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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by floatingbridge on June 23, 2011, at 15:22:20
I have an appt for July with an anxiety disorder clinic. It's pretty obvious I am rudderless regarding treatment, but I am having difficulty getting out of bed.
Emsam at least helps in that department. If I restart even as stop-gap treatment.
This makes sense, yes? I apologize for having such trouble thinking this through.
Am I overlooking a major problem?
Thanks.
fb
Posted by Phillipa on June 23, 2011, at 18:26:41
In reply to restart emsam?, posted by floatingbridge on June 23, 2011, at 15:22:20
No you didn't give it a proper trial? Due to the doc? Phillipa
Posted by Christ_empowered on June 23, 2011, at 19:30:43
In reply to Re: restart emsam? » floatingbridge, posted by Phillipa on June 23, 2011, at 18:26:41
I don't know. I mean, I don't think it'd be dangerous or anything, but I don't think any of us here are really qualified to give you a thumbs up or a thumbs down on that one. I hate to say this...I really, really hate it, but here goes..."do what feels right." At least I didn't say follow your bliss.
Anyway, when's your appointment with the anxiety people?
Posted by floatingbridge on June 23, 2011, at 19:37:19
In reply to Re: restart emsam?, posted by Christ_empowered on June 23, 2011, at 19:30:43
You're right CE.
First week of July.
I really wouldn't care if it was just me.
Would you just say a prayer while I sit tight?
Thanks.
fb
Posted by Christ_empowered on June 23, 2011, at 19:41:10
In reply to Re: restart emsam? » Christ_empowered, posted by floatingbridge on June 23, 2011, at 19:37:19
Absolutely, I'll pray for you--this is rough, and I hate it that I can't offer any definitive answer to your question. I also hate it that your doctor dropped you like that without even providing a referral or refills. Who does that?
July is really just around the corner. It sounds like you've got a supportive family you care about and you're lining up treatment, so just try to relax. Maybe read a good book or write or something? Something to channel out your nervous energy and give you a reason to hop out of bed in the AM, if only for a little while.
Posted by floatingbridge on June 23, 2011, at 19:53:18
In reply to Re: restart emsam?, posted by Christ_empowered on June 23, 2011, at 19:41:10
Posted by poser938 on June 24, 2011, at 17:28:56
In reply to restart emsam?, posted by floatingbridge on June 23, 2011, at 15:22:20
what about selegiline in a low dose? same med as selegiline except you take it by mouth and it focuses of raising dopamine more, which in my opinion is the feel good neurotransmitter.
Posted by floatingbridge on June 24, 2011, at 18:30:57
In reply to Re: restart emsam?, posted by poser938 on June 24, 2011, at 17:28:56
Hi poser,
Oral segeline would work differently enough? I didn't mind the patch.Right now I'm off everything and won't be starting who knows what or if until the first week of July. I am going to an anxiety disorder clinic then.
I was at our local urgent care today to get some ambien, just something for sleep.
It's pretty bare bones around here. How are you doing?
fb
Posted by Phillipa on June 24, 2011, at 21:43:42
In reply to Re: restart emsam? » poser938, posted by floatingbridge on June 24, 2011, at 18:30:57
FB I still don't get it? Love Phillipa
Posted by floatingbridge on June 24, 2011, at 22:41:26
In reply to Re: restart emsam? » floatingbridge, posted by Phillipa on June 24, 2011, at 21:43:42
Oh, Phillipa, I kinda' do and don't. I don't know how much there is to get.
Meaning it seems to be alot of he said she said, along with therapy that went south awhile back and treatment stalls. I could talk endlessly. (Haven't I :P?)
I just need more from my psychiatrist. He should have referred me out months
ago.Hard not to feel futile about people just
getting along or not despite their best intentions.
Posted by poser938 on June 28, 2011, at 20:50:11
In reply to Re: restart emsam? » poser938, posted by floatingbridge on June 24, 2011, at 18:30:57
i think a small dose of selegiline would feel different. like i said,in a small dose it focuses more on raising dopamine levels. in higher doses it also raises serotonin, like a dose you would get from emsam. now serotonin is calming or emotional numbing depending on the type of person you are. but i saw in a different post that you said the dose you were taking helped with cognition and add type symptoms, so maybe you did get dopamine raised well enough. im just sayin, its something you could try with a low dose of selegiline.
with me right now, im not feeling any better so far. i think im going to start cyproheptadine again once my tolerance goes away, which is soon, hopefully! its not even a med used for emotional problems and its the only thing to ever help me, im just lucky i found out about it.
Posted by Phillipa on June 29, 2011, at 20:14:30
In reply to Re: restart emsam?, posted by poser938 on June 28, 2011, at 20:50:11
Poser what is this med? Thanks Phillipa
Posted by poser938 on June 30, 2011, at 3:50:58
In reply to Re: restart emsam? » poser938, posted by Phillipa on June 29, 2011, at 20:14:30
selegiline is mainly a mao-b inhibitor at low doses. basicaly it raises dopamine levels. i've read reviews on it and people say it helps them with motivation and energy, because thats what dopamine does.
emsam is selegiline in patch form and it works like a high dose of selegiline and selegiline in high doses raise serotonin levels as well as dopamine. im just suggesting taking it low dose form to stay away from raising serotonin levels, which as many know, when you raise serotonin it can ruin motivation and numb your emotions.
Posted by floatingbridge on June 30, 2011, at 9:32:45
In reply to Re: restart emsam?, posted by poser938 on June 28, 2011, at 20:50:11
Hi poser,
> i think a small dose of selegiline would feel different. like i said,in a small dose it focuses more on raising dopamine levels. in higher doses it also raises serotonin, like a dose you would get from emsam. now serotonin is calming or emotional numbing depending on the type of person you are. but i saw in a different
post that you said the dose you were taking helped with cognition and add type symptoms, so maybe you did get dopamine raised well enough. im just sayin, its something you could try with a low dose of selegiline.Thanks for explaining this. I finally understand about the segeline, at least basically enough to discuss with a provider. Taken orally it might not circulate and build up like the patch (in
addition to being a lower dose)? Because
the insomnia became so big. I can sleep with ambien now. I like that.Did your mom have patch sleep issues on her patch?
>
> with me right now, im not feeling any better so far. i think im going to start
cyproheptadine again once my tolerance goes away, which is soon, hopefully! its
not even a med used for emotional
problems and its the only thing to ever
help me, im just lucky i found out about it.
How did you find this medication? I remember you and others here discussing it a while back. This sounds
like you have decided to discontinue the risperdal. Well poop about that, and glad
you have something to go to. If you drop risperdal, you'll follow a taper? I wish I knew more about medication to offer you some advice. Hang in there
poser. You're smart and brave :-) Your pdoc is still on board with you? Do you ever post on the neuro board here?Hang in there :-/
Keep us posted..
Posted by poser938 on July 2, 2011, at 0:18:46
In reply to Re: restart emsam? » poser938, posted by floatingbridge on June 30, 2011, at 9:32:45
yes i think thats the main reason selegiline works different by mouth is that it doesnt build up as much in your body, and i dont thin mky mom had sleep issues on the emsam, she just told me it made her feel numb but kinda stimulated.
and yes i tapered off the risperdal, its been just like taking a sugar pill, unfortunately. im going to start cyproheptadine soon hopefully. it helped me tons for about 6 months, i slowly got better and better, but then my dose got too high. i get too tolerant to a certain dose of it pretty quickly, but while i was taking it im going i would raise my dose too quickly but this time im going to do the whole raising the dose thing a little different to keep my dose from getting too high again.
as for my doctor, she told me i made it up in my imagination that cyproheptadine helps me and i had to pretty much beg her to prescribe it for me. she doesnt believe its possible for med side effects to stick with you after stopping a med. i think im going to try finding a more knowledgeable psychiatrist and im going to tell her that too.
i used to order the cyproheptadine on the internet in the past but this time i decided to try getting it from the doc.
i just found it a few years ago when researching meds that help with antidepressant side effects but it turns out to be great for adderall and mirapex side effects too.
This is the end of the thread.
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