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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by SalArmy4me on April 24, 2001, at 7:55:41
Sal(vation)Army4me's Guide to Treatment-Resistant Depression
If you have a case of depression that has been resistant to many medications, please follow these instructions:1) Get new and better medications _any_ way you can. If you can't get your doctor to prescribe them, then go to Mexico. Go to Canada if you want
Moclobemide or Vestra. Oh, buy your medicines from a wholesaler rather than a big pharmacy chain to save money.
2) Get an antidepressant that works on two or more chemicals in the brain. Venlafaxine is good (it works on serotonin, norepinephrine, and possibly dopamine). Wellbutrin works on dopamine and norepinephrine.
3) Take the maximum dose or 75% of the maximum dose as soon as you can. From years of experience, people eventually learn that getting up to a full dose really _does_ help. Though many tell you to slowly titrate your medication, the honest truth is that the psychiatrists don't want you to do this for fear you will move on to another doctor due to dissatisfaction (side-effects)...If you can make it through the initial side-effects, you have what it takes to rid yourself of depression quickly; Side-effects will lessen with time.
4) Accelerate your antidepressant's action with pindolol or risperidone. I can show you the studies that support these drugs' ability to hasten your relief.5) Combat the side-effects: This is the only way you will be able to make it through a mediction like Parnate or Lithium. Here are the medications you might need: Protonix/Prevacid (stomacheache,
esophagitis, nausea); Inderal (tremor); Urecholine/Flomax (dry mouth, constipation, sweating, urinary retention); Provigil/Cylert
(drowsiness, fatigue); Elavil/Depakote (headaches);
Desyrel/Restoril/Ambien (short-acting relief of insomnia); Salagen (salivation); Wellbutrin/Remeron (sexual side-effects); Cycling (Neurontin/Lamictal); Allegra/Claritin (congestion)...etc.
6) You might have some annoying side-effect, and you scare the heck out of yourself because you fear (perhaps completely irrationally) that you will develop a mortal illness... Dr. Dad says (not verbatim), "Every medication lists many horrific side-effects on the prescribing-reference, and noone actually gets them. But my patients will object to taking medications I prescribe, based on the miniscule chance of a permanent side effect-- the sad part is that they will suffer until they have no other choice but to accept treatment."
more later....
Posted by Sergios on April 24, 2001, at 9:41:37
In reply to Take a look at this please...., posted by SalArmy4me on April 24, 2001, at 7:55:41
mediction like Parnate or Lithium. Here are the medications you might need: Protonix/Prevacid (stomacheache,
> esophagitis, nausea);when I was on 60mg paxil, for plain nausea I found meclizine or domperidone supp. very effective. Meclizine is not so sedating as benadryl. I do take omeprazole too.
Posted by allisonm on April 24, 2001, at 20:07:57
In reply to Take a look at this please...., posted by SalArmy4me on April 24, 2001, at 7:55:41
I am sure that you mean well, but I think that self medication in the ways that you are suggesting is terribly dangerous.
Allison
Posted by lattecrzy on April 25, 2001, at 6:02:21
In reply to Re: Take a look at this please.... » SalArmy4me, posted by allisonm on April 24, 2001, at 20:07:57
In reply to Allison, I'm so glad that somebody said something about that. I've noticed for the couple of weeks that I have been on this site, that there seems to be a lot of talk of self medication. Of course, I don't know if people on this board are physicians or psychiatrist or plumbers, but it seems that decisions about medications should be left to the professionals in the office.
In some cases, I think that we may not like what is being prescribed for us and then we need to evaluate the person we are seeing or suggest other options. It scares me that there are places that allow patients to decide what prescriptions they should be taking.
My doctor listens to the symptom and suggests a couple of drugs and tells me of their side effects and allows me to make a choice from the couple he has suggested. To me that makes more sense than me going into his office and telling him what I want to take.
Thanks for letting me ramble on. I guess I needed to get this off my chest.
Posted by kazoo on April 30, 2001, at 9:10:01
In reply to Take a look at this please...., posted by SalArmy4me on April 24, 2001, at 7:55:41
> Sal(vation)Army4me's Guide to Treatment-Resistant Depression
>
> If you have a case of depression that has been resistant to many medications, please follow these instructions:
>
^^^^^^^^^^^^^^^Dear SalArmy4me:
I was wondering if you could tell me how much you dole out for malpractice insurance, and what your maximum liability is?
In your enthusiasm to help others, you fail to recognize this simple fact: what works for you doesn't necessarily work for others.
I am not trying to offend you here. I have been following your messages and you post some excellent information, but as for your "Do-this-now!" approach in giving advice, it's not judicious, and can be harmful.
I will admit that I, too, am sometimes guilty of this approach, but I've toned it down, even stopped.Keep posting the incredible information you find, and your sources. By doing this, you let the reader make the decision to use, or not use, a particular medication.
(a friendly) kazoo
This is the end of the thread.
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