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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by tepi on July 2, 2011, at 17:09:06
Agomelatine 25mg - Never heard of it before
What is it?Cymbalta 60mg - this one is like Effexor Rigth?
Does it have sexual SE?INVEGA - Atypical AP
Has anyboy tried this combo befote?
I dont want sexual side effects, it is very likely to have them while taking these right?What do you think?
Posted by sigismund on July 2, 2011, at 18:21:44
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
No sexual side effects from agomelatine.
You could consider agomelatine with a low dose SSRI.
Posted by bleauberry on July 2, 2011, at 19:16:53
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
Likely, yes. Not guaranteed but likely.
Posted by floatingbridge on July 2, 2011, at 21:31:57
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
Tepi,
Cymbalta is like effexor.
I had wanted to try agomelatine. I think that sounds like it could be good. It's not available in the US.
I kinda' agree with sigi about an ssri, but I don't know.
Why is the doc suggesting another round of AP's? Are they supposed to lessen the side effects of the cymbalta? (I don't know enough except to ask questions.)
It's difficult to change three meds at once. I am wishing you luck.
> Agomelatine 25mg - Never heard of it before
> What is it?
>
> Cymbalta 60mg - this one is like Effexor Rigth?
> Does it have sexual SE?
>
> INVEGA - Atypical AP
>
> Has anyboy tried this combo befote?
> I dont want sexual side effects, it is very likely to have them while taking these right?
>
> What do you think?
>
Posted by Phillipa on July 3, 2011, at 0:21:36
In reply to Re: New drufgs for me - what do you think? » tepi, posted by floatingbridge on July 2, 2011, at 21:31:57
Isn't vybrd agomelatonin here or am I mistaken? Phillipa
Posted by tepi on July 3, 2011, at 3:04:02
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
> Agomelatine 25mg - Never heard of it before
> What is it?
>
> Cymbalta 60mg - this one is like Effexor Rigth?
> Does it have sexual SE?
>
> INVEGA - Atypical AP
>
> Has anyboy tried this combo befote?
> I dont want sexual side effects, it is very likely to have them while taking these right?
>
> What do you think?
>
Wow , these drugs are expensive !! . I went to buy all of them and they cost a lot!
Im really hesitating of using cymbalta , I dont want another failure trial with that kind of meds
The problem is that they are pills and I cant cut themI couldnt find Invega , Im gonna keep searching for it tomorrow to start these meds on monday
Dotor told me by phone that I should avoid selfmedication and that I was crazy using Neurontin. I dont care , I told him It was used also for GA disorder and that I was trying different things beause he always give me the same kind of meds and then he came with this combo
I dont like thinking of cymbalta I dont know why
Posted by floatingbridge on July 3, 2011, at 8:40:41
In reply to Re: New drufgs for me - what do you think?, posted by tepi on July 3, 2011, at 3:04:02
Hi Tepi,
I re-read about agomelatine. It is said to not effect sexual functioning. So that's good. Said to have calming properties, and maybe help reset the sleep wake cycle. Those are all reasons I wanted to try it. Works on melatonin. But it's not available here.
I don't know what to say about the self-medicating piece your doc said. In my experience, when a doctor says that to me, it's because they are having trouble working and observing because I am trying (or just talking about trying) meds too quickly or rejecting a med they suggest. I think that is very valid. But trying news meds is a source of anxiety for me! So it gets tricky.If you get anxious about trying medication, does your doctor know about this?
It sounds like you two are talking more. I don't know. But that would be good.
I don't really understand why cymbalta, but that doesn't mean much. I am guessing that he is trying this combo to try and effect as many different areas of the brain at once.
I haven't read yet about Invega. I imagine if it's an AP it is very expensive. Did you have anything at all good to say about risperdal?
> > Agomelatine 25mg - Never heard of it before
> > What is it?
> >
> > Cymbalta 60mg - this one is like Effexor Rigth?
> > Does it have sexual SE?
> >
> > INVEGA - Atypical AP
> >
> > Has anyboy tried this combo befote?
> > I dont want sexual side effects, it is very likely to have them while taking these right
> >
> > What do you think?
> >
>
>
> Wow , these drugs are expensive !! . I went to buy all of them and they cost a lot!
> Im really hesitating of using cymbalta , I dont want another failure trial with that kind of meds
> The problem is that they are pills and I cant cut them
>
> I couldnt find Invega , Im gonna keep searching for it tomorrow to start these meds on monday
>
>
> Dotor told me by phone that I should avoid selfmedication and that I was crazy using Neurontin. I dont care , I told him It was used also for GA disorder and that I was trying different things beause he always give me the same kind of meds and then he came with this combo
> I dont like thinking of cymbalta I dont know why
>
>
>
Posted by tepi on July 3, 2011, at 14:30:32
In reply to Re: New drufgs for me - what do you think? » tepi, posted by floatingbridge on July 3, 2011, at 8:40:41
> Hi Tepi,
>
> I re-read about agomelatine. It is said to not effect sexual functioning. So that's good. Said to have calming properties, and maybe help reset the sleep wake cycle. Those are all reasons I wanted to try it. Works on melatonin. But it's not available here.
>
I can help you , if you need some med from here I can send it to you. I dont know if this is allowed, sorry I just want to help>
> I don't know what to say about the self-medicating piece your doc said. In my experience, when a doctor says that to me, it's because they are having trouble working and observing because I am trying (or just talking about trying) meds too quickly or rejecting a med they suggest. I think that is very valid. But trying news meds is a source of anxiety for me! So it gets tricky.
>
> If you get anxious about trying medication, does your doctor know about this?
>
> It sounds like you two are talking more. I don't know. But that would be good.
>
> I don't really understand why cymbalta, but that doesn't mean much. I am guessing that he is trying this combo to try and effect as many different areas of the brain at once.
>Yes , that what Im thinking too. Its easy for him to say take all these meds. Maybe he is thinking one of them its gonna do something, but what he cant understand is that Im ,not He, gonna suffer the side effects of taking so much meds at the same time
> I haven't read yet about Invega. I imagine if it's an AP it is very expensive. Did you have anything at all good to say about risperdal?
>
>Risperdal was never good to me. I liked more Seroquel
>
> > > Agomelatine 25mg - Never heard of it before
> > > What is it?
> > >
> > > Cymbalta 60mg - this one is like Effexor Rigth?
> > > Does it have sexual SE?
> > >
> > > INVEGA - Atypical AP
> > >
> > > Has anyboy tried this combo befote?
> > > I dont want sexual side effects, it is very likely to have them while taking these right
> > >
> > > What do you think?
> > >
> >
> >
> > Wow , these drugs are expensive !! . I went to buy all of them and they cost a lot!
> > Im really hesitating of using cymbalta , I dont want another failure trial with that kind of meds
> > The problem is that they are pills and I cant cut them
> >
> > I couldnt find Invega , Im gonna keep searching for it tomorrow to start these meds on monday
> >
> >
> > Dotor told me by phone that I should avoid selfmedication and that I was crazy using Neurontin. I dont care , I told him It was used also for GA disorder and that I was trying different things beause he always give me the same kind of meds and then he came with this combo
> > I dont like thinking of cymbalta I dont know why
> >
> >
> >
>
>
Posted by floatingbridge on July 3, 2011, at 16:12:47
In reply to Re: New drufgs for me - what do you think? » floatingbridge, posted by tepi on July 3, 2011, at 14:30:32
Thanks Tepi, I'm seeing a new doc on Tuesday and seeing what they say. I am not confident yet to self-medicate :-/
Does the doc know you preferred seroquel?
Yes, more than one medicine change at a time is difficult. I don't think doctors try to be mean, but you are right. Most have
never taken these different medications.I am concerned that your doctor is
moving a little fast, but I don't know your situation. Maybe you can talk to him about changing one med at a time. Like just add the agomelatine. ( You know my knowledge is very limited.) And maybe ask why invega instead of seroquel. These are just my thoughts.I'm wishing you courage and patience.
your friend,
fb
Posted by Brot on July 4, 2011, at 17:58:07
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
> Agomelatine 25mg - Never heard of it before
> What is it?
>
> Cymbalta 60mg - this one is like Effexor Rigth?
> Does it have sexual SE?
>
> INVEGA - Atypical AP
>
> Has anyboy tried this combo befote?
> I dont want sexual side effects, it is very likely to have them while taking these right?
>
> What do you think?
>Hi tepi.
I would give it a try.
Agomelatine is good for sleep. (no sexual side effects)
Cymbalta is an AD with is also very good for anxiety. Its less "stimulating" than effexor, and more likely to cause tiredenss. Sexual daysfuntion is not common like they are with ssris.
to be honest. I tried alomst every drug out there and cymbalta is one that works for me. it only has a mild effect, but i am getting better year by year...
And I guess Invega would be for your irrational, psychotic like fears..
I dont know if you will "like" it. I would go for Amisulpride instead, if its available in mexico. at around 100-200mg dosage, or whats best for you..
but still, i would give invega a try. try to find the smallest effectige dosage. if you feel numbed etc the dosage is too high (in my opinion)i dont know what i schould say more so i say good luck :-)
Posted by chasethdevil on July 10, 2011, at 14:55:48
In reply to New drufgs for me - what do you think?, posted by tepi on July 2, 2011, at 17:09:06
Cymbalta is similar to Effexor/Pristiq in that it is an SNRI, targeting serotonin and norepinephrine receptors, and on high doses I believe dopamine to a lesser extent.
However, I have tried both and while some people may feel Pristiq/effexor works better for them, it is hellish in so many ways. It is THE most difficult AD to withdrawal from, and that's even while tapering slowly. Pristiq/Effexor also typically have more side-effects than Cymbalta. I'd compare Pristiq/Effexor more closely to Remeron. I was on this drug for about 7 years on and off. The reason I finally stopped taking it was because it was interfering really intensely with my cognition. It got worse the longer I was on it. Memory and comprehension, motivation all bad.
Anyway, I never gave Cymbalta a fair shake but I think from what I've read, other accounts, and my pdoc's information; it's an excellent drug to start on for depression or depression/anxiety combo. Not sure about how it works on other mental issues. It's sort of like combining a regular SSRI like zoloft or lexapro with a drug like wellbutrin; as they target separate neurotransmitters that are both involved in mood disorders.
Remember that even if a meds are in the same drug class, and may target the same neurotransmitter, they all work a bit differently and on different receptor sites. I've tried to start on drugs with a reputation for the least side effects first. I have severe generalized anxiety coupled with major depressive episodes. Make sure you give the drug a proper chance(at least six weeks) before you move on. The waiting is always so ridiculously painful because you don't even know if the drug is going to help you yet you need to invest this time :( . However; with Cymbalta, the norepinephrine part should kick in in a week or two, giving you a mood boost. I hope they work out for you. Can't provide any insight on the other drug.
Lindsay
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