![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 53. This is the beginning of the thread.
Posted by Crazy Horse on November 26, 2006, at 18:03:31
I'm not depressed or anxious, but i have lost my energy (this has been going on for about 3 wks now) i have no motivation, im losing my zest for life, i don't feel like doing much of anything!
I'm thinking i need more dopomine..specifically Wellbutrin. My current drug cocktail is 150 mgs. Zoloft, 300 mgs. Lyrica b.i.d., 1 mg. klonopin b.i.d., and 300mgs. of trazodone at bedtime.
I definitely feel very flat. Any suggestions/ideas will be greatly appreciated. I see my pdoc this week and i was going to ask if i could add on Wellbutrin.
Thanks for listening.
-Monte
Posted by tensor on November 26, 2006, at 18:12:50
In reply to Help...Please., posted by Crazy Horse on November 26, 2006, at 18:03:31
Hi Monte,
I'm in the same situation, since I started Lamictal I have no energy and I'm constantly tired. Tired, but can't sleep. I'm so sick of this tiredness. I'm going to see my pdoc just before christmas, if I don't call him before. The tricky thing with Lamictal is that it's very uncertain when and if it starts to work, it's this endless waiting.
Anyway, I'm going to swap remeron for wellbutrin if things are not getting better.
It's hard to come with ideas since I don't know what you tried in the past. I guess you have worked your way through the ordinairy SSRI/SNRI/TCA? Have you been thinking about a stimulant?/Mattias
Posted by bassman on November 26, 2006, at 18:37:45
In reply to Help...Please., posted by Crazy Horse on November 26, 2006, at 18:03:31
I find only 150 mg Wellbutrin XL makes a world of difference in terms of energy and motivation. Have it in the morning with a cup coffee. :>} Best of luck; that's a miserable feeling ("oh, really, another day?").
Posted by Crazy Horse on November 26, 2006, at 18:44:46
In reply to Re: Help...Please. » Crazy Horse, posted by tensor on November 26, 2006, at 18:12:50
> Hi Monte,
>
> I'm in the same situation, since I started Lamictal I have no energy and I'm constantly tired. Tired, but can't sleep. I'm so sick of this tiredness. I'm going to see my pdoc just before christmas, if I don't call him before. The tricky thing with Lamictal is that it's very uncertain when and if it starts to work, it's this endless waiting.
> Anyway, I'm going to swap remeron for wellbutrin if things are not getting better.
> It's hard to come with ideas since I don't know what you tried in the past. I guess you have worked your way through the ordinairy SSRI/SNRI/TCA? Have you been thinking about a stimulant?
>
> /MattiasHi Mattias,
Your right, i have tried all of the meds you mentioned and also all of the MAOI's. I like what im on now..especially the Lyrica. I don't know what happened..the bottom just fell out.
Hey, i wish you the best, i would also like to try a stimulant, but my Pdoc won't do them. Good Luck Mattias, and if i were you i would call your doc and get in earlier. Hopefully, we can both enjoy Christmas!
-Monte
Posted by Crazy Horse on November 26, 2006, at 18:46:36
In reply to Re: Help...Please., posted by bassman on November 26, 2006, at 18:37:45
> I find only 150 mg Wellbutrin XL makes a world of difference in terms of energy and motivation. Have it in the morning with a cup coffee. :>} Best of luck; that's a miserable feeling ("oh, really, another day?").
Thanks! Do you think XL is superior to SR?
-Monte
Posted by bassman on November 26, 2006, at 19:28:20
In reply to Re: Help...Please. » bassman, posted by Crazy Horse on November 26, 2006, at 18:46:36
I do.
Posted by linkadge on November 26, 2006, at 21:30:37
In reply to Re: Help...Please., posted by bassman on November 26, 2006, at 19:28:20
Hey, when did you come off the parnate?
Linkadge
Posted by Phillipa on November 26, 2006, at 21:54:46
In reply to Re: Help...Please., posted by linkadge on November 26, 2006, at 21:30:37
Seriously I'm thinking the time of year has a lot to do with this low energy. I have it myself and my husband and he's not on meds. Love Phillipa
Posted by Crazy Horse on November 26, 2006, at 23:08:59
In reply to Re: Help...Please., posted by linkadge on November 26, 2006, at 21:30:37
> Hey, when did you come off the parnate?
>
>
> LinkadgeI've been off Parnate for about 7 mos now..I could not tolerate the side effects; insomnia, severe fatigue, and more. As an antidepressant it was great, the side effects kicked my *ss.
-Monte
Posted by ronaldo on November 27, 2006, at 10:12:41
In reply to Help...Please., posted by Crazy Horse on November 26, 2006, at 18:03:31
> I'm not depressed or anxious, but i have lost my energy (this has been going on for about 3 wks now) i have no motivation, im losing my zest for life, i don't feel like doing much of anything!
>
> I'm thinking i need more dopomine..specifically Wellbutrin. My current drug cocktail is 150 mgs. Zoloft, 300 mgs. Lyrica b.i.d., 1 mg. klonopin b.i.d., and 300mgs. of trazodone at bedtime.
>
> I definitely feel very flat. Any suggestions/ideas will be greatly appreciated. I see my pdoc this week and i was going to ask if i could add on Wellbutrin.
>
> Thanks for listening.
>
> -Monte
>Hi
Hope this proves useful:
http://www.dr-bob.org/babble/20000411/msgs/29957.html
...ronaldo
Posted by Crazy Horse on November 27, 2006, at 11:04:42
In reply to Re: Help...Please. » Crazy Horse, posted by ronaldo on November 27, 2006, at 10:12:41
I know nothing about Adrafanil, except i have heard it can increase energy and interest in life, which i am looking for.
1) What type of med is it i.e., antidepressant, anti-psychotic,etc?
2) Is it available in the U.S?
3) Any personal experiences with it?
4) How does it work? Dopamine? GABA? Etc?
5) Please, if you have any personal experiences with Adrafanil please tell me how it worked for you..good or bad experiences welcome.
Thank you very much!
-Monte
Posted by ronaldo on November 27, 2006, at 11:17:11
In reply to Adrafanil info please..., posted by Crazy Horse on November 27, 2006, at 11:04:42
> I know nothing about Adrafanil, except i have heard it can increase energy and interest in life, which i am looking for.
>
> 1) What type of med is it i.e., antidepressant, anti-psychotic,etc?
>
> 2) Is it available in the U.S?
>
> 3) Any personal experiences with it?
>
> 4) How does it work? Dopamine? GABA? Etc?
>
> 5) Please, if you have any personal experiences with Adrafanil please tell me how it worked for you..good or bad experiences welcome.
>
> Thank you very much!
>
> -MonteHi Monte
Actually it was blueberry who put me onto Adrafinil (note spelling). Here is a link:
http://www.dr-bob.org/babble/20061123/msgs/706994.html
I have zero experience with it so cannot comment.
You will find all the info you need if you insert Adrafinil in your search engine.
Here is one for starters:
http://www.erowid.org/smarts/adrafinil/adrafinil_info1.shtml
Blueberry has used it for a number of years and will be able to give you all the info.
Also see my thread above:
Avolition anhedonia flat affect cognitive blunting
ciao
....ronaldo
Posted by Crazy Horse on November 27, 2006, at 11:32:31
In reply to Re: Adrafanil info please... » Crazy Horse, posted by ronaldo on November 27, 2006, at 11:17:11
Thanks ronaldo, but i do not believe it's available in the U.S. So then i will go with Wellbutrin. Thanks for your help, at least now i know more about Adrafinil. :)
-Monte
Posted by ronaldo on November 27, 2006, at 11:41:35
In reply to Adrafanil info please..., posted by Crazy Horse on November 27, 2006, at 11:04:42
This is very cheap stuff.
Delivered to your door it works out at about $1 per 300mg tablet. Dose is about 2 to 4 tabs a day. If you take it for more than about 5 months they say you should get your liver enzymes checked. It might be an idea to get your liver checked to start off with so that you get a good baseline.
The liver enzymes are SGOT, SGPT, GGPT and hepatic alkaline phosphatase.
I wish I could help you further with your questions but I am still a Babbler novice and don't understand all the organic chemistry stuff.
ronaldo
Posted by ronaldo on November 27, 2006, at 11:49:23
In reply to Re: Adrafanil info please... » ronaldo, posted by Crazy Horse on November 27, 2006, at 11:32:31
> Thanks ronaldo, but i do not believe it's available in the U.S. So then i will go with Wellbutrin. Thanks for your help, at least now i know more about Adrafinil. :)
>
> -MonteHi Monte,
available from:
[xxx]
I intend to start a course of Adrafinil once I have succeeded in coming off my Olanzapain :-( which will be in a couple of months time.
ronaldo
Posted by Crazy Horse on November 27, 2006, at 12:03:49
In reply to Available in the USA, posted by ronaldo on November 27, 2006, at 11:49:23
> > Thanks ronaldo, but i do not believe it's available in the U.S. So then i will go with Wellbutrin. Thanks for your help, at least now i know more about Adrafinil. :)
> >
> > -Monte
>
> Hi Monte,
>
> available from:
>
> [xxx]
>
> I intend to start a course of Adrafinil once I have succeeded in coming off my Olanzapain :-( which will be in a couple of months time.
>
> ronaldo
>
>
I just ordered a bottle ronaldo, it was $83.00 including shipping. What's the normal dose taken? I got 300 mg. tablets. Thanks.-Monte
Posted by corafree on November 27, 2006, at 12:11:01
In reply to Re: Help...Please. » tensor, posted by Crazy Horse on November 26, 2006, at 18:44:46
Well I'm in the same boat w/ you two ... very flat, bottom fell out ... takes the words right out of my mouth if I had the energy to speak!
posted below, cf
Posted by ronaldo on November 27, 2006, at 12:41:31
In reply to Re: Available in the USA » ronaldo, posted by Crazy Horse on November 27, 2006, at 12:03:49
Hi Monte
I believe the recommended dose is 2 to 4 x 300mg tablets per day. Bear in mind this medication was designed, according to some of the literature, for the elderly who suffer from narcolepsy. I would suggest 2 tablets to start off with taken say 8 am and 2 pm. This is a tablet that keeps you awake so you don't want to take it later than 2 pm but then I don't really know I'm just guessing really. If I remember correctly it has a half life of one hour and takes about 3 weeks to build up.
Blueberry said he/she took it at one tablet per day for a couple of years. Check this out in the avolition anhedonia thread above.
ronaldo
Posted by Crazy Horse on November 27, 2006, at 12:47:24
In reply to Re: Available in the USA, posted by ronaldo on November 27, 2006, at 12:41:31
> Hi Monte
>
> I believe the recommended dose is 2 to 4 x 300mg tablets per day. Bear in mind this medication was designed, according to some of the literature, for the elderly who suffer from narcolepsy. I would suggest 2 tablets to start off with taken say 8 am and 2 pm. This is a tablet that keeps you awake so you don't want to take it later than 2 pm but then I don't really know I'm just guessing really. If I remember correctly it has a half life of one hour and takes about 3 weeks to build up.
>
> Blueberry said he/she took it at one tablet per day for a couple of years. Check this out in the avolition anhedonia thread above.
>
> ronaldoronaldo, you're a great guy..thanks for all your concern and helpful info. I'll babblemail you when i get my adrafinil. :)
-Monte
Posted by ronaldo on November 27, 2006, at 12:54:03
In reply to Re: Available in the USA » ronaldo, posted by Crazy Horse on November 27, 2006, at 12:47:24
Monte,
I will be very interested to see how you get on with the Adrafinil. I will be going on it at the end of January after I have managed to kick this Olanzapain habit I've got. I think you will see the full benefit of it after about 3 weeks - that's what blueberry experienced.
...ronaldo
Posted by Declan on November 27, 2006, at 12:56:54
In reply to Adrafanil info please..., posted by Crazy Horse on November 27, 2006, at 11:00:03
I took Adrafinil for about 6 months, maybe, and still have a heap out the back. Eventually it felt as if it wasn't very nice, and that all the stuff about 'eugregorics' didn't apply to me. It certainly did something though. I ended up with what are described as 'states of inner tension'.
Posted by Crazy Horse on November 27, 2006, at 13:03:51
In reply to Re: Available in the USA, posted by ronaldo on November 27, 2006, at 12:54:03
> Monte,
>
> I will be very interested to see how you get on with the Adrafinil. I will be going on it at the end of January after I have managed to kick this Olanzapain habit I've got. I think you will see the full benefit of it after about 3 weeks - that's what blueberry experienced.
>
> ...ronaldoHey renaldo, have you ever tryed Lyrica? It's a wonderful drug (classified as an anti-epileptic) but has many off label uses including depression and anxiety. I take 300mgs b.i.d., and without it i know i would be bedridden. If you suffer from depression/anxiety look into it. It actually is very activating, but the dose has to be 600 mgs a day. And it takes about 2-3 weeks of tapering to get the full effect. Low dose Lyrica actually is sedating, when you get to 400-600 mgs. it kicks in and is quite stimulating.
-Monte
Posted by Crazy Horse on November 27, 2006, at 13:08:36
In reply to Re: Adrafanil info please..., posted by Declan on November 27, 2006, at 12:56:54
> I took Adrafinil for about 6 months, maybe, and still have a heap out the back. Eventually it felt as if it wasn't very nice, and that all the stuff about 'eugregorics' didn't apply to me. It certainly did something though. I ended up with what are described as 'states of inner tension'.
I'm sorry it didn't work for you Declan. It may not work for me either, but i am sure hoping it will!
-Monte
Posted by ronaldo on November 27, 2006, at 13:10:24
In reply to Re: Available in the USA » ronaldo, posted by Crazy Horse on November 27, 2006, at 13:03:51
> > Monte,
> >
> > I will be very interested to see how you get on with the Adrafinil. I will be going on it at the end of January after I have managed to kick this Olanzapain habit I've got. I think you will see the full benefit of it after about 3 weeks - that's what blueberry experienced.
> >
> > ...ronaldo
>
> Hey renaldo, have you ever tryed Lyrica? It's a wonderful drug (classified as an anti-epileptic) but has many off label uses including depression and anxiety. I take 300mgs b.i.d., and without it i know i would be bedridden. If you suffer from depression/anxiety look into it. It actually is very activating, but the dose has to be 600 mgs a day. And it takes about 2-3 weeks of tapering to get the full effect. Low dose Lyrica actually is sedating, when you get to 400-600 mgs. it kicks in and is quite stimulating.
>
> -MonteThanks Monte, I will keep it in mind. I never realised it was an anti-convulsant.
ronaldo
Posted by ronaldo on November 27, 2006, at 13:23:11
In reply to Adrafanil info please..., posted by Crazy Horse on November 27, 2006, at 11:04:42
> I know nothing about Adrafanil, except i have heard it can increase energy and interest in life, which i am looking for.
>
> 1) What type of med is it i.e., antidepressant, anti-psychotic,etc?
>
> 2) Is it available in the U.S?
>
> 3) Any personal experiences with it?
>
> 4) How does it work? Dopamine? GABA? Etc?
>
> 5) Please, if you have any personal experiences with Adrafanil please tell me how it worked for you..good or bad experiences welcome.
>
> Thank you very much!
>
> -MonteMonte,
Here's some info I have just found:
http://www.remedyfind.com/treatments/0/2625/
Hope it helps
ronaldo
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.