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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Vanessa on July 6, 2002, at 18:50:12
I am a BPII, and hope I can get some input on an ongoing problem with the way my body reacts to certain meds including ADs, mood stabilizers and others. What happens is that they immediately energized/stimulated me for a day or two or three, then went kaput, never to gain their early great effects. It just happened again, with cytomel. I really had high hopes for this med, because I've read that low thyroid and depression are related. For the first few days, I did feel better. Then the cytomel did nothing, even when I increased the dose. (I've been on it 2 weeks). The same thing has happened with Serzone, Dexedrine/ritalin, caffeine, all the MAOIs, Vivactil and Wellbutrin. (I have stayed on Nardil, Vivactil and Wellbutrin, because although they have never reached the energizing benefits they had at first, they help me somewhat but not nearly enough. Most other meds I've tried flatten/sedate me.) Is there any rhyme or reason as to why the up effects don't last with so many different types of substances? I would welcome any thoughts on the subject. Thanks.
Posted by Zo on July 7, 2002, at 1:09:40
In reply to immediate energizing, then kaput, posted by Vanessa on July 6, 2002, at 18:50:12
Often when this happens, people's expectations are too high, because of that initial euphoria of many meds. . and which is also caused just by a change in meds!E.G. you can't really assess cytomel so quickly, and it's a shame to give up on such a good augmenter.
Serzone was terrilby flattening to me-but I gave it two months before deciding this for certain.
Dex is very calming to a few people, who even take it before bed.
See, there's too many reasons, here, too many things being lumped together. One at a time, adding more one thing at a time, and giving it a chance. . .
Zo
Posted by Mr. Scott on July 8, 2002, at 21:10:31
In reply to immediate energizing, then kaput, posted by Vanessa on July 6, 2002, at 18:50:12
Could be placebo effect, but also could be an inherent part of having a bipolar spectrum disorder.
My favorite augmenter in the world is Lithium. Just a tiny dose will sensitize those receptors.
This is the end of the thread.
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