Psycho-Babble Medication Thread 839999

Shown: posts 1 to 14 of 14. This is the beginning of the thread.

 

Name ONE ANTIDEPRESSANT

Posted by B2chica on July 16, 2008, at 12:28:02

that could work for me.

it seems wellbutrin isn't working. i'm at 300 now and bad thoughts are in my head, i'm a slug and a sad sack. i feel like everyone is sick of even being around me.
this saddens me greatly cuz it was always such a Great AD for me before my pregnancy. and it's just pooped-out.

isnt' there something that:
won't make me tired all the time
won't make me gain weight
and no sexual side effects?

and for the record effexor freaked me out once (bad rapid cycling) so i dont think SNRI's work for me??

SOMETHING??
ANYONE??

 

Re: Name ONE ANTIDEPRESSANT » B2chica

Posted by Racer on July 16, 2008, at 12:59:53

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02

>
> isnt' there something that:
> won't make me tired all the time
> won't make me gain weight
> and no sexual side effects?

All that, AND effective against depression? That's a tough order to fill.

Can you consider breaking that up into a medication which is effective against depression and other agents to combat any adverse effects? That might be what it takes to find something effective.


>
> and for the record effexor freaked me out once (bad rapid cycling) so i dont think SNRI's work for me??
>


That isn't necessarily the case. It might be that Cymbalta is friendlier for you. You won't know unless you try.

Meanwhile, my suggestion would be to try to find an effective antidepressant and then try to counter the adverse effects. I know that you're in a space where that doesn't seem worth it, because that's a space I'm very familiar with myself. I spend a lot of time there.

Zoloft would be my first suggestion, because although it's an SSRI, it hasn't caused me nearly the grief that other SSRIs have caused. If it works, you can address adverse effects which crop up. Effexor has a good reputation around here with the better psychopharmacologists -- they consider it the work-horse, the reliable stand by medication. Cymbalta hasn't necessarily lived up to its promise, but it is like a kinder, gentler Effexor, and it's worth trying.

Augmenting the Wellbutrin with a low dose of Zoloft might be a good solution for you. If you're having any response at all to the Wellbutrin, a very low dose of Zoloft might be enough to kick that up a notch. I'd give that a try if you have had any response at all to the Wellbutrin -- and I know you're depressed, so maybe you're not aware if it's actually helping a little bit. One benefit of that is that low doses of Zoloft might not cause the side effects you're concerned about, and if it does, they can probably be countered more easily.

Good luck.

 

Re: Name ONE ANTIDEPRESSANT » B2chica

Posted by Sigismund on July 16, 2008, at 13:04:02

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02

>isnt' there something that:
won't make me tired all the time
won't make me gain weight
and no sexual side effects?

Tianeptine causes problems for some people, but I've never heard of the s/e you mention being an issue.
The worst I have heard is that people feel anxious and weird.
It was good for me though for a year and a half, and is up the same end of the court as Wellbutrin, as I understand it.

 

Re: Name ONE ANTIDEPRESSANT

Posted by B2chica on July 16, 2008, at 14:15:11

In reply to Re: Name ONE ANTIDEPRESSANT » B2chica, posted by Racer on July 16, 2008, at 12:59:53

thanks i'm kinda afraid of cymbalta since its in the effexor family. but maybe?

i;ve been on zoloft and i actually gained about 20lbs on it...maybe im an odd ball but i did.
i'm on topomax now but its not doing much for my appetite control with other meds (when i was on zyprexa)
and on geodon. so pdoc is worried about my going manic.
but maybe its a matter of going back to zyprexa and going with cymbalta.

or staying with geodon and wellbutrin and adding something soft...
i dont know. all i know is i do get a little relief when i take my ritalin, only about two hours worth (each dose) but then i can function at work well enough to not get fired and not be suicidal.
but then i go home and dont function like i should.

i see pdoc in about an hour.
ill shoot out some ideas and we'll see what he comes up with.

 

Re: Name ONE ANTIDEPRESSANT » Sigismund

Posted by B2chica on July 16, 2008, at 14:15:54

In reply to Re: Name ONE ANTIDEPRESSANT » B2chica, posted by Sigismund on July 16, 2008, at 13:04:02

i'm concerned that it only has a half life of 2-3 hours...did it last all day for you?
did you take it several times a day?

let me know.
thanks

 

Re: Name ONE ANTIDEPRESSANT » Racer

Posted by raisinb on July 16, 2008, at 14:39:19

In reply to Re: Name ONE ANTIDEPRESSANT » B2chica, posted by Racer on July 16, 2008, at 12:59:53

Zoloft + Wellbutrin is a good combo. Zoloft can cause weight gain and loss of sex drive, but Wellbutrin raises sex drive and makes you lose weight--at least that's how it's working for me. Plus, WB is a relatively weak reuptake inhibitor, so supplementation with something more powerful is good.

 

Re: Name ONE ANTIDEPRESSANT » B2chica

Posted by Sigismund on July 16, 2008, at 15:33:07

In reply to Re: Name ONE ANTIDEPRESSANT » Sigismund, posted by B2chica on July 16, 2008, at 14:15:54

Yeah, that is one of its drawbacks.

It's a three times a day doseage pattern.

 

Re: Name ONE ANTIDEPRESSANT » B2chica

Posted by bleauberry on July 16, 2008, at 17:10:22

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02

I guess the first thing to ask is, "do I feel the same on Wellbutrin as I did before I took, do I feel better but not good enough, or do I feel worse than before I took it?"`If the answer is same or worse, you gotta get off it. No sense in adding another med to a dud, and maybe the dud gets in the way of the other med working good.

Suggestions on antidepressants. I don't know. Years ago there were rare random reports of folks ordering good antidepressants popular in other parts of the world, but these days it seems more common and accepted as a rationale alternative to the limited universe the FDA gives us. In that regard, Milnacipran or Stablon.

You might need a xanax or klonopin maybe to go with something if there is rapid cycling? Do you have a lot of anxiety? I know all the focus is on antidepressants for that, but gee, look at places like revolution health for ratings of meds and it's amazing how many score a 10 for xanax after going through misery on antidepressants for years on end.

The bipolar component? Lamictal? Maybe an abilify/lamictal, or zyprexa/lamictal, or something like that, without any antidepressant at all? A tiny dose of benzo on as-needed little-as-possible basis?

Other than the two popular overseas meds I mentioned, I don't know of any FDA meds that meet your criteria. Keeping in mind mileage varies, these three substances do have the power to match or beat pharmaceuticals.

 

Re: Name ONE ANTIDEPRESSANT

Posted by Phillipa on July 16, 2008, at 17:14:32

In reply to Re: Name ONE ANTIDEPRESSANT » B2chica, posted by bleauberry on July 16, 2008, at 17:10:22

I was thinking lamictal also maybe with a bit of benzo as blueaberry said and xanax works very well. No weight gain I don't believe. Let us know what the doc and you come up with. Good Luck Phillipa

 

Re: Name ONE ANTIDEPRESSANT

Posted by blueboy on July 17, 2008, at 9:42:24

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02

I'm bipolar and before I was diagnosed as such (pdoc's treated me for major depressive episode) tried just about every AD in the book. None of them worked, except for Nardil which put me in a steady hypomanic state.

Effexor and Wellbutrin were especially bad. I had bad seizures from Effexor and some sort of horrible reaction to Wellbutrin. Also, a higher dose of Prozac once put me into near-catatonia.

I'm trying Lamictal now and, while I haven't had startling or solid beneficial effects (I'm still titrating up, I started at 150mg today), at least there aren't any side effects.

 

Re: WHAT ABOUT

Posted by B2chica on July 17, 2008, at 15:34:07

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02

sorry i didn't mention what i'm on.
currently on:

wellbutrinXL (300)real deal (Teva like i was taking nothing, i was crying all the time)

Topamax 100
Geodon 80
xanax as needed .50/1mg
Ritalin 20mg BID

**********************
been on:
Effexor (THE WORST ONE)
Prozac (first hospital trip)
zoloft
triliptal
zyprexa (was a wonder drug and tempted to go back even with bad SE)
wellbutrinXL in past worked great, now not so much
symbyax
seroquel
trazadone
risperdal
lexapro

*********************

just saw pdoc yesterday and he decided to just up my geodon for now.
i felt worse than i've EVER felt on zyprexa. beyond tired/elephant dart/jetlag whatever. had to leave work.

had to have talk with boss' and tell them what's going on and next few days i have no choice but to come in afternoon only. i shouldn't even have been driving this morning.

******************************

i think my pdoc is buying time cuz he doens't know what else to do.
but
one little little ray of possible hope he did mention so terribly briefly was provigil. he said it wasn't an option cuz it was SOOOO expensive and he knows i can't afford sqat right now. but i called my benefits people and it is covered and no more than the topamax. it's expensive. but
if it will friggen work. it's giving me hope.

at least let me have that for a while. hope. i miss having it.

when i have more energy i'll write in and ask opinions about provigil. sorry i don't know proper spelling.

thanks all.
b2c.

 

... Tianeptine (Stablon) ? » B2chica

Posted by Marty on July 17, 2008, at 17:46:08

In reply to Name ONE ANTIDEPRESSANT, posted by B2chica on July 16, 2008, at 12:28:02


Tianeptine (Stablon)...

It's not in America, but google it and you'll understand HOW some get their hands on it. (*nline Ph*rmacy) -_-


/\/\arty

 

Re: WHAT ABOUT » B2chica

Posted by Racer on July 17, 2008, at 18:50:06

In reply to Re: WHAT ABOUT, posted by B2chica on July 17, 2008, at 15:34:07

> i think my pdoc is buying time cuz he doens't know what else to do.
> but
> one little little ray of possible hope he did mention so terribly briefly was provigil.

Provigil was great for me, for a long time, and it's one of those that I keep in the back of my mind for revisiting if necessary. I'd rate that as a BIG ray of hope for you, and one that is worth trying.

Best luck.

 

Re: Name ONE ANTIDEPRESSANT

Posted by manic666 on July 20, 2008, at 12:39:09

In reply to Re: Name ONE ANTIDEPRESSANT » B2chica, posted by Racer on July 16, 2008, at 12:59:53

most anti-ds do a number on me but for depression cymbalta is cool, not so good with anxiety . i got little to no side effects. if you can keep to no higher than 60mg the sex is ok 120 orgasm truoble, baby you may sweat and i dont mean with sex, with cym, other than that give it a shot


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