Psycho-Babble Medication Thread 561553

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try neurontin as used in a goldstein case report??

Posted by iforgotmypassword on October 1, 2005, at 9:07:36

snagged this from an article from an archive of his old site.

Case Report---------------------
A forty-eight year old married male Caucasian psychiatrist had not been able to work for two years due to exhaustion, exertional intolerance, diffuse pain, non-restorative sleep, hypersomnia, and markedly impaired short-term memory. He had tried many pharmacologic treatment modalities prior to seeing me, and had also been psychoanalyzed. He was quite depressed about his somatic symptoms, but also had an apparent unresolved grief reaction about the death of his mother ten years previously. When re recollected this event, even in the office with me, he would begin to cry.

He had an immediate complete remission of all somatic symptoms after 400 mg of gabapentin (Neurontin). I asked him again to recall the death of his mother. He did so, and experienced an appropriate sense of loss, but none of the behavioral manifestations of severe sadness exhibited an hour previously. He reported that his cognitions about her death were profoundly altered, "Everyone dies, even those you love."
----------------------------

i'm kind of interested and kind of worried at the same time. the good thing is the effects are noted at the first dose, so id only have to try it once to see what it does... i'm kind of worried about emotional blunting due to his feelings towards his mother's death after meds. it sounds positive, but im worried if its just a bandaid and inhibits negative emotions you need to be able to feel, and furthering apathy and anhedonia. i like the possibe beneficial cognitive effects as well... i wonder if it helps poorly coordinated motor skills. anyways 400mg, just like that, good idea, bad idea? is one dose to early to tell?

 

Re: try neurontin as used in a goldstein case repo

Posted by Cairo on October 1, 2005, at 11:06:48

In reply to try neurontin as used in a goldstein case report??, posted by iforgotmypassword on October 1, 2005, at 9:07:36

I remember my first 100mg dose of Neurontin causing enough muscle relaxation to make me think my eyelids were drooping. An anti-anxiety effect was also noted, but not emotional blunting. Poop out occurred and I had to eventually raise the dose to 300mg TID, but at that dose, too much weight gain and brain fog occurred. Later I was using 600mg at bedtime in conjuction with trazodone and it was the best sleep I've had, though still not optimal for me.

I wonder if I'll experience the same thing with pregabalin, now that's available.

Too bad Jay Goldstein is not practicing anymore.

Cairo


> snagged this from an article from an archive of his old site.
>
> Case Report---------------------
> A forty-eight year old married male Caucasian psychiatrist had not been able to work for two years due to exhaustion, exertional intolerance, diffuse pain, non-restorative sleep, hypersomnia, and markedly impaired short-term memory. He had tried many pharmacologic treatment modalities prior to seeing me, and had also been psychoanalyzed. He was quite depressed about his somatic symptoms, but also had an apparent unresolved grief reaction about the death of his mother ten years previously. When re recollected this event, even in the office with me, he would begin to cry.
>
> He had an immediate complete remission of all somatic symptoms after 400 mg of gabapentin (Neurontin). I asked him again to recall the death of his mother. He did so, and experienced an appropriate sense of loss, but none of the behavioral manifestations of severe sadness exhibited an hour previously. He reported that his cognitions about her death were profoundly altered, "Everyone dies, even those you love."
> ----------------------------
>
> i'm kind of interested and kind of worried at the same time. the good thing is the effects are noted at the first dose, so id only have to try it once to see what it does... i'm kind of worried about emotional blunting due to his feelings towards his mother's death after meds. it sounds positive, but im worried if its just a bandaid and inhibits negative emotions you need to be able to feel, and furthering apathy and anhedonia. i like the possibe beneficial cognitive effects as well... i wonder if it helps poorly coordinated motor skills. anyways 400mg, just like that, good idea, bad idea? is one dose to early to tell?

 

what do you use if for?if you don't mind my asking Cairo

Posted by iforgotmypassword on October 1, 2005, at 11:33:28

In reply to Re: try neurontin as used in a goldstein case repo, posted by Cairo on October 1, 2005, at 11:06:48

ahh... i have access to 300mg caplets... :( what is the brain fog like? did it have any cognitive clearing/enhancement at 100mg or even some coincidental benefits at 300mg?

i'm sorry i don't mean to pry by asking you what you are using it for, so i totally understand if you don't want to answer. but if you can that would be awesome. also, if you also have a history of responses or lack of responses to certain types of meds that would be interesting, too. :) thanx! xo

 

Re: what do you use if for?if you don't mind my asking

Posted by Phillipa on October 1, 2005, at 14:20:41

In reply to what do you use if for?if you don't mind my asking Cairo, posted by iforgotmypassword on October 1, 2005, at 11:33:28

How about if you can't cry and emotionally feel dead? Fondly, Phillipa

 

Re: what do you use if for?if you don't mind my as

Posted by iforgotmypassword on October 1, 2005, at 14:44:25

In reply to Re: what do you use if for?if you don't mind my asking, posted by Phillipa on October 1, 2005, at 14:20:41

> How about if you can't cry and emotionally feel dead? Fondly, Phillipa

that's pretty much my case.

i'm pretty energetic and peppy right now, but i it's all just superficial. i still don't see much in the world. the parnate + desipramine seem to be making a speedy effect. it is nice to have, though.


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