has a clear meaning.
Declan
Posted by pulse on June 16, 2006, at 3:34:54
In reply to Re: On the Anger Front » pulse, posted by Jakeman on June 15, 2006, at 19:10:27
oops, sorry Jake re: 'young.' i had you confused with another.
yes, you are right. at the age you are now, i, too, had this start up - anxiety that time is running out, and over so many things. your mentioning this is a strange comfort to me. sorry that (my) misery loves company!
wouldn't it be nice if we could just have/ have had that 'normal' folks mid-life crisising? i suppose it's that, too, but with mental health issues on top of it, it can surely be tough!
when you do hit 50, know that you can then do or say anything you've ever wanted to, but haven't < pulse's credo #1.
making peace, for me, though, is still a work in progress.
as i said above, i'm 54, and as i've said before, a friend told me that 55 was harder than 50. just thought i'd give you even more 'hope.' *wink.*
on a positive note: sounds like you DO have a good jump started on the anger front...and on these 'negative' emotions.
all my best,
pulse
Posted by cecilia on June 16, 2006, at 4:41:53
In reply to Re: Emsan-Day 37-gave up- Declan » cecilia, posted by Declan on June 16, 2006, at 2:53:27
I think it's a genetic thing, some people find that opiates make them feel good and risk addiction if they try them, others find them beneficial only for physical pain. Of course everyone would get physically dependent if they took them long enough, but those who risk addiction to unprescribed substances or would find them beneficial for depression in the unlikely event that they found a doctor who would prescribe them for that purpose are those who have a gene that responds to that substance. Probably the same with alcohol, I don't think people become alcoholics, no matter how many "issues" they have, unless they also have the gene for it. Cecilia
Posted by Donna Louise on June 16, 2006, at 6:04:29
In reply to Re: Emsan-Day 36 » Donna Louise, posted by Jakeman on June 15, 2006, at 19:21:11
> > > > I am afraid of my anger too, but I stop being frightened of someone when I am openly angry with them. It's when I am covertly angry but unable to express it that I get frightened, maybe. (Perfect fear driveth out love, of course, just thought I'd throw that in.)
> > > > Declan
> > >
> > > I went to see the Dalai Lama when he was in town a few months ago. He told a story about being very irritated when he was trying to sleep in his hotel room and they was music blaring from a dance club across the street.
> > >
> > > ~Jake
> >
> > Well, that is one to remember. If it is ok for him, it is ok for me...
> > I know and am comfortable with the so called negative emotions. I have been doing recovery work for over 20 years, and still have a ton of it to do. It is the excessive, pathological, inappropriate emotions that are a problem for me.
> > The anger, the appropriate, protective anger can still scare me, it is a lifelong thing, but I know it is my friend. And one of the big problems with sri's is that it robbed me of my feelings. I have spent too much time making friends with them and learning to appreciate them to walk around numbed out. There is ecstasy, if only for a moment, on the flip side.
> >
> > Donna
> >
>
> I had the same problem with ssri's. I liked my feelings taken away... for a while. But eventually it seemed that I lost some of my humanness. If that makes sense.
>
> Jake
>
>I know exactly what you mean. At first it was a relief to be rid of the oppressive feelings but then I too felt I lost compassion and zest. Humanness, spirituallness, yes, they felt gone and I won't go there again. uhmm, unless it gets really really bad....oh, I hope I don't have to go there again..
I don't know if it is possible, but I feel better already after only two days on 25mg lamictal..Oh please, let it be so!!donna
Posted by Donna Louise on June 16, 2006, at 6:09:50
In reply to Re: Emsan-Day 37-gave up, posted by cecilia on June 15, 2006, at 21:20:30
> Well, I took off my quarter patch yesterday and finally decided, ok this is it, I just can't put another one on. I can deal with the insomnia, I've had insomnia since I was in elementary school. But the eye pain just kept kept worse and worse. This stuff is poison, unlike some meds where side effects improve with time, all the MAO's for me seem to get worse and worse side effects with time-they just build up in your system. The 1st 2 weeks on Emsam there were really no side effects at all, insomnia and anxiety of course, but I always have that, I couldn't really tell if it was significantly worse, then gradually it was obvious it was significantly worse, then the dry eyes started , my eye doctor told me to use artificial tears eye drops and that seemed to help at 1st, but soon it wasn't just dry eyes, it was PAIN, and who knows what would be coming next. So another failure, and there's nothing else left to try. Well, I know what my pdoc will say, what he always does, there's always ECT. Yeah, doc, it's not you that'll lose your memory. I HATE DOCTORS!!!!!!!!!!! Cecilia
Oh, I am so sorry this failed for you! I would be devastated. I have so much hope pinned on this one. I don't know where I would turn to next either. My pdoc, who is very enlightened and willing to try things is not going to give me bupe unless I have tried all else. I have tried what seems almost everything else. If this wasn't working for me, I think she might. It is so hard to get one to do that. And like you say, it may do nothing for you. I do have the gene for alcoholism, and narcotics make me feel great.
My right eye is always dry, it may be a little drier on the patch, I put drops in in the morning and then i am ok but i would not be able to tolerate eye pain for a moment.
There has to be something for you. Keep us updated.donna
Posted by Jakeman on June 16, 2006, at 19:20:23
In reply to Re: Emsan-Day 36 » Jakeman, posted by Donna Louise on June 16, 2006, at 6:04:29
>
> I know exactly what you mean. At first it was a relief to be rid of the oppressive feelings but then I too felt I lost compassion and zest. Humanness, spirituallness, yes, they felt gone and I won't go there again. uhmm, unless it gets really really bad....oh, I hope I don't have to go there again..
> I don't know if it is possible, but I feel better already after only two days on 25mg lamictal..Oh please, let it be so!!
>
> donnaMy new p-doc is really big on lamictal and says that it has helped a lot of her patients. It's an option I'm considering when I go back next month. If your haven't already, read the remedyfind.com reports on Lamictal.
Warm regards, Steve
Posted by cecilia on June 16, 2006, at 20:28:14
In reply to Re: Emsan-Day 37-gave up » cecilia, posted by Donna Louise on June 16, 2006, at 6:09:50
Unfortunately, there really isn't anything else I can think of to try. I've tried desipramine, imipramine, trazodone, amitriptyline, Prozac, Nardil, Zoloft, Paxil, Wellbutrin, Effexor, Serzone, Buspar, St. John's Wort, Remeron, lithium, nortriptyline, celexa, neurontin, SAM-e, methylphenidate, dexedrine, zyprexa, parnate, Xanax, clonazepam, amisulpride, reboxetine, luvox, adrafinil, Lamictal, rTMS, moclobemide, tianeptine, cymbalta, 5-HTP, milnacipran, marplan and Emsam. Not to mention 7 very expensive very useless years of therapy. The only thing that's ever been even slightly beneficial are benzos. I can't imagine what all those chemicals have done to my brain, not to mention what the hammer pounding pain of rTMS may have done. I am NOT willing to try ECT. I want to keep whatever's left of my brain. Emsam was the last straw, other than benzos and sleeping pills I've had it for psychotropic meds. Anyone know the FDA address for reporting adverse side effects, I want to get the Emsam eye pain in their records. Maybe I should get a few hundred forms and fill one out for every lousy side effect I"ve ever had. Cecilia
Posted by cecilia on June 16, 2006, at 20:58:59
In reply to Re: Emsan-Day 37-gave up-Donna Louise, posted by cecilia on June 16, 2006, at 20:28:14
I called Bristol-Myers Squibb to ask how long this stuff is going to stay in my system. I think they said the half-life was a little over 24 hours, though I could be confused because of no sleep. It's been 48 hours. I think-I hope- the eye pain is getting a little better. I shouldn't have been surprised because I had the same thing, along with other extremely unpleasant effects on day 38 of Nardil (14 years ago, but things like that tend to stay in your memory). Cecilia
Posted by Phillipa on June 16, 2006, at 21:28:16
In reply to Re: Emsan Eye Pain, posted by cecilia on June 16, 2006, at 20:58:59
Cecelia did you try oral segilgine? Any chance that world work? Love Phillipa
Posted by cecilia on June 16, 2006, at 22:04:23
In reply to Re: Emsan Eye Pain » cecilia, posted by Phillipa on June 16, 2006, at 21:28:16
Believe me, I'm not touching selegiline again with a 10 foot pole. Cecilia
Posted by Donna Louise on June 17, 2006, at 5:53:13
In reply to Re: Emsan-Day 37-gave up-Donna Louise, posted by cecilia on June 16, 2006, at 20:28:14
> Unfortunately, there really isn't anything else I can think of to try. I've tried desipramine, imipramine, trazodone, amitriptyline, Prozac, Nardil, Zoloft, Paxil, Wellbutrin, Effexor, Serzone, Buspar, St. John's Wort, Remeron, lithium, nortriptyline, celexa, neurontin, SAM-e, methylphenidate, dexedrine, zyprexa, parnate, Xanax, clonazepam, amisulpride, reboxetine, luvox, adrafinil, Lamictal, rTMS, moclobemide, tianeptine, cymbalta, 5-HTP, milnacipran, marplan and Emsam. Not to mention 7 very expensive very useless years of therapy. The only thing that's ever been even slightly beneficial are benzos. I can't imagine what all those chemicals have done to my brain, not to mention what the hammer pounding pain of rTMS may have done. I am NOT willing to try ECT. I want to keep whatever's left of my brain. Emsam was the last straw, other than benzos and sleeping pills I've had it for psychotropic meds. Anyone know the FDA address for reporting adverse side effects, I want to get the Emsam eye pain in their records. Maybe I should get a few hundred forms and fill one out for every lousy side effect I"ve ever had. Cecilia
Wow, what a list. How terrible frustrating and hopeless this must make you feel. When depressed, I feel hopeless without having a reason...Did I see bupenorphine in the list? I just rescanned it, no it isn't there. Maybe that would give some relief. And are you on a benzo now? I really like the klonopin. Maybe you would get at least a tad bit of relief there.
Someone just posted the FDA website for reporting adverse sife effects. I don't remember what thread it was but it was just recently. The patch is so new and it won't be prescribed by many so the chances of others getting eye pain and reporting are no doubt exceedingly small. I wish I could remember that thread.donna
Posted by Donna Louise on June 17, 2006, at 5:56:40
In reply to Re: Emsan-Day 36 » Donna Louise, posted by Jakeman on June 16, 2006, at 19:20:23
> >
> > I know exactly what you mean. At first it was a relief to be rid of the oppressive feelings but then I too felt I lost compassion and zest. Humanness, spirituallness, yes, they felt gone and I won't go there again. uhmm, unless it gets really really bad....oh, I hope I don't have to go there again..
> > I don't know if it is possible, but I feel better already after only two days on 25mg lamictal..Oh please, let it be so!!
> >
> > donna
>
> My new p-doc is really big on lamictal and says that it has helped a lot of her patients. It's an option I'm considering when I go back next month. If your haven't already, read the remedyfind.com reports on Lamictal.
>
> Warm regards, Steve
>
>Actually I haven't read on the remedyfind about Lamictal. I will do so now. I am still feeling so much better with this timy dose. I had tried L in the past with a different drug combo and was at 100 twice a day briefly. It seemed to be doing nothing. Maybe for me 25mg maybe twice a day will be it with the current cocktail. It is amazing so far.
donna
Posted by cecilia on June 17, 2006, at 6:53:55
In reply to Re: Emsan-Day 37-gave up-Donna Louise » cecilia, posted by Donna Louise on June 17, 2006, at 5:53:13
I do take clonazepam, but frankly, I'm not really convinced it does anything at all, I think my body's just used to it. I can't see any reason for bupenorphine, I have no history of substance abuse, which is the only reason I imagine my HMO would prescribe it, and like I mentioned to Declan, when I've taken pain medications following surgery or injuries I never noticed any psychological benefit from them. When I had a hysterectomy I kept pushing the PCA button to give me morphine because I couldn't sleep and thought it would make me sleepy, but it never did, except while under anesthesia I didn't sleep one minute the 48 hours I was in the hospital, all it did was make me itch. Cecilia
Posted by bulldog2 on June 18, 2006, at 12:43:34
In reply to Re: Emsan-Day 37-gave up-Donna Louise, posted by cecilia on June 17, 2006, at 6:53:55
I had to give up on emsam also because of eye pain. It was particulary bad at night when I was watching TV. I felt like I wanted to put patches over each eye. I also had eye pain and headaches on lamictal. Lamictal actually accumulates in the skin and that includes the eyes. That's probably why some get the blister effect especially when exposed to the sun.
Posted by cecilia on June 18, 2006, at 19:07:57
In reply to Re: Emsan-Day 37-gave up-Donna Louise, posted by bulldog2 on June 18, 2006, at 12:43:34
My eyes still hurt and I've been off this stuff for 3 days. The studies say dry eyes and eye pain were "infrequent". I don't remember any eye pain on Lamictal, thought it had plenty of other side effects. The only other drug I remember that caused actual eye pain was Nardil (excruciating sudden pain on day 38) though the tricyclics and Remeron caused blurry vision and Cymbalta and Milnacipran caused hugely dilated pupils. Cecilia
Posted by SLS on June 18, 2006, at 19:34:25
In reply to Re: Emsam-Eye Pain-Bulldog, posted by cecilia on June 18, 2006, at 19:07:57
> Cymbalta and Milnacipran caused hugely dilated pupils. Cecilia
Hi Cecilia.
Where did you get the milnacipran from?
- Scott
Posted by cecilia on June 18, 2006, at 20:33:15
In reply to Re: Emsam-Eye Pain-Bulldog » cecilia, posted by SLS on June 18, 2006, at 19:34:25
I got the milnacipran from one of those overseas sites that Dr. Bob doesn't want us to name. Since I couldn't tolerate even the lowest dose of Cymbalta I wanted to see if Milnacipran would be any different. Side effects were pretty much the same-dilated pupils, sweating, hot flashes, not as bad as Cymbalta, but no benefit from either. (Years ago, I would never have dreamed of ordering a med from overseas, but Psychobabble corrupted me, a very long time ago, before it was against the rules, there was a poster, you probably remember him, John something, who kept touting the benefits of various overseas meds. I remember I first tried the much discussed at the time Reboxetine as a result. You never read a word about that stuff now, amazing how interest comes and goes. I think, though, that unless some miracle appears on the market tomorrow, Emsam is, except for benzos and sleeping meds, my last psychotropic med. I give up. I can't take any more weird and horrible side effects. Cecilia
Posted by SLS on June 19, 2006, at 8:03:39
In reply to Re: Milnacipran-SLS, posted by cecilia on June 18, 2006, at 20:33:15
> I think, though, that unless some miracle appears on the market tomorrow, Emsam is, except for benzos and sleeping meds, my last psychotropic med. I give up. I can't take any more weird and horrible side effects.
Hi Cecilia.
Thanks for the info.
I wish I had the magic potion for you.
:-(
I feel as if I've just about reached the end of the line too.
I won't give you a pep talk, but maybe you will have the motivation sometime in the future to try different things as they become available.
I don't know how far it will go, but milnacipran (Ixel) is in clinical trials in the US for fibromyalgia.
Please take care of yourself.
- Scott
Posted by cecilia on June 19, 2006, at 9:34:15
In reply to Re: Milnacipran-SLS » cecilia, posted by SLS on June 19, 2006, at 8:03:39
Yes, a lot of people in the U.S. are obtaining Milnacipran from overseas for fibromyalagia. I don't have fibromyalgia, but it did nothing for depression. Big surprise, for me, nothing ever has. Cecilia
Posted by cecilia on June 19, 2006, at 9:53:56
In reply to Re: Milnacipran-SLS, posted by cecilia on June 19, 2006, at 9:34:15
WHEN will this poison leave my system? I still can't sleep, my eyes still hurt A LOT, I have a headache, I'm a nervous wreck, I want it out!!!!!!!!!!!!!!!!!!!I really think it may have something to do with being fat, probably I had no side effects the 1st 2 weeks because the stuff was just sitting on the top of my skin, then as it gradually worked its way down into my blood vessels, the side effects began. I was having slowly gradually worsening side effects for about 3 weeks before I quit, so it might take about 3 weeks before it finally works its way out. Or it could be there forever. I hate it!!!!!!!!!!!!!Cecilia
Posted by ed_uk on June 19, 2006, at 13:03:28
In reply to Re: I HATE EMSAM I HATE EMSAM I HATE EMSAM, posted by cecilia on June 19, 2006, at 9:53:56
Hi Cecilia
>WHEN will this poison leave my system?
Selegiline (Emsam) is an irreversible monoamine oxidase inhibitor ie. the effects of the drug will persist until new MAO enzymes are synthesized to replace the MAO enzymes which have been permanently inactivated by selegiline. New MAO enzymes are continually being made by the body........but it can take up to 2 weeks after stopping an irreversible MAOI before MAO levels get back to normal. The side effects WILL disappear, but you will probably have to stick it out for a few more days :(
Regards
Ed
Posted by cecilia on June 19, 2006, at 17:54:20
In reply to Re: I HATE EMSAM I HATE EMSAM I HATE EMSAM » cecilia, posted by ed_uk on June 19, 2006, at 13:03:28
I know, but when I got the eye pain and headache and joint and muscle pain on day 38 of Nardil, which is also an irreversible MAO, it was gone within 48 hours after quitting, long before the sneaky little MAO inhibitors, whatever the heck they are, had had time to regenerate themselves). Cecilia
Posted by cecilia on June 19, 2006, at 17:59:08
In reply to Re: I HATE EMSAM I HATE EMSAM I HATE EMSAM- Ed_UK, posted by cecilia on June 19, 2006, at 17:54:20
Well, I guess it's not the inhibitors that regenerate, but the enzymes, whatever, I wish they'd get on with it! Cecilia
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