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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 17 of 17. This is the beginning of the thread.
Posted by linkadge on April 1, 2007, at 13:15:51
I'd like to try a combination of low dose xanax, buspar, and effexor.
Linkadge
Posted by Phillipa on April 1, 2007, at 14:21:14
In reply to If I made the decisions.., posted by linkadge on April 1, 2007, at 13:15:51
Link is that not fesible in Canada? And why the effexor? Love Phillipa
Posted by football on April 1, 2007, at 20:02:56
In reply to Re: If I made the decisions.. » linkadge, posted by Phillipa on April 1, 2007, at 14:21:14
It's not all bad in Canada. At least you can get Provigil for less then $9 a pill...
Posted by iforgotmypassword on April 2, 2007, at 3:56:15
In reply to Re: If I made the decisions.., posted by football on April 1, 2007, at 20:02:56
> It's not all bad in Canada. At least you can get Provigil for less then $9 a pill...
i think provigil is overrated.
Posted by deniseuk190466 on April 2, 2007, at 16:25:26
In reply to If I made the decisions.., posted by linkadge on April 1, 2007, at 13:15:51
So why don't you then?
Denise
Posted by jealibeanz on April 2, 2007, at 16:38:07
In reply to If I made the decisions.., posted by linkadge on April 1, 2007, at 13:15:51
> I'd like to try a combination of low dose xanax, buspar, and effexor.
>
> LinkadgeWhat are you taking right now?
I think my personal choice would be a moderate dose of Xanax, plus a never ending supply of Dunkin Donuts coffee.
Xanax helps my anxiety, depression, and insomnia.
Dunkin Donuts coffee helps with anxiety, depression, and ADHD.
I think those are all my psych disorders. Hard to remember sometimes. They wax and wane.
Posted by Caedmon on April 2, 2007, at 17:08:50
In reply to If I made the decisions.., posted by linkadge on April 1, 2007, at 13:15:51
> I'd like to try a combination of low dose xanax, buspar, and effexor.>
I've tried this combo myself, albeit with Valium instead of Xanax. It wasn't great, but I never got to a max dose of Effexor (didn't tolerate it).
Best of luck!
Posted by linkadge on April 2, 2007, at 20:45:34
In reply to Re: If I made the decisions.. » linkadge, posted by Caedmon on April 2, 2007, at 17:08:50
Doctor is convinced I am bipolar, or at least would like to go that route since I havn't had too many dynamic responses to antidepressants.
I have had no clear manic epsiodes. I have had a couple of prolonged psychotic panic epsiodes, but no highs.I think that augmentation of unipolar meds would be a better option as anxiety is a key component.
Linkadge
Posted by Phillipa on April 2, 2007, at 22:09:39
In reply to Re: If I made the decisions.., posted by linkadge on April 2, 2007, at 20:45:34
Link you too? Love Phillipa
Posted by linkadge on April 3, 2007, at 9:05:33
In reply to Re: If I made the decisions.. » linkadge, posted by Phillipa on April 2, 2007, at 22:09:39
Sorry,
me too what ?
Linkadge
Posted by cache-monkey on April 3, 2007, at 17:01:08
In reply to Re: If I made the decisions.., posted by linkadge on April 2, 2007, at 20:45:34
> Doctor is convinced I am bipolar, or at least would like to go that route since I havn't had too many dynamic responses to antidepressants.
> I have had no clear manic epsiodes. I have had a couple of prolonged psychotic panic epsiodes, but no highs.I feel like I'm in the same boat in terms of the diagnosis and mood course. My situation's a little more complicated because numerous physiological adverse responses, especially allergies. For me, I've always had a seasonal fluctuation in my mood. But what's absolutely driving me crazy is the anxiety/panic.
Problem is that with all kinds of physical and/or psychological (primarily akathisia for me) adverse events, they really want to pin the bipolar diagnosis on you. That's really become a catch-all for "we don't really know what else to call you, or how to treat you really". The bigger issue is that the BP diagnosis tends to stick, especially given the huge umbrella of conditions that it can span.
Anyway, I guess I'm just taking this opportunity to vent a little myself. Are you on any of those meds right now? Which of those (or others) have helped most in the past.
~cache-monkey
Posted by cache-monkey on April 3, 2007, at 17:43:48
In reply to Re: If I made the decisions.. » Phillipa, posted by linkadge on April 3, 2007, at 9:05:33
(BTW, that last post was also directed to you, Linkadge.)
I was looking through the archives a bit and notice that you got akathisia on Zoloft. Has this been a common problem for you on SSRIs? (Or did it not happen on others?)
Anyway, I had a thought and a concern. The thought: This might just be me projecting one of my own self-diagnoses, but I'm wondering if you might have chronic akathisia from your experience on Zoloft. That would resemble a constant panicky/anxiety feeling. I'm not sure what a good treatment strategy would be. (Memantine?)
Regardless of that, given your history of akathisia, I would be a little wary of Buspar. That has some affinity for the dopamine d-2 receptor, which might be predictive of akathisia. And, in my personal experience, I got that something horrible the whole time I was on Buspar.
Just a couple of cents (for whatever they're worth),
cache-monkey
Posted by elanor roosevelt on April 3, 2007, at 22:07:30
In reply to If I made the decisions.., posted by linkadge on April 1, 2007, at 13:15:51
i gained 40 pounds on buspar
and effexor was like truth serum
if i had been on both at the same time i guess i would have had to shut up to keep eating or maybe would have been too busy truth-saying to gain so much weight
Posted by linkadge on April 4, 2007, at 11:30:04
In reply to Re: If I made the decisions.., posted by cache-monkey on April 3, 2007, at 17:01:08
>Problem is that with all kinds of physical >and/or psychological (primarily akathisia for >me) adverse events, they really want to pin the >bipolar diagnosis on you. That's really become a >catch-all for "we don't really know what else to >call you, or how to treat you really".
Its so true. The worst part is that if one tries to argue otherwise, it just comes across as a bipolar like "attitude".
The biggest problem, is that for the most part, bipolar meds suck. The AP's and the anticonvulsants, in general would make most normal people feel much worse on a daily basis.
My doctor keeps saying to me, why do you want to quit such and such a med? I feel like saying, "the only way you would understand is if you go home tonight, pop 100mg of such and such, and then come back here tomorrow and try to do your job properly."
Linkadge
Posted by linkadge on April 4, 2007, at 11:32:38
In reply to Re: If I made the decisions.. » linkadge, posted by cache-monkey on April 3, 2007, at 17:43:48
Hey, thanks for the info. Yes, I have had a lots of problems post SSRI's. Movement issues are part of the problem.
I do have a kind of akathesia like personality. Probably some disorder of the basil ganglia.
The best remidy for me has been low doses of caffiene throughout the day.
I will keep memintine in mind, since magnesium has also been of assistence.
Linkadge
Posted by linkadge on April 4, 2007, at 11:34:16
In reply to Re: If I made the decisions.., posted by elanor roosevelt on April 3, 2007, at 22:07:30
Interesting. Truth serum? Could you elaborate? Are you saying that effexor made you feel compelled to tell the truth? Or that you felt disinhibited in telling people what you thought about them?
Linkadge
Posted by elanor roosevelt on April 7, 2007, at 22:49:17
In reply to Re: If I made the decisions.. » elanor roosevelt, posted by linkadge on April 4, 2007, at 11:34:16
absolutely impelled to tell the truth
as you might imagine this was not a big hit in corporate america
This is the end of the thread.
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