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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 rjlockhart04-08 on October 9, 2011, at 1:37:16
Well, i posted most of what was going on the social board. You know maybe its zyprexa that makes me feel so horrible. I get in these states where I am just in BAD mood and I drink coffee to change my perception of how horrible things seem. I wished I could just take something and make all this suffering go away but im pretty limited because I am an addict and addict's usally are denied benzodiazpines, well in my case. Actually every naroctic I can't take because of the risk of addiction. Really I see nothing wrong with it but i've learned in Narcotics Ananymous that we are allergic to narcotics and only take them as needed depending what the circumstances are. I really sometimes do not like being in NA but my life has improved some but I've really started to avoid people because how bad my life feels right now.
Can someone tell me exactly what I should do with my shrink. I mean she will listen to me "SOMETIMES" BUT she always avoids any medication that are ... addiction potential and she found out that lyrica was a scheduel 5 controlled substance and weaned me off it.
I don't know. I'm so miserable and ungrateful for who I am for not getting out into that world and making something of myself. I'm just discusted with who I am. BUT I need to thank everyone here that has given me support and advice. I need not to think about what I don't have and start thinking of what I do have even thought I don't like what I already have right now.
Anyways. I'll just have to wait and see what happens.
Matt
Posted by Christ_empowered on October 9, 2011, at 2:09:52
In reply to Dysphoria, posted by rjlockhart04-08 on October 9, 2011, at 1:37:16
Antipsychotic-induced dysphoria is fairly common. I got it from low-dose Seroquel and even low dose Zyprexa made me feel, if not dysphoric, then at bit melancholy and drugged. I can't imagine that mixing that with clonidine is doing you any favors.
My advice: taper off the clonidine. Either eliminate the zyprexa or get it down to the point where its just a booster for your AD drugs--I'd guess-timate that at 2.5-5mgs, since you're not bipolar or schiz-whatever. Reassess your need for Wellbutrin since high doses of 2 ADs strikes me as a little ridiculous when you're not bipolar or severely depressed AND zyprexa is a good SSRI booster, but I don't think it does a whole lot to help Wellbutrin do its job, except maybe take the edge off during initiation of treatment.
Generally speaker, the fewer meds you can take the better. I've personally found that complicated med combos do more to screw me up than they do to help me. You have to deal with side-effects, costs, drug-drug interactions...its crazy, really, really crazy.
I still think you would do well to ask your shrink to taper you off completely and then do a drug-free period and just work on your life and quit seeing this shrink (in particular) and shrinks in general. Maybe use the resources (time, money, energy, etc.) you currently spend on psychiatric treatment and researching potential medication(s) going to therapy, group therapy, pursuing a job/better job, education, etc.
I see a lot of myself in you. I used to be pill obsessed. Benzos, uppers--I was all over it. When I got detoxed and treated like crap, I quit going to therapy or to shrinks and I ended up having a psychotic break. Weirdly enough, my drug-free period (or shrink-free period, I should say) made me a stronger, tougher person. I guess I *should* have been on a neuroleptic or something, but it worked out OK going unmedicated because I became a better person. When I did have to go back to psychiatrists, things were a lot better. They even gave me short-term benzos.
Good luck.
Posted by Chairman_MAO on October 9, 2011, at 8:28:27
In reply to Dysphoria, posted by rjlockhart04-08 on October 9, 2011, at 1:37:16
I wish some of these doctors would try these medications on themselves.
I have a history of addiction, and now that I have my old doctor back, he gave me my Dexedrine back. Our contract is this: if I fail one urine screen, it's over.
You are not allergic to narcotics; most people recover from addiction on their own. I suggest taking what you hear with regard to the nature of addiction and dependence in NA with a grain of salt. Weaning people off of controlled substances just because they're controlled substances makes no sense. My pdoc wants me off of clonazepam because of the issue with dependency and long-term efficacy, but _not_ because it is a controlled substance. He could care less about whether something is controlled or not (except, I'm sure, with whether or not the government will persecute him for writing the prescriptions) unless his client is abusing it.
I am "being denied" a benzodiazepine insofar as I can tell because he doesn't like to use them long-term, period. If it had been because of concerns of "addiction", I doubt he would have given me dextroamphetamine 10mg #120.
Best of luck. You need to find someone who has a coherent philosophy behind their prescribing, IMHO. The Controlled Substance Act has absolutely nothing to do with medicine.
Posted by Phillipa on October 9, 2011, at 10:58:13
In reply to Re: Dysphoria » rjlockhart04-08, posted by Chairman_MAO on October 9, 2011, at 8:28:27
Now here a doc must take a special class to get a DEA license to prescribe pain meds. It's really getting bad. Phillipa
Posted by Chairman_MAO on October 9, 2011, at 13:37:25
In reply to Re: Dysphoria » Chairman_MAO, posted by Phillipa on October 9, 2011, at 10:58:13
They will not stop. The encroachment of the "therapeutic state" will continue unless people start resisting.
First it was prescription law, and they justified that with "your doctor knows best". Then, we had to have "controlled substances" because all of a sudden doctor's no longer knew best--the lawmakers did. Now, we have controlled substances, and they're going even further.
We have a de facto medico-statist drug cartel, the foundation of which is prescription law. It used to be that one would go to a doctor to get a diagnosis. Then, one would consult with the _pharmacist_ about the medication. You know, "Ask you pharmacist about ..." Well, that's because the _pharmacists_ are the ones that know about drugs.
The only solution to this is a free market in drugs, and most people are scared to death of one. Everyone loves to persecute the "drug seeker". Well, I'm just waiting until the day that those people are experiencing intractable pain or psychic suffering and are denied drugs that work.
Then, I'm sure they'll want an exemption for _them_ because of their special medical condition."Oh, you can't have that, because you don't have a permission slip, but I can because I do."
What if you can't afford the $500/hr specialist to write you that permission slip? Oh well ...
Posted by jono_in_adelaide on October 9, 2011, at 17:38:39
In reply to Re: Dysphoria » Phillipa, posted by Chairman_MAO on October 9, 2011, at 13:37:25
20mg per day of Zyprexia seems a very high dose unless you are frankly psychotic, and you dont seem to be.
I realy think you need a second oppinion from another psychiatrist RJ - someone unconnected with your case who can assess you and your current treatement and see if its appropriate or not.
Posted by Phillipa on October 9, 2011, at 21:28:02
In reply to Re: Dysphoria » Phillipa, posted by Chairman_MAO on October 9, 2011, at 13:37:25
Mexico sells meds over the counter I wonder other than antibiotics what other meds they sell? Phillipa
Posted by jono_in_adelaide on October 9, 2011, at 22:28:38
In reply to Re: Dysphoria » Chairman_MAO, posted by Phillipa on October 9, 2011, at 21:28:02
I know in Thailand, antidepressants and Atarax are OTC, but benzos are very tightly controlled (only obtainable on prescription from a clinic dispensary) antibiotics are otc, antimalarials are otc, blood pressure pills, cholesterol pills etc all otc.
Not sure if this is a good or bad thing.
Posted by sigismund on October 10, 2011, at 9:30:02
In reply to Re: Dysphoria » Phillipa, posted by Chairman_MAO on October 9, 2011, at 13:37:25
What a delightful post.
They will not stop.
You're not wrong.
Posted by Chairman_MAO on October 11, 2011, at 12:33:29
In reply to Re: Dysphoria » Chairman_MAO, posted by sigismund on October 10, 2011, at 9:30:02
> What a delightful post.
>
Thank you. It's nice to know other people out there can see this.> They will not stop.
>
And most people _embrace_ the tyranny. Virtually no one even knows how to frame a rational debate about this anymore.> You're not wrong.
I know. A mentor of mine, a psychopharmacologist who also studies drugs and society, told me recently that there will be no reform anything like what we're talking about for another 50 years. If you look at the history of prohibition and the attitudes of the last few generations, you'll start to see that the time frame that he provided, which looks like a mere guesstimate, is probably about as accurate a forecast as one could make. That is a best-case scenario--the children of the baby boomers have to become elderly first before we even have a chance at real reform.
But I digress ...
Posted by sigismund on October 11, 2011, at 12:44:15
In reply to Re: Dysphoria » sigismund, posted by Chairman_MAO on October 11, 2011, at 12:33:29
That wasn't Tibor Palfi? Maybe not. Anyway I remember you recommending his book and I almost bought it second hand for something like $4.50 puls freight, but I didn't and the opportunity was gone.
This is the end of the thread.
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