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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by mtdewcmu on April 12, 2011, at 16:26:41
I saw my pdoc today, and I requested to try substituting Luvox for Paxil, as Paxil is causing me to sweat prodigiously and is probably aggravating my GI issues. It isn't working all that well anymore, either. I also was able to get him to try me on Dexedrine for my attention problems. He is a way more chill doctor than I have ever had before. I'm pretty sure he's a 9 on the Enneagram. He asks me what I want to try and lets me do it.
Posted by matthewdavid on April 12, 2011, at 17:24:40
In reply to Trying Luvox and Dexedrine, posted by mtdewcmu on April 12, 2011, at 16:26:41
I was cured while taking paxil till it just simply stopped, I tried many others and did have some success with luvox, helped with both depression and anxiety, did cause drowsiness but the benefit outweighted the symptoms.
Posted by Phillipa on April 12, 2011, at 18:55:41
In reply to Trying Luvox and Dexedrine, posted by mtdewcmu on April 12, 2011, at 16:26:41
Still on luvox 50mg regular. Taken it about 11 years. At one time took 250mg and felt great but needed benzos also. Are you taking the time release or generic? Absolutely no side effects and waited for them. Can't stop the luvox tried once and didn't sleep for two weeks. And that doc added high doses of benzos. So I guess my brain likes it also. I also feel you will. Phillipa
Posted by mtdewcmu on April 12, 2011, at 21:26:44
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by matthewdavid on April 12, 2011, at 17:24:40
> I was cured while taking paxil till it just simply stopped, I tried many others and did have some success with luvox, helped with both depression and anxiety, did cause drowsiness but the benefit outweighted the symptoms.
Thanks. That gives me hope.
Posted by mtdewcmu on April 12, 2011, at 21:34:21
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 12, 2011, at 18:55:41
I am trying the generic (have to pay cash). The pdoc wanted to give me 50mg tabs, but I asked for 100mg tabs. I have not gotten by with the lowest dose of any SSRI yet, and being undermedicated sucks. I am hopeful that I'll be able to deal with the side effects, because I've never had to discontinue a med before due to sedation. The "activating" SSRIs (Prozac and Zoloft) are the ones that give me trouble. Celexa is considered sedating and that's the one I had the most success with.
I'm sure you could get off Luvox, Phillipa. You might have to do a slow taper and substitute a different med.
> Still on luvox 50mg regular. Taken it about 11 years. At one time took 250mg and felt great but needed benzos also. Are you taking the time release or generic? Absolutely no side effects and waited for them. Can't stop the luvox tried once and didn't sleep for two weeks. And that doc added high doses of benzos. So I guess my brain likes it also. I also feel you will. Phillipa
Posted by Phillipa on April 12, 2011, at 22:31:28
In reply to Re: Trying Luvox and Dexedrine » Phillipa, posted by mtdewcmu on April 12, 2011, at 21:34:21
Tried adding low dose lexapro and now Deplin nothing so seriously thinking of upping the luvox? Either that or go totally off SSRI's. Two extremes? Or stay the same. I also get the l00mg tabs was free on the old medicaire plan new one $7 a month and that script last for two months so $3.50 a month. Not bad. Phillipa so no time release. I have some or might have thrown away time release ones.
Posted by floatingbridge on April 13, 2011, at 4:54:52
In reply to Trying Luvox and Dexedrine, posted by mtdewcmu on April 12, 2011, at 16:26:41
Good luck with this. Will you let us know how it goes? I was just reading about Luvox 's unique properties.
Fingers crossed,
fb
Congrats on dexedrine.
Nine on enegram? Very occult :-)
Posted by floatingbridge on April 13, 2011, at 4:59:16
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 12, 2011, at 22:31:28
Phillipa,
Just a thought: try upping luvox first. Maybe easiest since you're already on it. Slowly and see. What would your pdoc think?
Hold steady with lexapro, (unless pdoc says forget it).
Would you go up to 100 Luvox? (Don't know dosing for this.)
Hugs,
fb
Posted by mtdewcmu on April 13, 2011, at 8:53:30
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by floatingbridge on April 13, 2011, at 4:54:52
> Good luck with this. Will you let us know how it goes? I was just reading about Luvox 's unique properties.
>I took 100mg last night. I just switched directly from 20mg of Paxil. I slept pretty well, but I woke up with a slight headache and feeling queasy. I'm not sure if it's the Luvox or if I have a cold.
> Congrats on dexedrine.
> Nine on enegram? Very occult :-)Thanks. I'm still waiting for the pharmacy to fill it.
Posted by mtdewcmu on April 13, 2011, at 9:10:48
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by floatingbridge on April 13, 2011, at 4:54:52
> Good luck with this. Will you let us know how it goes? I was just reading about Luvox 's unique properties.
The headache that I woke up with reminded me of the morning headache I get from trazodone. That was fatal to trazodone. So I hope it's either a coincidence or it passes.
Posted by floatingbridge on April 13, 2011, at 11:29:04
In reply to Re: Trying Luvox and Dexedrine » floatingbridge, posted by mtdewcmu on April 13, 2011, at 9:10:48
Oh. I know that headache....
:(It could very well pass....
I'm hopeful.
Posted by Phillipa on April 13, 2011, at 19:52:19
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by floatingbridge on April 13, 2011, at 11:29:04
Sure could up to l00 no problem but if since upped from 25mg to 50mg and body won't let off what happens at l00. l00 is 50mg am and 50mg pm. I did require more ativan at the time. Never got a headache though? Phillipa
Posted by mtdewcmu on April 13, 2011, at 19:55:42
In reply to Re: Trying Luvox and Dexedrine, posted by Phillipa on April 13, 2011, at 19:52:19
> Sure could up to l00 no problem but if since upped from 25mg to 50mg and body won't let off what happens at l00. l00 is 50mg am and 50mg pm. I did require more ativan at the time. Never got a headache though? Phillipa
My drug book says that you can give up to 100mg at bedtime. Above that it recommends divided doses.
Posted by Phillipa on April 13, 2011, at 21:41:32
In reply to Re: Trying Luvox and Dexedrine, posted by mtdewcmu on April 13, 2011, at 19:55:42
I know that doses over a hundred mg need highest dose at night. Hummm as when I took it the doc gave 50/50 and then 50 am and l00 pm. I think the reson is that the half life is short. I've not heard of this before? Phillipa
Posted by mtdewcmu on April 13, 2011, at 22:29:31
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 13, 2011, at 21:41:32
> I know that doses over a hundred mg need highest dose at night. Hummm as when I took it the doc gave 50/50 and then 50 am and l00 pm. I think the reson is that the half life is short. I've not heard of this before? Phillipa
My drug book (written for nurses) says to give it in one dose at bedtime unless it's more than 100mg, in which case it can either be evenly divided or the larger dose can be given at bedtime. But the aim is comfort. You're not going to die if you take it in the morning, you just might be drowsy. I'm not sure why it says not to take more than 100mg at once, but I assume comfort.
Posted by mtdewcmu on April 13, 2011, at 22:34:16
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 13, 2011, at 21:41:32
> I know that doses over a hundred mg need highest dose at night. Hummm as when I took it the doc gave 50/50 and then 50 am and l00 pm. I think the reson is that the half life is short. I've not heard of this before? Phillipa
The half life is relatively short. It's shorter than Paxil, but not as short as Effexor. Paxil CR hasn't really caught on versus taking the IR once a day, but I would not try the same thing with Effexor. Luvox is borderline, but I am going to try taking it once at night.
Posted by mtdewcmu on April 14, 2011, at 8:08:25
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 13, 2011, at 21:41:32
Here's my update for day #3 of Luvox:
I woke up super-early this morning and could not get back to sleep. I've been having early-morning awakenings a lot recently, but I think it has more to do with my deteriorating mental condition than any particular med. My appetite during the day has also dropped off, although I still binge at night after taking my Remeron. All of that basically predates Luvox. I felt a little headachy and queasy after taking the Luvox last night, but this morning I woke up with no headache. There has been no apparent drop in the sweating that I attributed to Paxil so far. Either Luvox is just as bad, it's an effect of all SSRIs that I didn't notice while taking Celexa for 5 years, or it is multifactorial in origin. I suspect that Wellbutrin is contributing as much as the SSRI. I haven't had any major GI problems since switching to Luvox, so I am very hopeful that will continue. The GI problems were serious; it sent me to the ER once and I was starting to think I had Crohn's Disease, so I really hope it was Paxil.
I'm not expecting Luvox to correct the early-morning awakenings and other increasing MDD symptoms by itself, but I am hoping for reduced side effects.
Posted by Phillipa on April 14, 2011, at 19:12:18
In reply to Re: Trying Luvox and Dexedrine, posted by mtdewcmu on April 14, 2011, at 8:08:25
Only the very first ad I took which was paxil l0mg caused an GI distress. I kept notes and stopped taking them the notes at three months. So suspect that is when it kicked in for me and felt good again. Still had a benzo though. No GI with luvox ever. I'm wondering if the prescribing info has changed since took the original Solvay luvox. Very possible? Sure hoping your distress disappears soon. Phillipa
Posted by mtdewcmu on April 18, 2011, at 22:34:23
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by Phillipa on April 14, 2011, at 19:12:18
> Only the very first ad I took which was paxil l0mg caused an GI distress. I kept notes and stopped taking them the notes at three months. So suspect that is when it kicked in for me and felt good again. Still had a benzo though. No GI with luvox ever. I'm wondering if the prescribing info has changed since took the original Solvay luvox. Very possible? Sure hoping your distress disappears soon. Phillipa
When T took Paxil for a couple years, the GI problems never went away. I went to the ER once because I was passing bloodclots. I also have large bottles of Immodium around, just in case it really gets going.
Posted by floatingbridge on April 18, 2011, at 23:49:29
In reply to Re: Trying Luvox and Dexedrine, posted by mtdewcmu on April 14, 2011, at 8:08:25
I'm hoping that the luvox will help curb the early awakenings. Why are you doubtful?
No GI sx is a very good sign. Cymbalta about did me in with gastritis :(
Update us when you can.
fb
Posted by mtdewcmu on April 19, 2011, at 3:49:18
In reply to Re: Trying Luvox and Dexedrine » mtdewcmu, posted by floatingbridge on April 18, 2011, at 23:49:29
> I'm hoping that the luvox will help curb the early awakenings. Why are you doubtful?
>I'm not sure what was causing the early awakenings. I started to think it might have been Remeron withdrawal. So I started taking more Remeron, and the problem appears to be solved.
> No GI sx is a very good sign. Cymbalta about did me in with gastritis :(
>Yeah. It was horrible. I woke up early in the morning every so often with abdominal cramps and diarrhea. I was starting to think I had Crohn's disease.
Posted by floatingbridge on April 19, 2011, at 9:56:51
In reply to Re: Trying Luvox and Dexedrine » floatingbridge, posted by mtdewcmu on April 19, 2011, at 3:49:18
The withdrawal thing. I remember when pdoc figured out that was happening to me. Short acting agents in my case, multiples.
So you slept?
Posted by theo on April 27, 2011, at 17:11:35
In reply to Re: Trying Luvox and Dexedrine » Phillipa, posted by mtdewcmu on April 12, 2011, at 21:34:21
Luvox Cr is available name brand and there was a coupon on their website
This is the end of the thread.
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