Psycho-Babble Medication Thread 835941

Shown: posts 1 to 6 of 6. This is the beginning of the thread.

 

Low Dose AD's Can Be Effective

Posted by bulldog2 on June 22, 2008, at 14:42:26

I remember many years ago when ssri's came out I was talking to my regular doc who as also a pharmacologist. Really a smart guy. He was very concerned about the implications of drastically increasing serotonin reuptake. Felt long term sides were unknown and could be permanent. Anyhow he said he liked to prescribe elavil in low doses such as 25 -50 milligrams and said some people responded well to that protocol. I wonder if med sensitive people who get blown out of the water with high starting doses would do better on low starting doses?

 

Re: Low Dose AD's Can Be Effective » bulldog2

Posted by Phillipa on June 22, 2008, at 17:33:58

In reply to Low Dose AD's Can Be Effective, posted by bulldog2 on June 22, 2008, at 14:42:26

Bulldog exactly the same thing my pdoc said Thursday she said she now starts low. Love Phillipa

 

Re: Low Dose AD's Can Be Effective

Posted by bleauberry on June 23, 2008, at 18:50:01

In reply to Low Dose AD's Can Be Effective, posted by bulldog2 on June 22, 2008, at 14:42:26

> I remember many years ago when ssri's came out I was talking to my regular doc who as also a pharmacologist. Really a smart guy. He was very concerned about the implications of drastically increasing serotonin reuptake. Felt long term sides were unknown and could be permanent. Anyhow he said he liked to prescribe elavil in low doses such as 25 -50 milligrams and said some people responded well to that protocol. I wonder if med sensitive people who get blown out of the water with high starting doses would do better on low starting doses?

Absolutely!

If you browse the archives of revolution health or askapatient, you will find people that are in remission with 15mg Cymbalta, or 25mg Lamictal, or 5mg Prozac, or 37.5mg Effexor.

I am one of those that responds powerfully, either negatively or rarely positively, but powerfully, to 1/4 of starter doses.

 

Re: Low Dose AD's Can Be Effective

Posted by bulldog2 on June 23, 2008, at 19:34:19

In reply to Re: Low Dose AD's Can Be Effective, posted by bleauberry on June 23, 2008, at 18:50:01

> > I remember many years ago when ssri's came out I was talking to my regular doc who as also a pharmacologist. Really a smart guy. He was very concerned about the implications of drastically increasing serotonin reuptake. Felt long term sides were unknown and could be permanent. Anyhow he said he liked to prescribe elavil in low doses such as 25 -50 milligrams and said some people responded well to that protocol. I wonder if med sensitive people who get blown out of the water with high starting doses would do better on low starting doses?
>
> Absolutely!
>
> If you browse the archives of revolution health or askapatient, you will find people that are in remission with 15mg Cymbalta, or 25mg Lamictal, or 5mg Prozac, or 37.5mg Effexor.
>
> I am one of those that responds powerfully, either negatively or rarely positively, but powerfully, to 1/4 of starter doses.
>
>

There tends to be one dose fits all mentality and this probably causes uneeded med failures. Person can't tolerate the initial starting dose and the med is ditched.

 

Re: Low Dose AD's Can Be Effective » bleauberry

Posted by Bob on June 24, 2008, at 13:29:49

In reply to Re: Low Dose AD's Can Be Effective, posted by bleauberry on June 23, 2008, at 18:50:01


> I am one of those that responds powerfully, either negatively or rarely positively, but powerfully, to 1/4 of starter doses.
>
>

I too respond powerfully to unbelievably small doses. I think the awareness of this phenomenon in the medical establishment is almost nil.

 

Re: Low Dose AD's Can Be Effective

Posted by johnj on June 24, 2008, at 15:01:20

In reply to Re: Low Dose AD's Can Be Effective » bleauberry, posted by Bob on June 24, 2008, at 13:29:49

Some docs have. Dr. Jeinke.


"I have also seen a small number of patients who have not responded to large dosages of each of these medications. Some improved on extremely low doses, such as 5-10 mg/day of Prozac or 25 mg/day of Anafranil. These patients have not been carefully studied: and, to my knowledge, these low-dosage responders are not reported in the psychiatric literature. If patients fail to improve with high dosages of the above medications, it is probably worth a trial of a very low dose."

I suggest starting low and then see what happens.


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