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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by willyee on October 26, 2005, at 11:26:04
I have been having a lot of problems latly,i feel like a mess,cant seem to get anything under control.My diet stinks,ive socialy isolated myself from people,etc etc
Im on parnate,but i am such a mess im taking all kinds of stuff in combos,wellbutrin,ritalin xyrem
I think no im sure im ready to take a break,i dont wanna take no more meds for now.
Things i noticed are this,first maois,particulary parnate will destroy sleep.
Second we use this group daily and we see misery,how many posts are even somewhat positive.
It seems this is like a bad dream,and i include myself as well.
kinda wierd too see EXTREMLY intelligent people giving excellent info,yet none of us seem to address the overwhelming majority of misery her,maybe present it to someone in power,i dont know.
Now i know some will say that the people who arent sick but feeling better would not be here.
i disagree,of course there will be many that this applies to,BUT i find it hard to believe that such little to none people who beat depression do not return to lift spirts and give hope.
Think about it,if u achieved full remission,would you not return to offer support?
This as usual,is nothing more than my own personal opinion.
Posted by Chairman_MAO on October 26, 2005, at 11:43:57
In reply to I think im done, posted by willyee on October 26, 2005, at 11:26:04
I have come back to offer suggestions, but when I am in remission (which is already coming back since I switched back to Nardil two days ago), I tend to use this board a LOT less. Mostly I come back here to check on some people I know and to offer advice because I like helping people and learning about what works for different people because I want to be a clinical psychopharmacologist one day.
Honestly, if there were no Rx laws, I could probably have you feeling better within about three months. Please, what you SHOULD do is dump everything except Nardil (_PLEASE_ do yourself a favor and give it a trial; get to 1mg/kg and stay there for 4-6 weeks. I have a STRONG feeling it will work.). Also, take a hypnotic if you need it. After at least 4-6 weeks on Nardil, see if you need to add something else. You will probably want to add something like a DA agonist for more zing; I recommend ropinirole for you because it is probably the most anxiolytic. Another alternative is Dexedrine, which is not agitating like Ritalin, and probably won't be agitating at ALL on Nardil.
Please, for your own sake, try Nardil ASAP. I have found going from Nardil to Parnate is more dicey than Parnate to Nardil, but that is sample size=1. My pdoc also had me switch from Parnate to Nardil with no washout, while with Nardil to PArnate he had me taper down my Nardil dose quite a bit, and then begin a cross taper of up on parnate, down on Nardil for the rest of the way, adding 10mg of Parnate a day until 120 was reached. This is a sound strategy; too bad I forgot it and just switched like I did with Parnate to Nardil. I got delirious and almost had to be hospitalized! I think this has to do with Nardil being a COMPLETELY irreversible inhibitor of MAO, while tranylcypromine has more of an amphetamine-like mechanism of MAO inhibition.
Posted by willyee on October 26, 2005, at 13:18:11
In reply to Re: I think im done » willyee, posted by Chairman_MAO on October 26, 2005, at 11:43:57
> I have come back to offer suggestions, but when I am in remission (which is already coming back since I switched back to Nardil two days ago), I tend to use this board a LOT less. Mostly I come back here to check on some people I know and to offer advice because I like helping people and learning about what works for different people because I want to be a clinical psychopharmacologist one day.
>Youve always been helpful this is true.Ok so i 86 the ritlain no problemo,the only dopamine zing drug i have i s wellbutrin? Can that be of help during the initial stage
> Honestly, if there were no Rx laws, I could probably have you feeling better within about three months. Please, what you SHOULD do is dump everything except Nardil (_PLEASE_ do yourself a favor and give it a trial; get to 1mg/kg and stay there for 4-6 weeks. I have a STRONG feeling it will work.). Also, take a hypnotic if you need it. After at least 4-6 weeks on Nardil, see if you need to add something else. You will probably want to add something like a DA agonist for more zing; I recommend ropinirole for you because it is probably the most anxiolytic. Another alternative is Dexedrine, which is not agitating like Ritalin, and probably won't be agitating at ALL on Nardil.
>
> Please, for your own sake, try Nardil ASAP. I have found going from Nardil to Parnate is more dicey than Parnate to Nardil, but that is sample size=1. My pdoc also had me switch from Parnate to Nardil with no washout, while with Nardil to PArnate he had me taper down my Nardil dose quite a bit, and then begin a cross taper of up on parnate, down on Nardil for the rest of the way, adding 10mg of Parnate a day until 120 was reached. This is a sound strategy; too bad I forgot it and just switched like I did with Parnate to Nardil. I got delirious and almost had to be hospitalized! I think this has to do with Nardil being a COMPLETELY irreversible inhibitor of MAO, while tranylcypromine has more of an amphetamine-like mechanism of MAO inhibition.
Posted by Glydin on October 26, 2005, at 13:43:10
In reply to I think im done, posted by willyee on October 26, 2005, at 11:26:04
> Think about it,if u achieved full remission,would you not return to offer support?
>~~~ I have and I do lend support where I can and about disorders and meds I have experience with. It's sad because I feel people DON'T notice that.
I'm sorry you are struggling but I think there is a slanted view on the 'net.
Depression and anxiety states have most of us just seeing the negative - it's makes us unable to see the positive, even if it's there to be seen.
Posted by Chairman_MAO on October 26, 2005, at 13:49:40
In reply to Re: I think im done, posted by willyee on October 26, 2005, at 13:18:11
What I meant is dump ALL drugs except for the Nardil you are starting and maybe something to help you sleep. You can take as-needed benzos for panic or to survive something really uncomfortable, but don't use them excessively. Similarly, you could use Ritalin if you absolutely have NO energy or a mood that's way too low now and then (this could make things worse, though). Let the Nardil kick in; you need to establish what you feel like before you start taking other meds. For instance, how do we know whether or not it will adequately address your anxiety if you are taking a drug which can produce a lot of anxiety (Wellbutrin)?
Any other questions, don't hesistate to ask me. Run this by your doctor, of course, but Nardil is often used as the sole drug in cases like yours with great success. I am going to try it for carb cravings myself, possibly.
Posted by Glydin on October 26, 2005, at 14:11:31
In reply to Re: I think im done, posted by Glydin on October 26, 2005, at 13:43:10
My above post was inapproiate to you and I apologize for venting my opinion.
I am sincerely sorry you are struggling so and life is difficult for you. I hope you will find the strength to keep searching for a good treatment for yourself.
Posted by willyee on October 26, 2005, at 15:51:31
In reply to Re: I think im done » willyee, posted by Chairman_MAO on October 26, 2005, at 13:49:40
I understand what your saying.Well i just took my first nardil tablet,so i guess we are on are way!
I remember when i had a 2 week trial of it,off and on like u said i couldent tell,but man i blew up like a monster,i weighed in at 235 and i was benching heave heavy weight.Some people liked it,some said i was getting fat,regardless the weight is gone now i hardly eat anything.
Well nardil here i come,whooo im nervous
Posted by willyee on October 26, 2005, at 15:59:33
In reply to I'm sorry willyee, posted by Glydin on October 26, 2005, at 14:11:31
> My above post was inapproiate to you and I apologize for venting my opinion.
>
> I am sincerely sorry you are struggling so and life is difficult for you. I hope you will find the strength to keep searching for a good treatment for yourself.
Harsh,im from Brooklyn lol takes a lot to offend me.I do wanna clarify my post since i can see how it might have been taken out of context.First what i meant was im questioning being on medications because i do see a lot of people in the same place as me,a med that does not help.
Second i have noticed you,your posts,very insightful,i dident mean no one comes back,i just meant in my own opinion i dont believe there is a large marjority of people in remisson from meds,if there were i believe a lot would be as u are here helping.I know if i went into remission tommorrow full remission i will seek a way to share my exper with people just accepting something is wrong.
Last i think with the majority of posts one would think it would be of interest to someone
that we need to get more options out there for emotional disorders.
And of course its just my opinion,dont apologize for disgreeing,i saw nothing wrong with your orignal reply to me.
Posted by Tom Twilight on October 26, 2005, at 16:49:25
In reply to I think im done, posted by willyee on October 26, 2005, at 11:26:04
Hey Willyee
Its good to see you back on the board, although the circumstances are unfortunate!
I'm to tired to think up a really good response, since I'm working hard and have insomnia at the moment, please excuse me!
Along with everyone else I think you should ditch the Parnate and go directly to Nardil, or alternativly Marplan (I'll explain why)
I understand your feeling that Nobody gets better on this board, and that its all a waist of effort, I feel that way when I down.
Its not true though, the reason that there aren't more positve posts is that people tend not to post so much when there feeling good, this is a board for people experiencing problems.I have suffered from Social Anxiety for a long time, and I'm finally having success with Marplan!
At 60mgs its really helping my SA and depression.
I've never tried Nardil, although it would have been my first choice.The thing with MAOIs is that you have to be on an affective dosage, to low and you won't get anything
If I can get better in the UK, were Psychiatry is in the Dark Ages I'm sure you can recover to.
Best of luck
TomP.S. Sorry for bad spelling, Damn Dyslexia
Posted by willyee on October 26, 2005, at 19:12:32
In reply to Hang in there Willyee! There is hope, posted by Tom Twilight on October 26, 2005, at 16:49:25
Wow thank you tom for such a in depth response.Of course thanks to all who responded.Im on Nardil now.
Posted by UgottaHaveHope on October 26, 2005, at 23:57:17
In reply to Re: Hang in there Willyee! There is hope, posted by willyee on October 26, 2005, at 19:12:32
Make no mistake about it, people do get better, whether its from getting on new meds, changing the meds they are on, or non-med treatment like therapy. There is more help available today than there was in all the years between today and when the Earth was created. Just hang in there, my friend, things will get better.
I commend you for saying that you would come back to this board when you feel better to help others. I feel better and I am coming back and others do, too. Just keep on expressing your thoughts openly and let us know how you feel. We care. We really do.
This is the end of the thread.
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