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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by corafree on January 8, 2007, at 19:56:40
Yep ... I've got one. Started before or after, or in and around, beginning Effexor-XR, think. Has become unmanageable.
I've TRD, but must give something try.
Thinking LEXAPRO; don't 'think' I've tried.(??)
(I can't believe my old pharmacy deletes records after year! I'd have to really dig through old files re: SSDisa*ility to be sure.
It's difficult 2 recall all ADs I've tried.
See P in two days.
See PCP tomorrow, who keeps bringing up Effexor-XR or Cymbalta (Damn that commercial!).
I'm only on 75mg. Used to be on high doses which left my disposition robot-like, and not an option for me. (Should it be?) Also ill-at-ease w/ controversy.
Don't think have tried LEXAPRO.
What think Scott, Ed? Sorry, also anyone w/ TRD, or not. Guess will have to accept negative POS ... can't ask U all to sugar coat.
tksasap, cf
Posted by Phillipa on January 8, 2007, at 21:11:53
In reply to Scott/Anyone? Major Depr. Episode - Lexapro?, posted by corafree on January 8, 2007, at 19:56:40
Well I know Glydin did real well on lexapro. So well she isn't posting anymore. I know she would want me to pass this on. I was thinking maybe when my thyroid evens out that even though I tried it once before I may try it again So go for it corafree Love Phillipa
Posted by cgd092 on January 8, 2007, at 21:30:48
In reply to Scott/Anyone? Major Depr. Episode - Lexapro?, posted by corafree on January 8, 2007, at 19:56:40
Sorry you're having an "episode." That's what I call 'em, too. "I've got an episode." Ooh, they are so demoralizing when they come on. I don't burden my family much but I do have to tell my husband, "I'm having my brain thing." Right now I seem to be slowly coming out of one that started before Thanksgiving. I'm on Celexa and it helps.
Posted by SLS on January 9, 2007, at 5:17:30
In reply to Scott/Anyone? Major Depr. Episode - Lexapro?, posted by corafree on January 8, 2007, at 19:56:40
Is anxiety a problem?
Have you tried Zoloft or Wellbutrin?
I know someone doing wonderfully with a combination of Lexapro 20mg + Wellbutrin 300mg. She did not respond adequately to either drug alone, and the Lexapro has helped her more than Effexor.
Is there any family history of depression or bipolar disorder?
I would consider proceeding with Lexapro, adding Wellbutrin if you are not experiencing an adequate response to Lexapro, and try adding Lamictal to the Wellbutrin if necessary.
Someone here is trying an unusual combination of Wellbutrin + Remeron. I am anxious to see how he does with it. Remeron is often given in combination with SRI drugs as an augmentor. If you are responding partially to Lexapro, and the Wellbutrin route proves ineffective, you might want to try adding Remeron before giving up on the Lexapro.
Let's see what happens - one step at a time.
- Scott
Posted by SLS on January 9, 2007, at 5:21:27
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro? » corafree, posted by Phillipa on January 8, 2007, at 21:11:53
> Well I know Glydin did real well on lexapro. So well she isn't posting anymore. I know she would want me to pass this on. I was thinking maybe when my thyroid evens out that even though I tried it once before I may try it again So go for it corafree Love Phillipa
Don't forget about Nardil. Keep it on your list. I would try it before Emsam. You know I have thought this a good choice for you for a long time, and not because of my recent success with it.
- Scott
Posted by corafree on January 9, 2007, at 12:22:43
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro? » corafree, posted by SLS on January 9, 2007, at 5:17:30
> Is anxiety a problem?
>Big problem.
> Have you tried Zoloft or Wellbutrin?
>Both individually.
Zoloft did nothing after an initial one hour 'window' of elation.
Wellbutrin made me feel like I think people who are manic must feel. My mind was racing but I was afraid to move .. scary. Can't recall dosage, but would be able to access as it was this past year.
> I know someone doing wonderfully with a combination of Lexapro 20mg + Wellbutrin 300mg. She did not respond adequately to either drug alone, and the Lexapro has helped her more than Effexor.
>Can't imagine what the two together might do ... re below.
Yeah, think I'm Effexored out! I'd have to take an elephant's dose and then I'd be a zombie.
> Is there any family history of depression or bipolar disorder?
>No.
> I would consider proceeding with Lexapro, adding Wellbutrin if you are not experiencing an adequate response to Lexapro, and try adding Lamictal to the Wellbutrin if necessary.
>On Lamictal felt very bad. Lamictal is one I kept confusing w/ Lexapro. Trying to recall if I'd taken Lexapro in the past, ... I knew I'd taken something that began w/ an L, and it was Lamictal! Can't remember why, but bad.
> Someone here is trying an unusual combination of Wellbutrin + Remeron. I am anxious to see how he does with it. Remeron is often given in combination with SRI drugs as an augmentor.
>Now Remeron I do remember! An awful, awful response to that one.
>If you are responding partially to Lexapro, and the Wellbutrin route proves ineffective, you might want to try adding Remeron before giving up on the Lexapro.
>Above re: Remeron? Scared.
> Let's see what happens - one step at a time.
>Tks so Scott. I'm sorry to dis' so many of these drugs. Ya' see why I think I'm kinda treatment resistant?
I haven't bathed in days. It's weird, it feels like I'm cold and just want to stay in bed and keep warm. Taking off clothes to shower just makes me sick, and too tired, to think about. But that's the way I feel/think. Haven't left house in over a week. Very very agoraphobic. No support. Person moved. Children don't believe that supporting me helps. They think pushing me to do things myself is way to go.
I HAVE to shower and HAVE to go to another city in metro to see my med/PCP today.
I think the isolation of my condo is partly responsible. My body clock may be remembering Dad's death 2/4 two yrs back. Losing support.
It helps to know you've got my back so to speak. This really s*cks. I'm not sui*idal. Still in the system. They have another therapist 4me to see this Thur. I go thru' them pretty fast if can see that 'they can't really see me'. I'm pretty choosy 4 a beggar (If you're in the system, U feel like U aren't entitled to the best sometimes.). U know I'm PTSD, GAD, w/ a little borderline personality .. no cutting or anything like that. This is why I prob' don't make IRLfriends easily. Daughter says I come right out and say things that are anti-social, tho' I've always been a bit that way.
Anyway, knew needed check in this a.m. and will keep above in mind, and check back. This is sooo overwhelming!!!!
The only person who might accompany me today is questionable. I have to keep an eye on him. He is manic and sometimes increases my anxiety a bit, always talking and jumping around and makes me a bit nervous. This is prob' another issue which may be coming into play here. He is pressing me to be w/ him more.
All hospitals 'full' here in metro valley. Can U believe it? Think it's about $.
Wish someone would just 'take care of me' 4 a few days.
Person above would, but I wouldn't know what he was doing in the other rooms of my home while resting. I've been told manics 'take things' because they respond to 'impulse'. He has a hx of this. I'm giving him 'an out' I guess, or has this any reality to it, wonder. I have to count pills and keep notes in bottles of totals.
I stopped my Provigil a few days ago to get myself a little more grounded.
Not sure how to explain this. It helped energize me, but didn't help w/ the agoraphobia and may even increased it a bit. Found myself doing all this stuff inside house, but not wanting to go out. Not to say I didn't have agoraphobia b4 began it, but it didn't help it. What's that I wonder?
TY, and will check back as possible. Haven't yet gotten close to my new pute. A little bit of a challenge. There's another thought; loss of access to 'here' also may be a part of this.
Question: Do U have exacerbations becuz' of environmental factors?
blessu, cf
Posted by SLS on January 9, 2007, at 13:30:17
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro? » SLS, posted by corafree on January 9, 2007, at 12:22:43
Yeah, you don't seem to be an easy case.
The reason I asked about the anxiety is because it sometimes gets in the way of taking Wellbutrin and Lamictal.
TCAs are sometimes good when agoraphobia is present. Paxil might be worth considering as well given the PTSD and GAD.
What has been your experience with Nardil?
Well, lets see how you do on the Lexapro. With a little luck, maybe you won't need to worry about augmentors.
What drugs have made you feel worse?
Are you impulsive? How do you react to rejection or criticism? Do you have explosive angry outbursts?
You may want to consider Trileptal for the PTSD and BPD.
- Scott
Posted by Phillipa on January 9, 2007, at 18:45:06
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro? » Phillipa, posted by SLS on January 9, 2007, at 5:21:27
Scott both you and ED. Love Jan
Posted by elanor roosevelt on January 9, 2007, at 23:07:51
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro? » SLS, posted by Phillipa on January 9, 2007, at 18:45:06
try the lexapro
if it works you get a sense of future again
Posted by corafree on January 12, 2007, at 11:32:31
In reply to Re: Scott/Anyone? Major Depr. Episode - Lexapro?, posted by elanor roosevelt on January 9, 2007, at 23:07:51
I'm here. Seems like weeks. I'm so sorry, and believe me no one is ever harder on me than me.
Point 1: I feel guilty and must make a confession. I've been 'prov*giling' ... enjoying these very activating states it throws me into, butttttt ... this feels wrong somehow. I feel I'm getting a lot more done but I'm not sure I am. Like the faster I go the less I get done. And, just the 'tweak' from depression to intense focus on things, doing things here in the house, and when I'm out more social and more energy, well it feels like something I shouldn't be being or feeling. It provides an exciting deterrant to depression, but it feels like 'abu*e' :(
Point 2 - My ex-h*sband has been hanging around me. Yes, 'that' one! It has raised my self-esteem above the major depression level; pretty sick huh? No, he hasn't/won't been/be in my bed.
Today I go see my P. I just want to throw my elbows up on his desk 'like a bartop' and put my head down and cry. Too low ... too high. No middle ground!!!
He'll ask 'How is the Provigil working'? Truth, sugar-coated truth, untru*h?
Only thing mentioned in this thread I've not been on is Nardil.
Provi*il's in my system now and I don't need as much as initially.
Yep I'm a sorry case alright. Living on coffee, cigs, and meds. My major depression level elevated by the thrill(?) of 'energy in a pill' and 'the affections of a man I should disdain'.
I'm so tired of running around this tree ... I'll turn to syrup(?) pretty soon.
Scott, yes, I was very emotional growing up. Threw (and broke) a lot of hair brushes! Never 'at anyone' of course. And no, I've nevert tried the Nardil, but 'whoa nellie' ... isn't that pretty deep stuff?
cf
cf
ps: Oh and now there's two of me.(?)
This is the end of the thread.
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