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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Quintal on March 15, 2007, at 5:16:43
I took 12.5mg tianeptine with 10mg escitalopram (Lexapro/Cipralex) an hour ago. I'm feeling pretty weird and queasy now. I'm not entirely sure why I took it, to take the pain of my bad back away and ease codeine withdrawal I suppose. It seems to be working for the back pain but I'm not liking this spaced-out feeling and weird coldness in my legs and brain.
Q
Posted by Meri-Tuuli on March 15, 2007, at 6:25:05
In reply to Tianeptine and Escitalopram, posted by Quintal on March 15, 2007, at 5:16:43
Could it be a mild serotonin syndrome thingy? I don't know, I hope I don't freak you out or anything, but at the same rate, I don't want you to danger yourself!
Kind regards
Meri
Posted by Phillipa on March 15, 2007, at 12:00:49
In reply to Re: Tianeptine and Escitalopram, posted by Meri-Tuuli on March 15, 2007, at 6:25:05
Why are you withdrawing an opiod with a serotonin med? Is that how they do things there? Love Phillipa
Posted by Quintal on March 16, 2007, at 12:37:33
In reply to Re: Tianeptine and Escitalopram, posted by Phillipa on March 15, 2007, at 12:00:49
No, I'm trying to find something that will help replace the codeine in helping with anxiety and depression. I was hoping tianeptine would do that.
Q
Posted by Quintal on March 16, 2007, at 12:40:19
In reply to Re: Tianeptine and Escitalopram » Phillipa, posted by Quintal on March 16, 2007, at 12:37:33
Has anyone else noticed this on SSRIs? Or is it the combo? Today I've been pretty bright, calm and happy. I wonder if tianeptine was taking the serotonin too low? I don't want to take another dose of escitalopram because it was awful, maybe 5mg at most if I do. At least I know the combo is safe and reasonably effective if I ever need it again.
Q
Posted by Declan on March 17, 2007, at 17:54:50
In reply to Dilated Pupils, posted by Quintal on March 16, 2007, at 12:40:19
How does tianeptine compare with SSRIs?
My Parnate/tianeptine combo was awful, as I said elsewhere.
Posted by Quintal on March 17, 2007, at 18:33:34
In reply to Question for » Quintal, posted by Declan on March 17, 2007, at 17:54:50
For me tianeptine is calm and fuzzy while SSRIs are cold and hard. I prefer tianeptine over them certainly. SSRIs tend to numb and truncate my feelings while tianeptine seems to blur and soften them slightly. I also had no side effects from tianeptine but loads with SSRIs. They're a little agitating.
Tianeptine doesn't seem to alter the effect of escitalopram much in my case.
Q
Posted by sukarno on March 19, 2007, at 14:52:24
In reply to Re: Question for » Declan, posted by Quintal on March 17, 2007, at 18:33:34
I've been on tianeptine for two years. In my experience it is excellent for pain associated with depression and also for anxiety. The only side effects I have from it are a slightly dry mouth from time to time and temporary nervousness (but not anxiety) if I increase the dose. I feel more confident on this medication and it has improved my asthma too.
Have you tried tramadol (Ultram)? Although it is indicated in the treatment of pain, it does inhibit the reuptake of serotonin and perhaps norepinephrine, so in theory it should work as an antidepressant and could help you with the codeine withdrawal.
Good luck! :-)
Paul
Posted by Quintal on March 19, 2007, at 15:14:14
In reply to Re: Question for, posted by sukarno on March 19, 2007, at 14:52:24
Thanks for the advice sukarno. I noticed I had no pain when climbing the stairs soon after starting tianeptine. I've taken tramadol many times for it's euphoric/antidepressant/anxiolytic effects, but I seem to build tolerance rapidly. I was taking 800mg a day last year and it reached a point where even that was doing nothing for me any more. It is useful to have on hand for crises though, but I can't get any right now.
Q
Posted by Declan on March 19, 2007, at 16:17:29
In reply to Re: Question for » sukarno, posted by Quintal on March 19, 2007, at 15:14:14
I've noticed a reduction in physical pain on tianeptine too.
Posted by elanor roosevelt on March 19, 2007, at 22:20:06
In reply to Re: Question for, posted by Declan on March 19, 2007, at 16:17:29
i found myself to be expereince physical pain more on lexapro
This is the end of the thread.
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