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Dr. Bob is Robert Hsiung, MD,
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Posted by Caleb462 on April 17, 2003, at 1:02:36
Okay... here's the deal. I am currently on Effexor 150 mg/day and Risperdal 0.5 mg/day. Effexor worked fairly well for depression for about a month then pooped out. Risperdal - have noticed no effects. I have terrible, terrible anxiety problems, am currently in a bad episode of major depression with extreme anhedonia being the most prominent symptom (though I've started taking SAM-e and I think it is helping). I also have OCD, and probably ADD... so yeah, I'm pretty bad off.
I am most concerned with the constant anxiety at this point, as 50% of my depression is fueled by the anxiety. I've tried 3 different SSRIs in the past, and now Effexor + Risperdal... and my anxiety level has not changed. Doc gave me Vistaril to take as needed, but I need something for every single day. I suggested Klonopin in the past, but he turned it down.
So... what meds could I suggest? He isn't keen on benzos. Is Lamictal useful for anxiety?? If so, will it worsen depression and is the anti-anxiety effect immediate? What about Neurontin? Anything else? Gabitril perhaps?
Also, should I try the Klonopin angle again? I know he's against benzos for the most part, but I was hoping he might give in since I'm still suffering. Is there anything I could say to sway his opinion? Any good links I could show him?
Thanks a lot.
Posted by Ritch on April 17, 2003, at 9:16:42
In reply to p-doc appt tommorow, need help/suggestions, posted by Caleb462 on April 17, 2003, at 1:02:36
> Okay... here's the deal. I am currently on Effexor 150 mg/day and Risperdal 0.5 mg/day. Effexor worked fairly well for depression for about a month then pooped out. Risperdal - have noticed no effects. I have terrible, terrible anxiety problems, am currently in a bad episode of major depression with extreme anhedonia being the most prominent symptom (though I've started taking SAM-e and I think it is helping). I also have OCD, and probably ADD... so yeah, I'm pretty bad off.
>
> I am most concerned with the constant anxiety at this point, as 50% of my depression is fueled by the anxiety. I've tried 3 different SSRIs in the past, and now Effexor + Risperdal... and my anxiety level has not changed. Doc gave me Vistaril to take as needed, but I need something for every single day. I suggested Klonopin in the past, but he turned it down.
>
> So... what meds could I suggest? He isn't keen on benzos. Is Lamictal useful for anxiety?? If so, will it worsen depression and is the anti-anxiety effect immediate? What about Neurontin? Anything else? Gabitril perhaps?
>
> Also, should I try the Klonopin angle again? I know he's against benzos for the most part, but I was hoping he might give in since I'm still suffering. Is there anything I could say to sway his opinion? Any good links I could show him?
>
> Thanks a lot.
I would give the Neurontin a suggestion since you say that a lot of your depression is fueled by anxiety. Maybe 300mg 2-3x daily and see what happens.
Posted by justyourlaugh on April 17, 2003, at 15:56:01
In reply to Re: p-doc appt tommorow, need help/suggestions » Caleb462, posted by Ritch on April 17, 2003, at 9:16:42
hi caleb,
i am in the middle of ditching wellbutrin,seroquel...
ive added zoloft and next appointment we are going to add a benzo...pdoc said"it will like being drunk without the hangover".
i just want to be able to leave the house at this point..
good luck..i think if it helps(benzo)and gives you back some quality of life..than i dont think it is his choice..
peace
j
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