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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 17 of 17. This is the beginning of the thread.
Posted by FrequentFryer on January 19, 2012, at 17:10:22
mine are
Amphetamine
Phenelzine (Nardil)
Baclofen
some opiate (but I can never get them)
Benzo'sHmm thats all I can really think of I hate all typical antidepressants and I have tried them all at insane doses. I guess I am looking for something new because I keep cycling these ones to keep tollerance down but tollerance just keeps building, might have to get some memantine.
Whats your top 5
Posted by emmanuel98 on January 19, 2012, at 18:25:58
In reply to Whats your top 5 depression / anxiety drugs of all, posted by FrequentFryer on January 19, 2012, at 17:10:22
I had good luck with parnate for a time.
All the AAPs except seroquel and geodon made me feel so much better, but made me gain so much weight.
I've only had occasional flare-ups of bad anxiety and both times I found xanax to be incredibly effective.
Posted by Raisinb on January 19, 2012, at 18:44:22
In reply to Whats your top 5 depression / anxiety drugs of all, posted by FrequentFryer on January 19, 2012, at 17:10:22
Good question! There are only two meds that have ever done really well for me long term: Zoloft and Xanax. Trileptal might be the ticket for mood stabilizing, but it is too early for me to tell just yet.
Posted by linkadge on January 19, 2012, at 19:15:55
In reply to Re: Whats your top 5 depression / anxiety drugs of all, posted by Raisinb on January 19, 2012, at 18:44:22
amitriptyline (low dose) + lorazepam.
These are the only meds that do anything for me.
Linkadge
Posted by Phillipa on January 19, 2012, at 19:19:40
In reply to Re: Whats your top 5 depression / anxiety drugs of all, posted by linkadge on January 19, 2012, at 19:15:55
Benzos only ones ever worked for me except brief high dose of luvox and l0mg paxil at one time. Phillipa
Posted by FrequentFryer on January 19, 2012, at 19:32:49
In reply to Re: Whats your top 5 depression / anxiety drugs of all, posted by emmanuel98 on January 19, 2012, at 18:25:58
> I had good luck with parnate for a time.
> All the AAPs except seroquel and geodon made me feel so much better, but made me gain so much weight.
> I've only had occasional flare-ups of bad anxiety and both times I found xanax to be incredibly effective.Yeah I take seroquel for sleep sometimes. I have been recommended a 24hr AntiPsych a couple of times but I am woried also about weight gain / antagonizing everything and turning me into a zomby.
Posted by FrequentFryer on January 19, 2012, at 20:04:05
In reply to Re: Whats your top 5 depression / anxiety drugs of all, posted by Phillipa on January 19, 2012, at 19:19:40
Anxiety / Depression / Mood Lifting
Regards
Posted by SLS on January 20, 2012, at 5:15:07
In reply to Re:SLS Whats your top 5 anxiety meds of all Time?, posted by FrequentFryer on January 19, 2012, at 20:04:05
> Anxiety / Depression / Mood Lifting
Gosh. There are so many.
Nardil probably gets more people better than any other available antidepressant. It is also great for several anxiety disorders, including OCD.
Nortriptyline is the most well-tolerated TCA with a good track record for efficacy.
Effexor will get more people well than a SSRI. It is probably less apt to produce apathy, amotivation, or sexual side effects than SSRIs.
Xanax can penetrate some of the worst of anxiety and produce a mild mood lift. However, behavioral disinhibition is a concern.
Lithium can act as an antidepressant adjunct at low dosages and a mood stabilizer at higher dosages. It probably helps brain tissue to recover and remain protected.
Abilify can act as an antidepressant adjunct at low dosages and an antipsychotic at higher dosages. For some people, however, Abilify can actually interfere with the antipsychotic effects of other APs like Seroquel when they are coadministered.
- Scott
Posted by gadchik on January 20, 2012, at 7:19:04
In reply to Whats your top 5 depression / anxiety drugs of all, posted by FrequentFryer on January 19, 2012, at 17:10:22
Klonopin X 5
Posted by FrequentFryer on January 20, 2012, at 18:23:18
In reply to Re:SLS Whats your top 5 anxiety meds of all Time?, posted by SLS on January 20, 2012, at 5:15:07
Yeah I couldn't believe it but my psych who is really good said here try Baclofen (GABA-B agonist) and it completely well it was almost as good as nardil but I could sleep aswell and didn't have o wait for it to reach a steady state. Only problem is it only lasted about 2 months the same as phenelzine dose call it tolerance or poop out or whatever but that is the key to all this if someone can figure out how to eliminate tolerance they could become a millionaire. Maybe I will look into Memantine and add low dose lithium to the phenelzine.
Thanks for the reply. Any other good little rare novel cheap good cocktails you can think of off the top of your head
> > Anxiety / Depression / Mood Lifting
>
> Gosh. There are so many.
>
> Nardil probably gets more people better than any other available antidepressant. It is also great for several anxiety disorders, including OCD.
>
> Nortriptyline is the most well-tolerated TCA with a good track record for efficacy.
>
> Effexor will get more people well than a SSRI. It is probably less apt to produce apathy, amotivation, or sexual side effects than SSRIs.
>
> Xanax can penetrate some of the worst of anxiety and produce a mild mood lift. However, behavioral disinhibition is a concern.
>
> Lithium can act as an antidepressant adjunct at low dosages and a mood stabilizer at higher dosages. It probably helps brain tissue to recover and remain protected.
>
> Abilify can act as an antidepressant adjunct at low dosages and an antipsychotic at higher dosages. For some people, however, Abilify can actually interfere with the antipsychotic effects of other APs like Seroquel when they are coadministered.
>
>
> - Scott
Posted by SLS on January 21, 2012, at 5:56:26
In reply to Re:SLS Whats your top 5 anxiety meds of all Time? » SLS, posted by FrequentFryer on January 20, 2012, at 18:23:18
> Yeah I couldn't believe it but my psych who is really good said here try Baclofen (GABA-B agonist) and it completely well it was almost as good as nardil
In what ways did the baclofen improve your condition? What do you need to accomplish with treatment?
> Maybe I will look into Memantine and add low dose lithium to the phenelzine.
Those are both reasonable choices. Lithium 300 mg helps stabilize my depression so that it is not as variable during a single day or throughout the week. It has helped me in combination with both Nardil and Parnate. I found memantine 20 mg to be somewhat helpful in combination with Parnate. I would go back to it if necessary, but I would probably look at LDN (low-dose naltrexone) first. I cannot recommend LDN yet because I have no personal experience with it and have not witnessed it work for anyone else. Morgan Miller is currently working with it.
> Thanks for the reply. Any other good little rare novel cheap good cocktails you can think of off the top of your head
Effexor combined with Wellbutrin.
I am currently working with prazosin, which is cheap and very safe. It is producing a significant improvement in my bipolar depression. I don't know how far it will take me yet. I am not yet 50% improved, but am gradually headed in that direction. The more chronic and severe the depression, the longer it takes to reach remission. Also, the path of improvement is not necessarily linear. There may be peaks and valleys. I experienced a lull that lasted an entire week. It really had me fooled into thinking that I had reached a plateau and was losing the response. I am better now. I have completed only 4 weeks of treatment so far.
Currently:
Parnate 80 mg
nortriptyline 150 mg
Lamictal 200 mg
lithium 300 mg
prazosin 6 mg
- Scott
Posted by SLS on January 21, 2012, at 6:03:04
In reply to Re:SLS Whats your top 5 anxiety meds of all Time? » FrequentFryer, posted by SLS on January 21, 2012, at 5:56:26
> > Thanks for the reply. Any other good little rare novel cheap good cocktails you can think of off the top of your head
>
> Effexor combined with Wellbutrin.I forgot to mention that I find nortriptyline to be helpful in combination with Parnate or Effexor. Perhaps adding it to Effexor + Wellbutrin would make sense at some point.
I would offer that Nardil + Klonopin is a great combination for treating GAD and social anxiety / phobia.
- Scott
Posted by papillon on January 21, 2012, at 9:12:31
In reply to Re: Whats your top 5 depression / anxiety drugs of all, posted by gadchik on January 20, 2012, at 7:19:04
Effexor XR, why oh why did you stop working.
Posted by phidippus on January 22, 2012, at 22:11:29
In reply to Whats your top 5 depression / anxiety drugs of all, posted by FrequentFryer on January 19, 2012, at 17:10:22
Lithium
Clomipramine
Viibryd
Mirtazapine
DilaudidEric
Posted by FrequentFryer on January 23, 2012, at 20:02:08
In reply to Re:SLS Whats your top 5 anxiety meds of all Time? » FrequentFryer, posted by SLS on January 21, 2012, at 5:56:26
> > Yeah I couldn't believe it but my psych who is really good said here try Baclofen (GABA-B agonist) and it completely well it was almost as good as nardil
>
> In what ways did the baclofen improve your condition? What do you need to accomplish with treatment?I have Bad Depression and Anxiety specifically Social, I have tried a Plethora of drugs for this but with the Baclofen Instead of lying in bed wanting to sleep 24/7 at the right dose I was having great ideas of things to improve my life and acting on them, while chatting to hot chicks on the bus etc, no side effects its been around for 50 years, rxlist.com says they don't know much about it, but yeah it worked well for me, just got a really bad tolerance really quickly.
But I would recommend everyone give it a try> > Maybe I will look into Memantine and add low dose lithium to the phenelzine.
>
> Those are both reasonable choices. Lithium 300 mg helps stabilize my depression so that it is not as variable during a single day or throughout the week. It has helped me in combination with both Nardil and Parnate. I found memantine 20 mg to be somewhat helpful in combination with Parnate. I would go back to it if necessary, but I would probably look at LDN (low-dose naltrexone) first. I cannot recommend LDN yet because I have no personal experience with it and have not witnessed it work for anyone else. Morgan Miller is currently working with it.
>
> > Thanks for the reply. Any other good little rare novel cheap good cocktails you can think of off the top of your head
>
> Effexor combined with Wellbutrin.
>
> I am currently working with prazosin, which is cheap and very safe. It is producing a significant improvement in my bipolar depression. I don't know how far it will take me yet. I am not yet 50% improved, but am gradually headed in that direction. The more chronic and severe the depression, the longer it takes to reach remission. Also, the path of improvement is not necessarily linear. There may be peaks and valleys. I experienced a lull that lasted an entire week. It really had me fooled into thinking that I had reached a plateau and was losing the response. I am better now. I have completed only 4 weeks of treatment so far.
>
> Currently:
>
> Parnate 80 mg
> nortriptyline 150 mg
> Lamictal 200 mg
> lithium 300 mg
> prazosin 6 mg
>
>
> - ScottAlso with Parnate did you find at first it gave you or others violent BP swings and much worse sensitivity to Tyramine compared to Nardil or just me maybe increasing the dose to fast. Or just different with everyone I guess.
Posted by SLS on January 24, 2012, at 3:31:27
In reply to Re:SLS Whats your top 5 anxiety meds of all Time? » SLS, posted by FrequentFryer on January 23, 2012, at 20:02:08
> Also with Parnate did you find at first it gave you or others violent BP swings and much worse sensitivity to Tyramine compared to Nardil or just me maybe increasing the dose to fast. Or just different with everyone I guess.
For me, the hypotension side effect of Parnate abated over time. I found Nardil to be less forgiving this way. I once experienced a tyramine reaction from eating pepperoni while on Parnate. Right now, dizziness is a minor problem for me because of my taking prazosin.
- Scott
Posted by stewie on January 24, 2012, at 14:02:23
In reply to Whats your top 5 depression / anxiety drugs of all, posted by FrequentFryer on January 19, 2012, at 17:10:22
Interesting that you mentioned opiates. I had a doc who became willing to try vicodin with me. Because I am prone to abuse things that make me feel good, I already knew that vicodin had great potential for getting me out of the muck and mire. I took the scrip and was thrilled.
Then I looked down the road and saw myself "needing" more and more of it, abusing it, not being able to drive, etc. and figured I had better come clean with the doc.Oddly, a few years later I entered a "recovery program" for another drug entirely, and the first thing that the over-worked, underpaid psychiatrist wanted to do was to put me on suboxone! I could never figure that out, but I opted against it, figuring I didn't need more trouble with one more drug.
I feel that there is a place for opiates in treating depression, but I can't see it working long-term or with those of us who finally admit that we are total addicts.
Having said that, another good medication for me was nardil --until the side effects were worse than the depresssion.
Other top 3:lamictal/SSRI combo (till it poops out, which it always does for me
Abilify , 5 mgs. Unfortunately, I got akathesia with this baby. I am trying it again at 2 mgs with fingers crossed.
Aerobic exercise. I don't do it enough, but I know it makes me feel better.
Part of the problem with long-term depression, I think, is that we become accustomed to lying in bed or watching TV and we really (OK when I say we I should say "I" don't want to or feel we are unable to change the habits we cultivate in the "depression lifestyle".
Well, this is probably more than you wanted to know, but I'll post anyway :-)mine are
>
> Amphetamine
> Phenelzine (Nardil)
> Baclofen
> some opiate (but I can never get them)
> Benzo's
>
> Hmm thats all I can really think of I hate all typical antidepressants and I have tried them all at insane doses. I guess I am looking for something new because I keep cycling these ones to keep tollerance down but tollerance just keeps building, might have to get some memantine.
>
> Whats your top 5
This is the end of the thread.
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