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Posted by bleauberry on September 11, 2012, at 13:05:31
In reply to Need out of the box suggestions, posted by chicagokat on September 10, 2012, at 10:42:19
Ok, cool, I saw a good clue in your post. Ritalin. That says something.
Right off the bat what pops into my head is Savella or Parnate. I mention Savella because even though it is an SNRI (the only true SNRI other than clomipramine), it has some mechanical similarities to ritalin.
I failed ECT too, and about a backpack full of meds that probably looks like your backpack full of meds. I responded nice to Savella within the first few days. That also happens to me on Ritalin, except the tolerance issue builds real fast, and it gets kind of nasty with agitation issues. It was a while ago, I read it on pubmed, there is some science showing some mechanical similarities between savella and ritalin.
have you combined SSRIs plus TCAs? Such as Zoloft+Nortriptyline, anything similar? If not, you should put that on the list too. It's totally different than either alone.
When you say you've tried SNRIs, if one of them was not savella, then you have not tried snris. That's because they are actually ssris with a marketing gimmic. Effexor for example is 30 parts serotonin to 1 part NE....almost pure serotonin. At highe doses the ratio changes to a little more of NE, but is still dominantly serotonin. Cymbalta is 9 parts serotonin to 1 part NE. Not exactly an snri there either. But it sure sounds good and makes sales go up. Prozac actually increases NE in the brain more than those two supposed snris do.
Interesting how you said you felt worse on ECT. From session 1 to session 10 I felt considerably worse too. It wasn't until the 12th session I actually improved a lot, but only for a couple days, and then it was gone, back to darkness. Thankfully I was so out of it during the ECT weeks the memory insults helped get through the rough times.
Parnate is sort of in the stimulant category, and may not have the same issues you had with nardil.
My lyme specialist said some of his patients present with only one symptom.....resistant depression. Now before anyone says there he goes again with that lyme crap, it just has to be put on the table for viewing. It's true. The underlying cause....not a deficiency of neurotransmitters, but rather a contamination of them. You would not believe how powerful the neurotoxins from stealth infections can be. They are....toxins. There aint no antidepressant on the planet gonna do anything about that. A few specialty herbs however are very specific for that. I'll mention the heavy weights if you want to learn more.....
Resveratrol made from polygonum cupsidatum (japanese knotweed), not resveratrol derived from grapes. Rhodiola Rosea. Smilax. As well as any vitamins/minerals known to mop up junk....mega dose vit c, high dose selenium, and overall a much higher intake of all vitamins/minerals. Therapeutic intake is different than normal healthy intake. Therapeutic requires much more.Grocery cart choices also can make a huge difference. There are so many people that have said the single best thing they did to improve their mood and symptom was.....(example) stopping dairy, stopping gluten, stopping whatever food they identified during challenge tests. Pretty simple. Just skip a suspect food for a couple weeks, then see what happens when you eat it again. No difference, cool. Big difference, you just found something no doctor was ever going to find. And other than that, is my standing that anyone with any kind of chronic symptoms needs to include careful food choices the same way they approach meds. Food really is powerful. We are not aware of that because we've been trained by consensus society habits that are different and do not take into account chronic illness. Just because something is called food and a lot of people eat it, does not mean it is good for you. Personally, when I read the ingredient label, if there is something there that is chemical not food, or something I don't recognize, or something I can't pronounce, forget it, I'm not eating it. Someone else can have that crap if they want. Eat to please your body, not your taste buds. Taste buds change to like whatever you eat. I used to love donuts everyday, a favorite. I've been gluten free for a few years now and I do not want a donut, they still taste ok, not great like they used to, and feel like rocks in my stomach. Every plate of food I eat has lots of colors in it....mostly from a variety of fresh or slightly cooked veggies and fruits. A lot of them I was not crazy about, but now I love them.
My biggest gains in mood improvement started when I began approaching it as lyme or lyme-like (lots of similar stuff out there) instead of depression. The depression was just a symptom of something else. No wonder the psych meds failed so often. Post ECT, the limited number of meds that offer me any potential include savella, ritalin, vicodin, parnate, nort+zoloft. Right now I am not on any meds. The antibiotic doxycycline for a few months probably got me the largest gains of all. Don't get me wrong, I'm not all that well, may never be, I'm just sayin, depression can and does respond to other stuff besides what is in the psych toolbox. And especially when the depression is strongly resistant, that is a huge clue the depression is not what we think it is.
Anyway, I hope you can get some ideas to work with.
Posted by phidippus on September 11, 2012, at 16:35:59
In reply to Re: Need out of the box suggestions » phidippus, posted by chicagokat on September 11, 2012, at 9:34:54
I think Nardil is your best bet. Is your doctor hesitant to prescribe Tramadol for addiction reasons?
Too bad you couldn't try Luvox. Its a unique antidepressant. Its the only SSRI that's monocyclic and it has a strong affinity for the sigma-1 receptor, a neuropeptide implicated in severe depression.
Eric
Posted by phidippus on September 11, 2012, at 16:54:58
In reply to Re: Need out of the box suggestions » SLS, posted by brynb on September 11, 2012, at 7:31:47
Tramadol is a serotonin releasing agent, rather than a seratonin reuptake inhibitor. Tramadol also acts a μ-opioid receptor agonist, NMDA receptor antagonist, 5-HT2C receptor antagonist, (α7)5 nicotinic acetylcholine receptor antagonist, TRPV1 receptor agonist, norepinephrine reuptake inhibitor, and M1 and M3 muscarinic acetylcholine receptor antagonist.
Eric
Posted by jono_in_adelaide on September 11, 2012, at 18:02:33
In reply to Re: Need out of the box suggestions » brynb, posted by phidippus on September 11, 2012, at 16:54:58
I took SR Tramadol, 200mg twice a day for a month after a back injury, and while it was an excelent analgesic, it didnt effect my mood one way or the other.
Posted by brynb on September 11, 2012, at 18:18:45
In reply to Re: Need out of the box suggestions » brynb, posted by phidippus on September 11, 2012, at 16:54:58
> Tramadol is a serotonin releasing agent, rather than a seratonin reuptake inhibitor. Tramadol also acts a μ-opioid receptor agonist, NMDA receptor antagonist, 5-HT2C receptor antagonist, (α7)5 nicotinic acetylcholine receptor antagonist, TRPV1 receptor agonist, norepinephrine reuptake inhibitor, and M1 and M3 muscarinic acetylcholine receptor antagonist.
>
> EricInteresting! Is it definitely a serotonin releasing agent? I've heard some say it releases it, and others claim it acts as a serotonin reuptake inhibitor. I'm confused :/. It's interesting, because I can't tolerate Cymbalta or Effexor. In fact, I've always done best on Lexapro, which leads me to think I'm a "serotonin" girl.
But, because of all the other ways Tramadol works (on mu/opiate receptors, on NMDA, etc.), it's probably got several things that are working in tandem to combat the depression.
What really pisses me off is that pdocs have this aversion to it when it works so well for so many people. I had no trouble stopping it (and NEVER abused it), have zero side effects from it, and have not become tolerant or dependent on it (I never increased the dose). And yet benzos, stims, opiates, heck, even anti-depressants are doled out as if they aren't habit forming. Ugh!
-b
Posted by jono_in_adelaide on September 11, 2012, at 18:22:04
In reply to Re: Need out of the box suggestions, posted by jono_in_adelaide on September 11, 2012, at 18:02:33
My out of box suggestions for you would be:
1. Effexor 150mg-300mg in the morning plus Remeron 30-45mg at night
2. Sertraline 100mg/day and Bupropion 300mg/day anda risperidone 0.5-1mg/day
3. Parnate plus Nortriptyline plus risperidone
4. Sertraline plus nortriptyline plus risperidone
Burenorphine and tramadol are options but a lot of doctors would be hesitant to prescribe them for depression (not nessecerily for any logical reason, the abuse liability of tramadol is virtualy nil)
The main thing is dont give up, keep trying different meds and combos in the hope that somthing that works will emerge
Posted by chicagokat on September 11, 2012, at 18:54:48
In reply to Re: Need out of the box suggestions, posted by jono_in_adelaide on September 11, 2012, at 18:22:04
Well, the verdiict is in, and it's.....Tramadol!
I gave my pdoc some information on it, and we had a discussion abour it, and I told him I was not desperate for it, that if he wanted to go the Nardil route I was fine with that...but he said with the Tramadol I'll know in days whether it works or not, so he said let's try it for a week.
I'll keep you guys updated on how it goes. And I really want to thank you all for your excellent suggestions and info. You all are great, and I'm really happy I stumbled upon this forum :)
All my best,
Kat
Posted by brynb on September 11, 2012, at 19:09:19
In reply to Re: Need out of the box suggestions, posted by chicagokat on September 11, 2012, at 18:54:48
> Well, the verdiict is in, and it's.....Tramadol!
>
> I gave my pdoc some information on it, and we had a discussion abour it, and I told him I was not desperate for it, that if he wanted to go the Nardil route I was fine with that...but he said with the Tramadol I'll know in days whether it works or not, so he said let's try it for a week.
>
> I'll keep you guys updated on how it goes. And I really want to thank you all for your excellent suggestions and info. You all are great, and I'm really happy I stumbled upon this forum :)
> All my best,
> KatGreat news! I really hope it works for you the way it's worked for me. If indeed it works, you can always speak to your pdoc about adding on the right AD to augment your response and prevent future depressive episodes.
I forgot--have you tried a low dose of Lithium? I like it with Tramadol.
Glad you're hopeful--keep posting about yur progress and hope you feel better soon.
-b
Posted by phidippus on September 11, 2012, at 21:57:56
In reply to Re: Need out of the box suggestions » phidippus, posted by brynb on September 11, 2012, at 18:18:45
"Is it definitely a serotonin releasing agent?"
Yes, indeed. Kind of like Stablon.
What are you taking? what's your diagnosis?
Eric
Posted by phidippus on September 11, 2012, at 22:02:02
In reply to Re: Need out of the box suggestions, posted by chicagokat on September 11, 2012, at 18:54:48
Congratulations! I hope in the end you get back on the Nardil and find the Tramadol a great way to augment your treatment with Nardil.
Eric
Posted by SLS on September 12, 2012, at 2:38:52
In reply to Re: Need out of the box suggestions » chicagokat, posted by phidippus on September 11, 2012, at 22:02:02
> Congratulations! I hope in the end you get back on the Nardil and find the Tramadol a great way to augment your treatment with Nardil.
>
>
> Eric
Just be careful and watch for signs of serotonin syndrome.
- Scott------------------------------------------
Mental status changes
Confusion (51%)
Agitation (34%)
Hypomania (21%)
Anxiety (15%)
Coma (29%)Cardiovascular
Sinus tachycardia (36%)
Hypertension (35%)
Hypotension (15%)Gastrointestinal
Nausea (23%)
Diarrhea (8%)
Abdominal pain (4%)
Salivation (2%)Motor Abnormalities
Myoclonus (58%)
Hyperreflexia (52%)
Muscle rigidity (51%)
Restlessness (48%)
Tremor (43%)
Ataxia/incoordination (40%)
Shivering (26%)
Nystagmus (15%)
Seizures (12%)Other
Diaphoresis (45%)
Unreactive pupils (20%)
Tachypnea (26%)
Hyperpyrexia (45%)
Posted by brynb on September 12, 2012, at 9:16:06
In reply to Re: Need out of the box suggestions » brynb, posted by phidippus on September 11, 2012, at 21:57:56
> "Is it definitely a serotonin releasing agent?"
>
> Yes, indeed. Kind of like Stablon.
>
> What are you taking? what's your diagnosis?
>
> EricHi Eric,
I'm taking 20mg of Lexapro and 300mg of lithium along with 50mg of Tramadol. I also take Valium as a prn, but not often.
I honestly have no idea what my diagnosis is anymore; typically, it was MDD with GAD, but several pdocs thought I was Bipolar 2. My current pdoc is going with MDD/GAD for now, but we've only met 3 times and I don't know if it is a definitive diagnosis. That said, I like him a lot (and have seen enough pdocs as a reference). He's wise and insightful and seems to "get it".
I think I've mentioned to you on other threads before that the only mania I've experienced was from taking Neurontin (pressured/fast speech, reckless spending, crying, hypersexuality, etc.). Otherwise, if anything, I think I am sometimes hypomanic. I've always had anxiety, agitation/irritability and moodiness. And I'm always lethargic. My depression started at 14 (I'm 38 now), and the duration and severity of my episodes got worse with age. Personally, I think I'm leaning toward Bipolar 2 or soft Bipolar, at least as I understand its newer definition (as a spectrum rather than two distinct polarities).
My depression has also been treatment resistant over the years. Everything poops out or just doesn't work. Of all the ADs I've tried (TCAs, NRIs, SRIs), Lexapro has been the most agreeable. But alone, it inevitably stops working and doesn't prevent episodes. I'm doing well on my current combo, and have done well in the past on Lexapro with Trileptal or with Tegretol.
Phew! Sorry, that was long! Thanks if you're still reading! I always say I don't care what my "label" is, but I guess there's something comforting in giving this affliction a name.
I welcome your insights...
-b
Posted by chicagokat on September 12, 2012, at 9:16:22
In reply to Re: Need out of the box suggestions, posted by brynb on September 11, 2012, at 19:09:19
> > Well, the verdiict is in, and it's.....Tramadol!
> >
> > I gave my pdoc some information on it, and we had a discussion abour it, and I told him I was not desperate for it, that if he wanted to go the Nardil route I was fine with that...but he said with the Tramadol I'll know in days whether it works or not, so he said let's try it for a week.
> >
> > I'll keep you guys updated on how it goes. And I really want to thank you all for your excellent suggestions and info. You all are great, and I'm really happy I stumbled upon this forum :)
> > All my best,
> > Kat
>
> Great news! I really hope it works for you the way it's worked for me. If indeed it works, you can always speak to your pdoc about adding on the right AD to augment your response and prevent future depressive episodes.
>
> I forgot--have you tried a low dose of Lithium? I like it with Tramadol.
>
> Glad you're hopeful--keep posting about yur progress and hope you feel better soon.
>
> -b
>Thanks for your kind words, bryn. Yes I have taken lithium; it did nothing for me. Do you know what other ADs are safe with Tramadol?
THanks,
Kat
Posted by brynb on September 12, 2012, at 9:26:05
In reply to Re: Need out of the box suggestions » brynb, posted by chicagokat on September 12, 2012, at 9:16:22
>
> Thanks for your kind words, bryn. Yes I have taken lithium; it did nothing for me. Do you know what other ADs are safe with Tramadol?
> THanks,
> KatHi Kat,
I take Lexapro (20mg). So my combo is Lexapro, Tramadol and Lithium. I know a lot of people who take Lexapro w/ Tramadol. I'm sure most ADs are ok with it (as long as you keep the Tramadol dose low; I never take more than 100mg a day, usually it's 50mg). As you know, there's the risk of SS and seizure when combining Tramadol with an AD, but again, as long as you're cognizant and keep the dose low, I think you'll be fine.
I've always stuck with Lexapro because it was the most agreeable AD for me (more than any TCA, NRI or other SRIs). (And, it's pretty good for PMS symptoms ;)!) I would look around online and see what other people have taken with it.
Good luck!
-b
Posted by AlexCanada on September 12, 2012, at 12:05:07
In reply to Lou's response- » chicagokat, posted by Lou Pilder on September 10, 2012, at 11:10:42
Do you intend to offer any advice or just simply quote her with a spam message?> Kat,
> You wrote,[...I am searching for ideas to suggest to him (the psychiatrist)..intolerable side effects... does anyone have any other ideas?...Thanks for any ideas...].
>
Posted by zazenducke on September 12, 2012, at 12:10:46
In reply to Please stop spamming. » Lou Pilder, posted by AlexCanada on September 12, 2012, at 12:05:07
Posted by AlexCanada on September 12, 2012, at 12:48:16
In reply to Need out of the box suggestions, posted by chicagokat on September 10, 2012, at 10:42:19
Rhodiola Rosea can be worth a try. I have been on few dozen medications and over a dozen supplements. Out of all the supplements/herbals one had worked remarkably well for me for over a year (still to a degree these days but I have to give it a break once in a while). It can work within the first day with full effects after a week or two.
Enhancement in drive, motivation, energy, cognition, and even some restoration of interest. Some say it is a bit like an herbal MAOI but without food restrictions of course. Low doses can be activating, high doses can be sedating.
Stablon may be worth a try as well.
> Hi all,
> I suffer from treatment-resistant depression and I see my pdoc tomorrow afternoon and I am searching for ideas to suggest to him. I have tried all the basic things, and they've all either stopped working for me or had intolerable side effects. This includes:
> SSRIs
> SNRIs
> TCAz
> Atypical antipsychotics
> Mood stabilizers (lithium, lamictal)
> MAOIs (ensam, Nardil Marplan) I should mention that Nardil worked GREAT for my depression and anxietty, but at doses above 45mg it gave me ataxia and I suffered falls...and NO, this was not due to orthostatic hypotension)
> and atypical antidepressants like trazodone and remeron.
> I've also tried ECT, which only made me feel worse.
>
> Right now I'm on Ritalin, and it, too, is giving out on me; I was gonna see how tomorrow goes then give the Ritalin a holiday to see if it will work for me again. I'm aalso on Lyrica for anxiety,, for which it works, but it seems to worsen my depression.
> I was thinking of going back on Lexapro; I was on it last spring, but stopped b/c it wasn't helping my depression, but it occurred to me that it may well have been helping my anxiety, which has come back in force since I stopped the Lexapro.
>
> So does anyone have any other ideas? I've given my pdoc info on Tramadol, but he seems very hesitant to prescribe it.
>
> Thanks for any ideas,
> Kat
Posted by chicagokat on September 12, 2012, at 13:18:27
In reply to Re: Need out of the box suggestions » chicagokat, posted by brynb on September 12, 2012, at 9:26:05
>
> >
> > Thanks for your kind words, bryn. Yes I have taken lithium; it did nothing for me. Do you know what other ADs are safe with Tramadol?
> > THanks,
> > Kat
>
> Hi Kat,
>
> I take Lexapro (20mg). So my combo is Lexapro, Tramadol and Lithium. I know a lot of people who take Lexapro w/ Tramadol. I'm sure most ADs are ok with it (as long as you keep the Tramadol dose low; I never take more than 100mg a day, usually it's 50mg). As you know, there's the risk of SS and seizure when combining Tramadol with an AD, but again, as long as you're cognizant and keep the dose low, I think you'll be fine.
>
> I've always stuck with Lexapro because it was the most agreeable AD for me (more than any TCA, NRI or other SRIs). (And, it's pretty good for PMS symptoms ;)!) I would look around online and see what other people have taken with it.
>
> Good luck!
>
> -b
Hi bryn,
Lexapro has always been the best drug for me too, at least out of the common drugs like SSRIs, SNRIS, TCAs, and the like. It no longer helps with my depression, but it does help with my anxiety. It was great when I took it with Ritalin.Anyways, it's early yet, I know, but so far with the Tramadol I've experienced agitation and irritability. (but like I said, it's early yet, so far I've only had 3 doses of 25mg) I suppose my motivation is a bit better (was able to do a bit mmore cleaning today - fun times lol) but my anhedonia is almost worse...I love to read when I'm done with chores, but today I still feel like I can't be bothered and just want to lie in bed.
Anyways, that's my update on Tramadol. Oh, btw, he has me on Neurontin for anxiety...it made me sleep all morning.
Regards,
Kat
Posted by chicagokat on September 12, 2012, at 13:23:17
In reply to Re: Need out of the box suggestions » chicagokat, posted by AlexCanada on September 12, 2012, at 12:48:16
> Rhodiola Rosea can be worth a try. I have been on few dozen medications and over a dozen supplements. Out of all the supplements/herbals one had worked remarkably well for me for over a year (still to a degree these days but I have to give it a break once in a while). It can work within the first day with full effects after a week or two.
>
> Enhancement in drive, motivation, energy, cognition, and even some restoration of interest. Some say it is a bit like an herbal MAOI but without food restrictions of course. Low doses can be activating, high doses can be sedating.
>
> Stablon may be worth a try as well.
>
>
>
> > Hi all,
> > I suffer from treatment-resistant depression and I see my pdoc tomorrow afternoon and I am searching for ideas to suggest to him. I have tried all the basic things, and they've all either stopped working for me or had intolerable side effects. This includes:
> > SSRIs
> > SNRIs
> > TCAz
> > Atypical antipsychotics
> > Mood stabilizers (lithium, lamictal)
> > MAOIs (ensam, Nardil Marplan) I should mention that Nardil worked GREAT for my depression and anxietty, but at doses above 45mg it gave me ataxia and I suffered falls...and NO, this was not due to orthostatic hypotension)
> > and atypical antidepressants like trazodone and remeron.
> > I've also tried ECT, which only made me feel worse.
> >
> > Right now I'm on Ritalin, and it, too, is giving out on me; I was gonna see how tomorrow goes then give the Ritalin a holiday to see if it will work for me again. I'm aalso on Lyrica for anxiety,, for which it works, but it seems to worsen my depression.
> > I was thinking of going back on Lexapro; I was on it last spring, but stopped b/c it wasn't helping my depression, but it occurred to me that it may well have been helping my anxiety, which has come back in force since I stopped the Lexapro.
> >
> > So does anyone have any other ideas? I've given my pdoc info on Tramadol, but he seems very hesitant to prescribe it.
> >
> > Thanks for any ideas,
> > Kat
>
>Thanks for the tip...I've noticed Rhodiola come up a lot on the forums and have been thinking of trying it....do you think it would be safe with Tramadol? or Ritalin if I fail the Tramadol trial?
I've done some reading, and I found a very interesting study on Magnesium and TRD...wish I had the link for you now, but if you're interested, I'm sure I can find it.
Kat
Posted by phidippus on September 12, 2012, at 17:42:03
In reply to Eric: thoughts? » phidippus, posted by brynb on September 12, 2012, at 9:16:06
300 mg is not a therapeutic dose of Lithium. If you want the most benefit to your mood I'd recommend 900 to 1200 mg.
>I've always had anxiety, agitation/irritability >and moodiness
All of which are features of Bipolar 2. A lot of this will come under control if you take more Lithium.
>And I'm always lethargic
If it is a feature of your depression, increasing your Lithium will help with this. The higher you go up on Lithium, the stronger its antidepressant effects are.
Your Lexapro will also get a boost.
Bipolar 2 is characterized by a lot of depression interspersed with hypomanic episodes. Mania often presents with a lot of anxiety and depression ranges from mild to severe. Often, bipolar 2 presents in mixed states where depression coincides with mania at the same time.
Maybe antidepressants aren't working for you precisely because you are bipolar. They tend to make symptoms worse if you're not on a mood stabilizer.
Try Lithium at the higher ranges and see how you feel.
Eric
Posted by brynb on September 13, 2012, at 8:24:02
In reply to Re: Eric: thoughts? » brynb, posted by phidippus on September 12, 2012, at 17:42:03
> 300 mg is not a therapeutic dose of Lithium. If you want the most benefit to your mood I'd recommend 900 to 1200 mg.
>
> >I've always had anxiety, agitation/irritability >and moodiness
>
> All of which are features of Bipolar 2. A lot of this will come under control if you take more Lithium.
>
> >And I'm always lethargic
>
> If it is a feature of your depression, increasing your Lithium will help with this. The higher you go up on Lithium, the stronger its antidepressant effects are.
>
> Your Lexapro will also get a boost.
>
> Bipolar 2 is characterized by a lot of depression interspersed with hypomanic episodes. Mania often presents with a lot of anxiety and depression ranges from mild to severe. Often, bipolar 2 presents in mixed states where depression coincides with mania at the same time.
>
> Maybe antidepressants aren't working for you precisely because you are bipolar. They tend to make symptoms worse if you're not on a mood stabilizer.
>
> Try Lithium at the higher ranges and see how you feel.
>
> Eric
>
>Thanks, Eric. My doctor and I spoke about bumping my lithium dose up to 600 (I've already had benefits at 300, but I'm fearful of side effects if I go higher). He initially wanted me on 600mg. The irritability is always persistent. I've been doing great on my current med combo, but starting a few weeks ago have been experiencing depressive days again, and even more so over the last few days. It makes me nervous. I don't feel like tweaking meds/doses yet as I've done so well for a while now.
Thanks again.
-b
Posted by phidippus on September 13, 2012, at 15:34:46
In reply to Re: Need out of the box suggestions, posted by SLS on September 11, 2012, at 7:11:58
>What do you think of adding nortriptyline to the >Viibryd?
Are you asking me this?
Eric
Posted by phidippus on September 13, 2012, at 16:29:14
In reply to Re: Eric: thoughts? » phidippus, posted by brynb on September 13, 2012, at 8:24:02
>experiencing depressive days again, and even more >so over the last few days.
This may be cycling.
I take 1200 mg of Lithium and have no side effects.
Eric
Posted by AlexCanada on September 13, 2012, at 17:31:12
In reply to Re: Need out of the box suggestions » AlexCanada, posted by chicagokat on September 12, 2012, at 13:23:17
> Thanks for the tip...I've noticed Rhodiola come up a lot on the forums and have been thinking of trying it....do you think it would be safe with Tramadol? or Ritalin if I fail the Tramadol trial?
>
> I've done some reading, and I found a very interesting study on Magnesium and TRD...wish I had the link for you now, but if you're interested, I'm sure I can find it.
>
> KatI cannot be be absolutely certain but it likely is safe. I say this because even though Rhodiola suppossedly isn't suppossed to be taken with Parnate I was able to take them together successfully without any noticable issues that I can recall. Thus it is ''likely'' even safer when taken w/ Tramadol
Posted by brynb on September 13, 2012, at 21:02:38
In reply to Re: Eric: thoughts? » brynb, posted by phidippus on September 13, 2012, at 16:29:14
> >experiencing depressive days again, and even more >so over the last few days.
>
> This may be cycling.
>
> I take 1200 mg of Lithium and have no side effects.
>
> EricI'm going to call my pdoc tomorrow about it. I'm getting back into the not wanting to leave my apartment mode.
Thanks,
b
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