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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by med_empowered on March 10, 2005, at 20:46:30
Hey! Is it ever appropriate, or desirable, to RX an anti-depressant not to TREAT a CURRENT depressive episode, but rather to PREVENT a relapse in those who would otherwise be destined to experience one? I've had depressive episodes, normally about 2 a year, since I was 11 (I'm 20 now). I'm doing the mood-stabilizer, AD thing now, but my AD has simply stopped working...I'm definitely not depressed, but there has been a very noticeable "dip" in effects, if that makes any sense. Anyway, since I cannot do Lamictal unless I OK mixing it with Depakote (shrink's idea; data for this kind of mix is sketchy at best, and I HATE depakote), would it be appropriate for me to switch anti-depressants in an effort to prevent a depression relapse (I'm BP NOS, and my depressive phases sometimes have psychotic features, so this is a BIG concern), or is it better to wait until I become depressed, if that happens ? If it is preferable to do preventative medication, how would I rate efficacy of the med(s)? What med/meds would be preferable? I was thinking Wellbutrin+Remeron, hoping to hit up neurepinephrine, dopamine, and serotonin while maximizing my adderall...also hoping that the adderall+wellbutrin combo would help minimize Remeron weight-gain. Thoughts? Suggestions?
Posted by zuzu80 on March 12, 2005, at 10:45:16
In reply to Anti-depressant to prevent relapse?, posted by med_empowered on March 10, 2005, at 20:46:30
Are you serious now? Get a life man. Have fun live live live and then you would prevent depression. You idiot. A med to preven?!?!?!? I just can't stop laughing.. Sometimes I think this board is full of jerks. Yes, meds are to be taken when you're depressed like sh*t not to prevent.
Exercise, see friends, have fun.... pills pills pills. All here want pills and pills. And that idiot linkage, he looks like he has nothing else other than reading about the frontal lobes, I even doubt if he even knows where they are located. Maybe on the ventral side of his testicles :) You idiots.
But such an *sshole as you I never seen. Eat sheep testicles and you prevent the son of b*** depression. Everyone can feel down sometimes, and this what you forget you all idiots. I think your depression gets back because you spend all day on this b*llshit site. I was used to be here often, now I think it made me worse. I felt much better since I left you *ssholes.
He wants a med to prevent:) Viagra man. Play with you dick (wish I had one) all day long and be happy. That would prevent it.
Take care, be careful with the willy,
Suzan the Bi***!
Posted by JaneB on March 12, 2005, at 11:11:20
In reply to Re: Anti-depressant to prevent relapse? » med_empowered, posted by zuzu80 on March 12, 2005, at 10:45:16
Posted by Maxime on March 12, 2005, at 13:10:12
In reply to Anti-depressant to prevent relapse?, posted by med_empowered on March 10, 2005, at 20:46:30
Hi
If your depression has a pattern to it then probably starting the meds before the depression hits would be a good idea.
When you get depressed does come on gradually or does it slap in you in the face suddenly?
I am wondering if you should be on a maintenance dose or something ... or fish oil, B vitamins. What does your doctor think you should do?
But enjoy those non-depressive moments as much as you can!
I am curious to know what plan of action your doctor suggests.
You might also want to keep a mood journal and listen to your body. Sometimes we think a depressive state just comes out of nowhere when in fact there were little signs that we didn't notice.
I hope this helps.
Maxime
Posted by Dr. Bob on March 12, 2005, at 14:55:33
In reply to Re: Anti-depressant to prevent relapse? » med_empowered, posted by zuzu80 on March 12, 2005, at 10:45:16
> You idiot.
Please don't post anything that could lead others to feel accused or put down. I've asked you to be civil before, so I'm going to block you from posting for a week now.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above post, should of course themselves be civil.
Thanks,
Bob
Posted by Dr. Bob on March 13, 2005, at 14:59:59
In reply to Re: blocked for week » zuzu80, posted by Dr. Bob on March 12, 2005, at 14:55:33
> Follow-ups regarding these issues should be redirected to Psycho-Babble Administration.
Here's a link:
http://www.dr-bob.org/babble/admin/20050219/msgs/470506.html
Thanks,
Bob
Posted by theo on March 14, 2005, at 9:13:51
In reply to Anti-depressant to prevent relapse?, posted by med_empowered on March 10, 2005, at 20:46:30
> Hey! Is it ever appropriate, or desirable, to RX an anti-depressant not to TREAT a CURRENT depressive episode, but rather to PREVENT a relapse in those who would otherwise be destined to experience one? I've had depressive episodes, normally about 2 a year, since I was 11 (I'm 20 now). I'm doing the mood-stabilizer, AD thing now, but my AD has simply stopped working...I'm definitely not depressed, but there has been a very noticeable "dip" in effects, if that makes any sense. Anyway, since I cannot do Lamictal unless I OK mixing it with Depakote (shrink's idea; data for this kind of mix is sketchy at best, and I HATE depakote), would it be appropriate for me to switch anti-depressants in an effort to prevent a depression relapse (I'm BP NOS, and my depressive phases sometimes have psychotic features, so this is a BIG concern), or is it better to wait until I become depressed, if that happens ? If it is preferable to do preventative medication, how would I rate efficacy of the med(s)? What med/meds would be preferable? I was thinking Wellbutrin+Remeron, hoping to hit up neurepinephrine, dopamine, and serotonin while maximizing my adderall...also hoping that the adderall+wellbutrin combo would help minimize Remeron weight-gain. Thoughts? Suggestions?
Why do you hate Depakote?
This is the end of the thread.
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