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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 20 of 20. This is the beginning of the thread.
Posted by bulldog2 on November 28, 2009, at 15:00:23
I have suffered from atypical depression most of my life. The depression has ranged from mild to very severe. Also adhd but that may not be the main issue right now. However I think recent events may have triggered some form of ptsd.
1. recent events
a. some very bad family situations (ongoing)
b. hip replacement
c. percocet withdrawalSo I'm being battered by very bad life situations. Also withdrawing from percocet. Was on 60 mg at one time and now down to 20 mg. Will lower dose until totally percocet free.
Between percocet withdrawal, family warfare, financial hardship.I feel like I am collapsing. My depression is mixed with this intense fearful anxiety. At times feel like I am dying. I'm overeating and just watch tv all day.
Current medications are percocet 20 mg.
also on neurontin high dose but that is not working at times. Sometimes is a decent mood booster. feels a little like getting drunk. My body is extremely sensitive and feels a lot of pain.Will be seeing p-doc in a couple of weeks. Need some sort of heroic combo for this depression. But the fearful anxiety is hardest for me to handle right now. So what combo might handle this mess.
Forgot use 1 to 1.5 mg klonopin at night for sleep but that is not currently working. Whenever I close my eyes I fear I will die.
I have parnate, nortriptyline and luvox in my medicine cabinet. Would any of these be helpful but itself or in some combo?
Posted by Phillipa on November 28, 2009, at 15:36:17
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
Bulldog got an idea of some of the stuff that may have happened. I'm sorry. Can't take parnate without washout. If percocet withdrawal subtonex. Try the luvox most sedating as you know. Raise the klonopin temporarily and for goodness sakes write. Phillipa
Posted by floatingbridge on November 28, 2009, at 15:49:28
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
Hi Bulldog--
I wish I had some information for you. I can only wish you speedy relief. I hope you get the helpful responses you need.
I'm sorry you are feeling so cr*ppy right now.
fb
Posted by morganator on November 28, 2009, at 16:02:00
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
Are you in therapy right now? Are you able to afford it or do you have insurance that would cover it? I know a lot of people don't think therapy helps. There is EMDR that could really help you with your PTSD. Or, neurofeedback, but that may cost money as well.
I definitely think you need the right medication combo. Hopefully you find it soon. I am struggling to find it as well. I just popped 200 mgs of Zoloft instead of 150 just for sh*ts and giggles. I felt like 200 was too much in the past but I feel so bad now maybe my damaged brain won't be as sensitive to it.
What about Nardil? Isn't it supposed to be really good for anxiety?
So you are on SJW right now along with the neurontin?
I've heard Lyrica can help with the anxiety. It is supposed to be more powerful than Neurontin. It would also help with your pain.
It sounds like you have a lot to be depressed about. I can relate to some of the physical things.
Again, if you have the money, it might be worth researching platelet rich plasma and seeing if there is a doctor in your area that performs this treatment.
I feel truly feel for you and hope you find some relief soon.
Morgan
Posted by bulldog2 on November 28, 2009, at 16:11:58
In reply to Re: Depression With Fearful Anxiety - Help!, posted by morganator on November 28, 2009, at 16:02:00
> Are you in therapy right now? Are you able to afford it or do you have insurance that would cover it? I know a lot of people don't think therapy helps. There is EMDR that could really help you with your PTSD. Or, neurofeedback, but that may cost money as well.
>
> I definitely think you need the right medication combo. Hopefully you find it soon. I am struggling to find it as well. I just popped 200 mgs of Zoloft instead of 150 just for sh*ts and giggles. I felt like 200 was too much in the past but I feel so bad now maybe my damaged brain won't be as sensitive to it.
>
> What about Nardil? Isn't it supposed to be really good for anxiety?
>
> So you are on SJW right now along with the neurontin?
>
> I've heard Lyrica can help with the anxiety. It is supposed to be more powerful than Neurontin. It would also help with your pain.
>
> It sounds like you have a lot to be depressed about. I can relate to some of the physical things.
>
> Again, if you have the money, it might be worth researching platelet rich plasma and seeing if there is a doctor in your area that performs this treatment.
>
> I feel truly feel for you and hope you find some relief soon.
>
> MorganI have a p-doc and pay out of pocket as my insurance does not cover him. No i'm not on sjw. I think I will need big guns right now.
Posted by bulldog2 on November 28, 2009, at 16:15:14
In reply to Re: Depression With Fearful Anxiety - Help! » bulldog2, posted by Phillipa on November 28, 2009, at 15:36:17
> Bulldog got an idea of some of the stuff that may have happened. I'm sorry. Can't take parnate without washout. If percocet withdrawal subtonex. Try the luvox most sedating as you know. Raise the klonopin temporarily and for goodness sakes write. Phillipa
I will talk to my p-doc about luvox as it might be the right drug for me at this point. Percocet is low enough that I might just taper gradually off.
Posted by floatingbridge on November 28, 2009, at 16:16:37
In reply to Re: Depression With Fearful Anxiety - Help! » morganator, posted by bulldog2 on November 28, 2009, at 16:11:58
>I think I will need big guns right now.What's big guns now? Nardil? How about big guns and a support group in you area?
fb
Posted by ricker on November 28, 2009, at 16:35:16
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
Hang in there B/D, I'm experiencing pretty much the same thing and will be seeing my p/doc in 3 weeks. I too, went for the medicine cabinet to help with the chronic depression/anxiety. I started remeron 30mg to help with the sleep and anxiety. I'm also taking clonaxepam 0.5.mg 3x/day along with zoloft.
I'm going to ask my p/doc to stop zoloft and go back on effexor so that's my suggestion for your "big gun". Together, the effexor and remeron should help with your anxiety, depression and allow for good sleep. I'd keep the clonazepam on board as well. You can probably increase your clonazepam while waiting to see the p/doc. I use to take 2mg/4x day years ago when my anxiety was quite bad. Maybe try 1mg 3/x day along with 25mg of nortriptyline at night. Luvox just made me very apathetic and starting parnate will limit your options come time to see p/doc.
I feel for ya B/dog. Just keep telling yourself it's temporary and you will feel better soon.Regards, Rick
Posted by floatingbridge on November 28, 2009, at 18:45:53
In reply to Re: Depression With Fearful Anxiety - Help!, posted by ricker on November 28, 2009, at 16:35:16
Ricker, was it you that recently posted the heroic combinations? I believe effexor + remeron was on it....
good luck to both of you,
fb
Posted by Phillipa on November 28, 2009, at 19:41:33
In reply to Re: Depression With Fearful Anxiety - Help! » Phillipa, posted by bulldog2 on November 28, 2009, at 16:15:14
I'm for real tappering the benzos long discussion with the biochemist that worked for the drug company. Wow told me things didn't know. Pop 50 of luvox and see now. Should be no side effects? Phillipa
Posted by Sigismund on November 29, 2009, at 3:02:12
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
To what extent do you feel that your anxiety and depression are caused or exacerbated by the reduction from 60 to 20 oxycodone?
If I am not mistaken, you have been at 20 for a little while.
There are a couple of things to say about opiate withdrawal (if this is applicable)....
1. Nothing is as helpful for withdrawal by a country mile as another opiate
2. Nothing much helps, although there are exceptions.
3. There is never a good time to do it.
4. It takes as long as it takes.But some things you say make me wonder if it is opiate withdrawal ('My depression is mixed with this intense fearful anxiety. At times feel like I am dying.' 'Whenever I close my eyes I fear I will die.') whereas other things you say confirm it ('However I think recent events may have triggered some form of ptsd' 'I'm overeating and just watch tv all day''My body is extremely sensitive and feels a lot of pain.')
It is a common experience that opiate withdrawal precipitates an emotional state of extreme sensitivity and instability, and that this is as difficult for the person withdrawing as the physical discomfort.
If it is related to your reduction, the withdrawal of the last bit will be the biggest challenge. 60mg oxycodone (that's what it is, no?) is a lot to withdraw from.
Posted by bulldog2 on November 29, 2009, at 14:12:40
In reply to Re: Depression With Fearful Anxiety - Help!, posted by Sigismund on November 29, 2009, at 3:02:12
> To what extent do you feel that your anxiety and depression are caused or exacerbated by the reduction from 60 to 20 oxycodone?
>
> If I am not mistaken, you have been at 20 for a little while.
>
> There are a couple of things to say about opiate withdrawal (if this is applicable)....
> 1. Nothing is as helpful for withdrawal by a country mile as another opiate
> 2. Nothing much helps, although there are exceptions.
> 3. There is never a good time to do it.
> 4. It takes as long as it takes.
>
> But some things you say make me wonder if it is opiate withdrawal ('My depression is mixed with this intense fearful anxiety. At times feel like I am dying.' 'Whenever I close my eyes I fear I will die.') whereas other things you say confirm it ('However I think recent events may have triggered some form of ptsd' 'I'm overeating and just watch tv all day''My body is extremely sensitive and feels a lot of pain.')
>
> It is a common experience that opiate withdrawal precipitates an emotional state of extreme sensitivity and instability, and that this is as difficult for the person withdrawing as the physical discomfort.
>
> If it is related to your reduction, the withdrawal of the last bit will be the biggest challenge. 60mg oxycodone (that's what it is, no?) is a lot to withdraw from.This opiate journey is a bit over four months. I was started at 40 mg percocet prior to hip surgery. That was increased to the 50-60 range because 40 was not doing the trick. Was at 50-60 for a couple of months. Rarely took 60, so 50 was more the two month dose. In the past two months after surgery stayed at 50 -60 for a couple of weeks and than began tapering down. Have been on 20 mg for a couple of weeks.
Have to complete the weaning rather quickly as I only have a few pills left. Will have to go to 1 pill and than 1/2 a pill in just several days.Do I ask the doc for more pills as the weaning will be quite abrupt at the end?
Posted by bulldog2 on November 29, 2009, at 14:46:23
In reply to Re: Depression With Fearful Anxiety - Help!, posted by morganator on November 28, 2009, at 16:02:00
> Are you in therapy right now? Are you able to afford it or do you have insurance that would cover it? I know a lot of people don't think therapy helps. There is EMDR that could really help you with your PTSD. Or, neurofeedback, but that may cost money as well.
>
> I definitely think you need the right medication combo. Hopefully you find it soon. I am struggling to find it as well. I just popped 200 mgs of Zoloft instead of 150 just for sh*ts and giggles. I felt like 200 was too much in the past but I feel so bad now maybe my damaged brain won't be as sensitive to it.
>
> What about Nardil? Isn't it supposed to be really good for anxiety?
>
> So you are on SJW right now along with the neurontin?
>
> I've heard Lyrica can help with the anxiety. It is supposed to be more powerful than Neurontin. It would also help with your pain.
>
> It sounds like you have a lot to be depressed about. I can relate to some of the physical things.
>
> Again, if you have the money, it might be worth researching platelet rich plasma and seeing if there is a doctor in your area that performs this treatment.
>
> I feel truly feel for you and hope you find some relief soon.
>
> MorganWould love to try nardil or lyrica. But they tend to cause terrible weight gain which rules them out as I have weight problems.
Posted by bulldog2 on November 29, 2009, at 16:07:01
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
I'd like to thank everyone for their input. There are many good suggestions here.
Posted by maxime on November 29, 2009, at 19:47:42
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
I think you should be on parnate. you know that it works and it works fast. That's what I would do.
Posted by Meltingpot on November 30, 2009, at 9:52:41
In reply to Depression With Fearful Anxiety - Help!, posted by bulldog2 on November 28, 2009, at 15:00:23
Hi,
You sound like you are in a hellish situation.
I think Zyprexa (now and again or even regularly) might help you at this point in time.
Denise
Posted by Sigismund on November 30, 2009, at 20:18:30
In reply to Re: Depression With Fearful Anxiety - Help! » Sigismund, posted by bulldog2 on November 29, 2009, at 14:12:40
>Do I ask the doc for more pills as the weaning will be quite abrupt at the end?
Yep.
And/or, you could wean yourself more radically and save some for later when you will need them.
Posted by floatingbridge on November 30, 2009, at 23:25:04
In reply to Re: Depression With Fearful Anxiety - Help! » bulldog2, posted by Sigismund on November 30, 2009, at 20:18:30
> >Do I ask the doc for more pills as the weaning will be quite abrupt at the end?
Yes Bulldog, I think so too. Better to have extra that you don't need than suffer undue withdraw--doesn't sound like you need one more thing to deal with.fb
Posted by bulldog2 on December 1, 2009, at 10:01:10
In reply to Re: Depression With Fearful Anxiety - Help! » bulldog2, posted by Sigismund on November 30, 2009, at 20:18:30
> >Do I ask the doc for more pills as the weaning will be quite abrupt at the end?
>
> Yep.
>
> And/or, you could wean yourself more radically and save some for later when you will need them.Do you ever take an opiate any more? Or are you totally off?
Posted by Sigismund on December 1, 2009, at 14:45:01
In reply to Re: Depression With Fearful Anxiety - Help!, posted by bulldog2 on December 1, 2009, at 10:01:10
>Do you ever take an opiate any more? Or are you totally off?
Me? No, I don't take opiates now.If I can do it anyone can.
OTOH (I don't wish to be discouraging but) I would have taken 2 or 3 years to get from where you are to totally off, and I complained all the way.Since you will naturally think you can do it quicker, help yourself along by storing some up so that you have some when you need it.
This is the end of the thread.
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