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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by ihatedrugs on November 14, 2013, at 17:59:02
So my doctor switched to Geodon due to akathisia from Abilify and now I'm a mess. I've been on Geodon for two weeks. My doctor failed to mention to take with food which I haven't. I barely eat. The akathisia is mainly gone but depression is back. The doctor told me Geodon would work fast but I was only taking 20mg without food and even a couple of glasses of wine. I think the Abilify was still in my system and I haven't gotten to a therapeutic level on Geodon. I don't even get sleepy after taking it. So I went up to 40mg a couple days ago and now I'm crying which actually feels better than wanting to cry but couldn't due to the Abilify. With Abilify I felt like a sort of masked depression. I don't even know if I'm making any sense. Should I give Geodon some more time? I get light glimpses of hope but it goes away. One thing though, my fibromyalgia pain is gone. I woke up today without pain for the first time in months. I've never heard of Geodon used in fibromyalgia patients. Perhaps is a coincidence. I'm sorry for rambling but I also feel this unbearable boredom even though I have stuff to do and go to.
Tried most meds but maoi's or tca's. Did try Emsam not enough umph and expensive. I've been considering Parnate but I am deathly afraid of it. I don't see much enthusiasm from my doctor but I'm beginning to believe she is just done with me. Appreciate your suggestions.
Thank you for reading.
ihatedrugs
Posted by baseball55 on November 14, 2013, at 20:09:41
In reply to What's wrong with me?, posted by ihatedrugs on November 14, 2013, at 17:59:02
I know that feeling well of having things to do but not being able to do them and feeling bored, like the days were endless.
I don't know why you are scared of parnate. 30mg/day pulled me out of months of virtually catatonic depression within days.
Posted by ihatedrugs on November 14, 2013, at 20:38:30
In reply to Re: What's wrong with me?, posted by baseball55 on November 14, 2013, at 20:09:41
> I know that feeling well of having things to do but not being able to do them and feeling bored, like the days were endless.
>
> I don't know why you are scared of parnate. 30mg/day pulled me out of months of virtually catatonic depression within days.
e
I just need to get through my fear of it. I hear it is very effective. I will need to stop taking all antidepressants Lex, Geodon and Vyvanse for five days. I hope I can make it feeling the way I am. How long does Parnate take to show that it is working?Thanks
Posted by Phillipa on November 14, 2013, at 21:47:36
In reply to Re: What's wrong with me? » baseball55, posted by ihatedrugs on November 14, 2013, at 20:38:30
Wouldn't you call the lack of fibromyalgia pain a positive response? I think I'd give it more time. Phillipa
Posted by baseball55 on November 15, 2013, at 18:43:36
In reply to Re: What's wrong with me? » baseball55, posted by ihatedrugs on November 14, 2013, at 20:38:30
Why fear the washout if your other drugs aren't working?
People will give you all kinds of responses on how much/how long to feel better. Everyone's experience is different. For me, I started on 30mg after being in bed continuously for two months. Within 48 hours I was up and exercising.
Posted by ihatedrugs on November 15, 2013, at 21:44:29
In reply to Re: What's wrong with me?, posted by baseball55 on November 15, 2013, at 18:43:36
> Why fear the washout if your other drugs aren't working?
>
> People will give you all kinds of responses on how much/how long to feel better. Everyone's experience is different. For me, I started on 30mg after being in bed continuously for two months. Within 48 hours I was up and exercising.It has been a rough couple of days and I'm just waiting to become a little more stabilized. I broke down sobbing today like I hadn't in a long time. In a way, I am so afraid Parnate won't work either and then I'll be stuck on the meds merry go round again.
However, the only way I'll know is by taking the plunge. I take vyvanse which is a life saver for me as it at least lets me get some things done. My doctor told me I had to be off the Lexapro, Abilify, which I can do and Vyvanse which is going to be a tough one.
My question is if Parnate is considered the gold stantard in treating depression why isn't it used more often. Really the food restriction list is sort of a joke. I have been going to the same psychiatrist for over seven years and I had to bring Parnate up in our last session because she was running out of ideas. She has no problem dishing out antispychotic but hesitates at an old tried Gold Standard medication which by most accounts seems to add relieve to most who take it.
Posted by baseball55 on November 16, 2013, at 18:53:04
In reply to Re: What's wrong with me? » baseball55, posted by ihatedrugs on November 15, 2013, at 21:44:29
My p-doc, who is in his 70s, says that younger doctors don't even learn about MAOIs. I was in the hospital and my p-doc had taken me off all meds in preparation for parnate. The hospital doctor wanted to put me back on an SSRI, which so upset my p-doc that he came in to meet with me and the hospital psychiatrist.
Maybe it's because drug companies aren't pushing MAOIs. They're all off patent, no money to be made. Doctors who have been practicing since the 80s and on get inundated with drug reps and dinner meetings pushing atypicals, SSRIs, SNRIs.
This is the end of the thread.
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