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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Escapee on September 18, 2015, at 8:04:37
Well, after 8yrs of trying to get back some kind of 'Nardil' feeling (due to Nardil poop out) I've finally broken through. Feels like a stimulating Nardil. But I feel real again!
The recipe??? (Please pay particular attention to the nootropics!)Magic Potion - daily meds:
Isocarboxazid 110mg
Quetiapine 250mg
Clonazepam 4mg
Bupropion 300mg
Amitriptyline 100mgDaily nootropics:
Aniracetam 500mg
Alpha GPC 800mg
Centrophenoxine 500mg
ALCAR 500mg
ALA (ALA & ALCAR work together) 500mgAnd these standerdised:
Siberian Ginseng - definitely better than Korean or American ginseng.
And of course Gingko, to assist dilating blood vessels, especially for the BBB.Not bad I'd say :)
Escapee
Posted by Lou Pilder on September 18, 2015, at 12:47:12
In reply to FINALLY!, posted by Escapee on September 18, 2015, at 8:04:37
> Well, after 8yrs of trying to get back some kind of 'Nardil' feeling (due to Nardil poop out) I've finally broken through. Feels like a stimulating Nardil. But I feel real again!
> The recipe??? (Please pay particular attention to the nootropics!)
>
> Magic Potion - daily meds:
>
> Isocarboxazid 110mg
> Quetiapine 250mg
> Clonazepam 4mg
> Bupropion 300mg
> Amitriptyline 100mg
>
> Daily nootropics:
>
> Aniracetam 500mg
> Alpha GPC 800mg
> Centrophenoxine 500mg
> ALCAR 500mg
> ALA (ALA & ALCAR work together) 500mg
>
> And these standerdised:
>
> Siberian Ginseng - definitely better than Korean or American ginseng.
> And of course Gingko, to assist dilating blood vessels, especially for the BBB.
>
> Not bad I'd say :)
>
> Escapee
>
> Friends,
Be advised that taking the combination of drugs listed here could cause death by serotonin syndrome, heart irregularities, dangerous blood pressure, seizures, impaired thinking and more. The hideous aspect here is that there is no listing of the adverse effects of the drugs as required by the FDA and Mr. Hsiung does not stop and post the danger here, other members that know of the deadly combination do not post such, and readers could think that the drugs are safer than they really are because of that. That could mislead you to think that taking the drugs are safe, something I object to being allowed here because readers could get a life-ruining condition, addiction or death or commit mass-murder by taking these drugs like described here as Mr. Hsiung states that what is posted is supportive if it stands. You could be deceived by that policy into taking these drugs thinking that there are no adverse effect at all. And worse, mothers could be swayed by reading here to drug their child this way, all the time being misled to think that the drugs are safe.
Lou
>
>
>
>
Posted by SLS on September 18, 2015, at 15:36:02
In reply to FINALLY!, posted by Escapee on September 18, 2015, at 8:04:37
That's great news.
How did you come to take a dosage of 110 mg/day of isocarboxazid? Has your doctor had any other patients take this much? How did you feel at lower dosages? Were there any brief improvements?
Thanks.
- Scott
Posted by Tomatheus on September 18, 2015, at 19:21:38
In reply to FINALLY!, posted by Escapee on September 18, 2015, at 8:04:37
Escapee,
I'm glad to hear that you've arrived at a mix of medications, nootropics, and herbs that seems to serve you well -- perhaps about as well as Nardil did at one point. It definitely seems to be the case that for many mental-health conditions, there seem to be many different paths that can lead to the well-being that all of us seek. Again, I'm glad that you've found yours. Much luck to you as you continue to move forward with a treatment regimen that you're finding to be beneficial.
Tomatheus
Posted by Escapee on September 24, 2015, at 6:54:03
In reply to Re: FINALLY! » Escapee, posted by Tomatheus on September 18, 2015, at 19:21:38
> That's great news.
>
> How did you come to take a dosage of 110 mg/day of isocarboxazid? Has your doctor had any other patients take this much? How did you feel at lower dosages? Were there any brief improvements?
>
> Thanks.
>
>
I've been using Isocarboxazid since phenelzine pooped out roughly 8yrs ago. Hit the 'official' top dose of iso. Nothing, so my doc started to combine/augment. Everything has helped but only to an extent. Then my new current doc upped the dose to to 90mg then augmented. Nothing ever really made a difference till he added Amitriptyline. Helps me get a good night sleep. After a couple months it kicked in. But not enough. My doc is reluctant to increase the ami but he might exchange 150mg Bupropion for an extra 50mg Amitriptyline.
Most of the time it was also taking 50-100mg Quetiapine. Anyway last visit he said let's re-look at what we already have. So he put the iso up to 110mg and Quetiapine up to 250. It worked! But it's early days.
Just in case people can't understand how a doc can prescribe high doses and even drugs not meant for your disorder? My process can write a script as off label. Example: in USA Bupropion is a very commonly ad. But here in UK it's only licenced for smoking cesation. But can be given to a patient 'off lable'. Same with doses. Can even use drugs not available here simply by his ward ordering and paying for it. In want just a small amount of alprazolam. Just 10 per month for quick anxiety relief. For some reason he declined.
But he would happily order me piracetam if they end up banning nootropics.> - Scott
>Escapee
Posted by Escapee on September 24, 2015, at 7:08:59
In reply to Re: FINALLY! » Escapee, posted by SLS on September 18, 2015, at 15:36:02
> That's great news.
>
> How did you come to take a dosage of 110 mg/day of isocarboxazid? Has your doctor had any other patients take this much? How did you feel at lower dosages? Were there any brief improvements?
>
> Thanks.
>
>
> - ScottI have actually asked him if he had ever combined maoi with Bupropion. He said yes apparently with tranylcypramine (Parnate). Several times. I was handed over from Prof David Nutt to my current doc who is familiar with some wild combos lol. He is a specialist in TRD, all forms of anxiety and addiction. Hes a Neuro-psychopharmacologist.
Escapee
Posted by rose45 on October 4, 2015, at 4:32:25
In reply to Re: FINALLY! » SLS, posted by Escapee on September 24, 2015, at 7:08:59
Hi Escapee,
I am also in the UK. Are you being treated on the NHS? How did you manage to see David Nutt? I have been trying for years.But I was told he doesnt see patients.
I was on Nardil for 20 years, but then it pooped out, and I had to convince the nhs psychiatrists to give me Parnate, - it was the first time they had ever prescribed maois. But Parnate does not work as well as Nardil did.
Posted by Escapee on October 5, 2015, at 13:48:24
In reply to Re: FINALLY! » Escapee, posted by rose45 on October 4, 2015, at 4:32:25
http://www.imperial.ac.uk/collegedirectory/index.asp?PeopleID=645594
That link takes u to Prof David Nutt's email.
Posted by Escapee on October 5, 2015, at 13:53:25
In reply to Re: FINALLY! » Escapee, posted by rose45 on October 4, 2015, at 4:32:25
In fact my doctor mite be a better choice. Pretty sure he and his team are still taking new NHS patients. Here's his page:
http://www.bristol.ac.uk/social-community-medicine/people/andrea-l-malizia/index.html
Posted by rose45 on October 5, 2015, at 17:15:10
In reply to Re: FINALLY!, posted by Escapee on October 5, 2015, at 13:53:25
> In fact my doctor mite be a better choice. Pretty sure he and his team are still taking new NHS patients. Here's his page:
>
> http://www.bristol.ac.uk/social-community-medicine/people/andrea-l-malizia/index.html
>Thanks for that Escapee. I notice that your doctor is in Bristol. Is that where you live?
I live in London so not sure my gp would agree to refer me to someone in Bristol.
I actually spoke to David Nutt at a public talk he gave 2 years ago. At that time, he said he was not taking nhs patients. I also contacted the psychotropical website and had quite a few conversations with Ken Gillman. He also contacted David Nutt for me. And Nutt gave the name of a private psychiatrist in London who I went to see. However, I dont have insurance and these guys charge the earth.
Im curious about Marplan. I was on Nardil for 20 years before it stopped working. It took me months to convince my local nhs psychiatrist that only maois work for me. They put me on quetiapine which just made me feel worse. Ive now been on Parnate for 2 years and try to keep the dose down to 3 tablets as it gives me insomnia. It works ok, without the high I got from Nardil - but the insomnia is a problem. I take temazepam every 3 nights or so, in order to avoid getting addicted to it. But its not a perfect situation. Thanks for your feedback. I will speak to my gp.
Posted by rose45 on October 5, 2015, at 17:56:08
In reply to Re: FINALLY!, posted by Escapee on October 5, 2015, at 13:53:25
> In fact my doctor mite be a better choice. Pretty sure he and his team are still taking new NHS patients. Here's his page:
>
> http://www.bristol.ac.uk/social-community-medicine/people/andrea-l-malizia/index.html
>
Did you manage to see these doctors because it was agreed that you are a difficult case ? I just ask because it cant have been that easy to get seen by David Nutt.
Posted by Escapee on October 6, 2015, at 13:38:44
In reply to Re: FINALLY!, posted by rose45 on October 5, 2015, at 17:56:08
> > In fact my doctor mite be a better choice. Pretty sure he and his team are still taking new NHS patients. Here's his page:
> >
> > http://www.bristol.ac.uk/social-community-medicine/people/andrea-l-malizia/index.html
> >
> Did you manage to see these doctors because it was agreed that you are a difficult case ? I just ask because it cant have been that easy to get seen by David Nutt.
>
Well what happened is I took part in a study. It was for people with alcoholism and there reaction to IV midazolam by recording eye movements. The psychiatrist interviewed me first. I was told that there was another study starting and they were looking for social anxiety sufferers to take part. I jumped at the chance. The idea was to put the patient on an SSRI and to test their dopamine levels at different times throughout their treatment.
But I had tried all SSRIs so instead they took a different approach with me.
1st I was placed on gabapentin for 3 weeks but it did nothing. There was an Australian doc there at the time and he put me on phenelzine. WOW! This stuff kicked *ss! It was only after a couple of yrs that i had problems with it. Lack of motivation etc. After a year under the care of Simon Davis and several augmentations that he got stuck and so handed me over to his boss- Prof NuttI think he got sacked from the clinic which closed down. I was then passed over to a different hospital to see Dr Andrea Malizia. And this guy ain't afraid of the big guns lol.
He is an expert in stubborn cases of depression and anxiety.
If I were you I would forget the distance involved and arrange to see Dr Malizia in Southmead Hospital. If you babble mail me I can send you his secretary's number and request a call back. Just coz it's Bristol the train ticket is nothing compared to your mental health.
Good luck!
Posted by kilo8 on October 12, 2015, at 22:29:00
In reply to Re: FINALLY!, posted by Escapee on October 5, 2015, at 13:53:25
@ escapee
Have you discussed with your doc the list of nootropics/supplements which you take? Did he give you green lights on this? I think that most pdocs will not even know stuff like ALCAR or Racetams and know what exactly they do in the brain.
I just started Effexor (SNRI) and now I'm not really sure if it's safe to keep taking some of the supplements which I took before which are:
ALCAR
N-Acetyl-Tyrosine
Choline
DMAE
TaurineI don't even have to ask my pdoc about any of this cause he won't have a clue.
Posted by Escapee on October 13, 2015, at 10:03:04
In reply to Re: FINALLY!, posted by kilo8 on October 12, 2015, at 22:29:00
Sorry you have such a low view on Doctors. I tell my doc everything. Inc my cannabis use, alcoholic consumption, all nootropics and vitamin intake.
He asked which nootropic I was using so I shown him. I asked if could get it prescribed. He said he could only prescribe piracetam off label. Possibly a cost issue.The more u put in the better relationship you have. Yet simetimes he allows me in the driving seat. If it makes sense to me then my doc he usually gives it the green light.
Keeping things from your doc never work
Posted by noonoo62 on October 22, 2015, at 18:28:38
In reply to FINALLY!, posted by Escapee on September 18, 2015, at 8:04:37
I believe we have the same doctor Escapee, how long have you been seeing him?He certainly does try some good combinations, not entirely worked for me yet but he doesnt give up on me. Do you live in Bristol?
This is the end of the thread.
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