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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Phillipa on February 5, 2011, at 12:19:03
Just out curiosity wondering if anyone is having good results from just one Antidepressant and maybe a low dose benzos for accompanying anxiety and how many find ad's stimulating and how many flattening as years ago the sent me flying so stimulating and now seem to do nothing. Is it my chemistry changing as age? Someone a doc years ago said metabolism changes every seven years so would this account for the changes I feel? Phillipa
Posted by Phillipa on February 5, 2011, at 13:12:19
In reply to Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 12:19:03
Guess not I guess only work for those in real life or a placebo. Saw a Tv program about the placebo and sewing seeds in the patients minds and then sometimes they work. Phillipa
Posted by Fred23 on February 5, 2011, at 17:16:47
In reply to Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 12:19:03
> Just out curiosity wondering if anyone is having good results from just one Antidepressant and maybe a low dose benzos for accompanying anxiety . . .
A low dose of Lexapro along with a low dose of Klonopin worked to stop my panic attacks, and continues keeping the general anxiety in check.
Either one by itself wouldn't be enough.
Posted by Sailboat77 on February 5, 2011, at 18:03:26
In reply to Re: Anyone Having Good Results With AD's, posted by Fred23 on February 5, 2011, at 17:16:47
My doc told me that metabolism can play a role in the effectiveness of antidepressants. It has to do with how quickly/thoroughly the liver breaks down the medicine. A persons metabolism is generally stable but it does gradually change over time, so maybe that's what is happening.
I was told my metabolism is very active and my liver processes medicines at an increased rate. To counter this, my doc just increases my dosage beyond normal limits. I hope this helps
Posted by Warm pickles on February 5, 2011, at 18:22:28
In reply to Re: Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 13:12:19
> Guess not I guess only work for those in real life or a placebo. Saw a Tv program about the placebo and sewing seeds in the patients minds and then sometimes they work. Phillipa
real life or a placebo
What do you mean?
A reason difficult to read here
Is the questioning of effect
Implied fakeness of something so personal
Doesn't feel good
Not supportive
Isn't it about support?
They have continue to work for me
Why make say that?
Posted by Phillipa on February 5, 2011, at 21:21:33
In reply to Re: Anyone Having Good Results With AD's, posted by Warm pickles on February 5, 2011, at 18:22:28
Hey that's great and yes about support. Clinical trials do use placebos that's what it was about. Some on the placebo also feel better. Phillipa
Posted by merpmerp on February 6, 2011, at 10:25:49
In reply to Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 12:19:03
Still doing well on the tyrosine + Lexapro, though now I've gone back up to 2.5 mg of Lex and will likely stay there unless the cognitive slowing/apathy returns.
(This is a horrible semester in terms of workload for me and I was starting to freak out a little too much.)
Posted by bleauberry on February 8, 2011, at 18:39:28
In reply to Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 12:19:03
To answer the title of this thread, no.
Well to be fair I would say in a totally unscientific estimation based on being here for years and knowing people in my own life and work, I would say maybe 20% of people have good results with ADs.
Another maybe 30% do fairly ok, nothing great, but better than nothing. They along with the ones that are having a real tough time seem to be caught in a perpetual game rotating guesses that never seem to get very far.If we look really close at clinical studies....the fine details not the abstracts....we see that they really don't do all that well. People do indeed reach remission on ADs, but they seem few and not as frequent as we would wish. Back to the clinical studies, if we take a real fine look at the ones who were put into the category of remission, a lot them actually weren't.
But at this time in history we don't have much choice. So we all do the best we can and hope for the best.
Posted by floatingbridge on February 10, 2011, at 0:37:02
In reply to Anyone Having Good Results With AD's, posted by Phillipa on February 5, 2011, at 12:19:03
Hi Phillipa,
I haven't had good results with ssri's or snri's for years. Had a good run with effexor and a teensy amount of xanax 10 years ago. I needed stimulation. I also did well for sometime when Wellbutrin was added to my Celexa. Low dose xanax has been a constant.
I'm happy when the AD's work for folks. I'm glad when anything works :)
Right now I'm reconsidering the role AD's
have in my treatment. The negatives are outweighing the positives. I'm tapered
and hanging around 10 or less mg of Cymbalta, and my mind feels clearer in
an odd way. That's the best way I can discribe it. I'm not sure what that
means.To muddy the observations, I've added Lyrica, and so far I like it. And so far it
does not compare to Cymbalta for addressing my pain issues, but it really helps my mood and smooths out my
cptsd reactivity.That's the news from the west coast. Good question, Phillipa. I'd love to hear from others, esp those happy with their AD's.
fb
Posted by Elanor Roosevelt on February 28, 2011, at 12:31:09
In reply to Re: Anyone Having Good Results With AD's, posted by bleauberry on February 8, 2011, at 18:39:28
I would say maybe 20% of people have good results with ADs.
> Another maybe 30% do fairly ok, nothing great, but better than nothing.
>
It's the "better than nothing" thing that terrifies me now. I haven't been beyond there for years. It comes with such a flat sense of future.
This is the end of the thread.
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