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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by FrequentFryer on February 26, 2007, at 22:42:04
My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
Main problem is severe weight gain.
Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
But I dunno, I should probably just try and eat less and exercize more hay?
Its possible my alcohole abuse has caused the other meds to poop out (but I seriously seriously doubt it). Parnate makes me sleep all day (weird) considering its chemistry.
Nardil is the best drug huh?
Anything I can add to it (apart from TCA's & amphetamines) maybe bupropion but its contradicted & I reckon wouldn't be good for me. maybe coca leaf or green tea, Anything exotic out there? (I take vitamin B).
I know I gotta stay off the alcohol but its hard.
Anyone else found a cocktail that dosn't poopout & kicks @ss for depression / SP??Regards.
Fryer
Posted by FrequentFryer on February 26, 2007, at 22:46:40
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
Allot of people poop out even without drinking any alcohol hay?
We gotta find an answer to this $hitty poop, Ive seen 4 psychiatrists and none of them have been as much help as you guys and my own research.
Posted by rjlockhart on February 26, 2007, at 22:49:19
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
mmmm...
There is a supplement called "L-Tryrosine" Which increases your motivation, by increaing dopamine, also there is NADH which is actaully really a good, its already in your body, if you take more then your more active. I havent seen it in stores lately, so i dont know what happened to it.
Amphetamines may help.... but the only thing is they where off and require some redosing and then you have some insomnia after words....
Well take care
rj
Posted by rjlockhart on February 26, 2007, at 22:51:26
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:46:40
mmmmm....
Have you tried any benzodiazpine?
The Nardil is not working?
What about ECT.....the shock?
Rj
Posted by gardenergirl on February 26, 2007, at 23:04:43
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
I take chromium picolinate 600 mcg divided into 3 doses to help address Nardil related weight gain. But Provigil is what really put a halt to the weight gain. I've actually lost 15 pounds from my peak weight over the last several months. It's listed as contraindicated or maybe use with caution. My former and current pdoc both approved the use of it with Nardil. Other than a start-up side effect of headaches, I've had no problems taking both.
Good luck. I know the weight gain issue is a tough one.
namaste
gg
Posted by polarbear206 on February 27, 2007, at 8:56:42
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
> My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
> Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
> Main problem is severe weight gain.
> Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
> But I dunno, I should probably just try and eat less and exercize more hay?
> Its possible my alcohole abuse has caused the other meds to poop out (but I seriously seriously doubt it). Parnate makes me sleep all day (weird) considering its chemistry.
> Nardil is the best drug huh?
> Anything I can add to it (apart from TCA's & amphetamines) maybe bupropion but its contradicted & I reckon wouldn't be good for me. maybe coca leaf or green tea, Anything exotic out there? (I take vitamin B).
> I know I gotta stay off the alcohol but its hard.
> Anyone else found a cocktail that dosn't poopout & kicks @ss for depression / SP??
>
> Regards.
> FryerThe alcohol abuse is going to interact with the Nardil and pull you down further. You are probably using the alcohol to self medicate because your meds poop-out. You didn't mention if you have taken a mood stablizer in the past. When numerous trials of AD's with initial good response, only to poop-out, is a red flag for an underlying bipolar spectrum disorder. Unfortunately, most of these medications cause weight gain, and you have to incorporate regular exercise, strengh training and portion control. This is a life style change for many. You would drop some weight cutting out the booze too.
Posted by Crazy Horse on February 27, 2007, at 9:20:32
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
> My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
> Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
> Main problem is severe weight gain.
> Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
> But I dunno, I should probably just try and eat less and exercize more hay?
> Its possible my alcohole abuse has caused the other meds to poop out (but I seriously seriously doubt it). Parnate makes me sleep all day (weird) considering its chemistry.
> Nardil is the best drug huh?
> Anything I can add to it (apart from TCA's & amphetamines) maybe bupropion but its contradicted & I reckon wouldn't be good for me. maybe coca leaf or green tea, Anything exotic out there? (I take vitamin B).
> I know I gotta stay off the alcohol but its hard.
> Anyone else found a cocktail that dosn't poopout & kicks @ss for depression / SP??
>
> Regards.
> FryerYour meds are not going to work, or work as well as long as you are drinking..i know this first hand. I know from experience it is hard to stop drinking but you can do it, try A.A. if needed.
For me The Big Guns~Nardil and Parnate work best for SP. You may also want to try high dose (300 mgs. bid) Lyrica, works well for both depression and SP. Good luck!
-Monte
Posted by Phillipa on February 27, 2007, at 11:28:51
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » FrequentFryer, posted by gardenergirl on February 26, 2007, at 23:04:43
GG congrats on the wt loss. Love Phillipa
Posted by FrequentFryer on February 27, 2007, at 16:30:09
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by rjlockhart on February 26, 2007, at 22:49:19
I get plenty of L-tyrosine from what I eat NADH sounds worth investigating...
Ive had tons of experience with amphetamines and I honestly don't know how anyone can tollerate the hypertensive issue combined with maoi's.
The shock sounds a bit silly to me aswell. Although I heard a story of this Autism guy getting struck by lightning & became a genious,
can you get ect while on MAOI's?
I don't really have the time or $ but.> mmmm...
>
> There is a supplement called "L-Tryrosine" Which increases your motivation, by increaing dopamine, also there is NADH which is actaully really a good, its already in your body, if you take more then your more active. I havent seen it in stores lately, so i dont know what happened to it.
>
> Amphetamines may help.... but the only thing is they where off and require some redosing and then you have some insomnia after words....
>
> Well take care
>
> rj
Posted by FrequentFryer on February 27, 2007, at 16:39:35
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » FrequentFryer, posted by gardenergirl on February 26, 2007, at 23:04:43
WOH THANKS GG!! might make some doctor appointments today!!!
Dunno if I can get Provigil over here in Australia though, sounds like it gave you mild hypertension at first but I definatly wanna try it.
Have you tried Bupropion with an MAOI for weight loss, Provigil prolly work better yeah?> I take chromium picolinate 600 mcg divided into 3 doses to help address Nardil related weight gain. But Provigil is what really put a halt to the weight gain. I've actually lost 15 pounds from my peak weight over the last several months. It's listed as contraindicated or maybe use with caution. My former and current pdoc both approved the use of it with Nardil. Other than a start-up side effect of headaches, I've had no problems taking both.
>
> Good luck. I know the weight gain issue is a tough one.
>
> namaste
>
> gg
Posted by FrequentFryer on February 27, 2007, at 16:48:35
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by polarbear206 on February 27, 2007, at 8:56:42
Yeah Ive tried Seroquel & Lithium, no good response, and yeah I think the Alcohole is making me fatter & slower, Ill try to stay off it.
I was on Effexor once while drinking stopped the alcohole for 2 weeks & didn't get better, but it's to important a stage in my life to make a med change right now I think. Atleast I can interact with most people without fear on Nardil, & yeah I think Alcohole is the main cause of my weight gain and motivation, but it fully amplifies my mood, but yeah with most short acting drugs theres always a comedown, I go to the gym everyday but have a slow *ss metabolism & cant loose weight even when off the meds, its gay, my friends eat a block of chocolate and loose 5 pounds, I eat a piece of lettuce & gain 5> > My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
> > Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
> > Main problem is severe weight gain.
> > Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
> > But I dunno, I should probably just try and eat less and exercize more hay?
> > Its possible my alcohole abuse has caused the other meds to poop out (but I seriously seriously doubt it). Parnate makes me sleep all day (weird) considering its chemistry.
> > Nardil is the best drug huh?
> > Anything I can add to it (apart from TCA's & amphetamines) maybe bupropion but its contradicted & I reckon wouldn't be good for me. maybe coca leaf or green tea, Anything exotic out there? (I take vitamin B).
> > I know I gotta stay off the alcohol but its hard.
> > Anyone else found a cocktail that dosn't poopout & kicks @ss for depression / SP??
> >
> > Regards.
> > Fryer
>
> The alcohol abuse is going to interact with the Nardil and pull you down further. You are probably using the alcohol to self medicate because your meds poop-out. You didn't mention if you have taken a mood stablizer in the past. When numerous trials of AD's with initial good response, only to poop-out, is a red flag for an underlying bipolar spectrum disorder. Unfortunately, most of these medications cause weight gain, and you have to incorporate regular exercise, strengh training and portion control. This is a life style change for many. You would drop some weight cutting out the booze too.
Posted by FrequentFryer on February 27, 2007, at 16:55:03
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » gardenergirl, posted by Phillipa on February 27, 2007, at 11:28:51
Phillipa any news on if you take to many vitamins/drugs they wont all get metabolized / absorbed, Ill make some inquires today.
> GG congrats on the wt loss. Love Phillipa
Posted by Phillipa on February 27, 2007, at 19:48:58
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » Phillipa, posted by FrequentFryer on February 27, 2007, at 16:55:03
I'd try the alternative board for the vitamins. Love Phillipa
Posted by Jedi on February 28, 2007, at 2:02:36
In reply to CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by FrequentFryer on February 26, 2007, at 22:42:04
> My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
> Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
> Main problem is severe weight gain.
> Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
...Hi,
I've mixed bupropion(300mg) with Nardil(90mg) with no problem. They are contraindicated so you would need a pretty open minded PDOC to prescribe the two together. The bupropion did help with the weight and sexual side effects of Nardil.I am in the process of a switch from Nardil to Parnate, mostly because of the massive weight gain on Nardil. At one point I had put on over 100 pounds with the drug. My problem is that every time I have been off Nardil in the past 10 years, my atypical major depression with social anxiety has returned. I did a trial of Parnate six years ago and it did not do the job. However, with my current MD, I think I can demonstrate with controlled studies how high dosages of Parnate can work for treatment resistant depression.
The only other way I've found to control the weight gain from Nardil is with 2+ hours daily of strenuous exercise. I lost over 70 pounds on this program, but it is hard to maintain.
Take care,
Jedi
Posted by gardenergirl on February 28, 2007, at 10:02:15
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » gardenergirl, posted by FrequentFryer on February 27, 2007, at 16:39:35
> Dunno if I can get Provigil over here in Australia though, sounds like it gave you mild hypertension at first but I definatly wanna try it.
I took my BP after initial doses for a few days, something I do with every new med or food I'm not entirely sure about. I saw no change from my usual BP. If it did go up, it must have been within the margin of error on my machine.
> Have you tried Bupropion with an MAOI for weight loss, Provigil prolly work better yeah?
My new pdoc suggested that the first time I met with him, but when I pointed out that it's contraindicated he pulled it off the table right away, so I've not tried the two together. That's one that I wouldn't be comfortable trying due to the risks. I did take Topomax with Nardil in the past. I tried that in hopes of helping with the weight issue, but it made me more depressed rather quickly, so I stopped it after about 8 weeks.
I'm going to try taking my 60 mg in two doses instead of my usual three. I tend to eat a lot late at night, especially when I wake up while on Ambien. I'm thinking this might be related, at least in part, to Nardil carb cravings. My other doses occur at times when a carb craving can be squashed with the next meal, but the last dose (about 10 p.m.) doesn't have a normal meal to follow. We'll see. I've not taken 60 mg in less than 3 evenly spread out doses before.
namaste
gg
Posted by sregan on February 28, 2007, at 14:34:56
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by Jedi on February 28, 2007, at 2:02:36
You might consider ETD (Every third day) dosing. I have to do it with Flexeril. If I take it a few days in a row I develop tolerance but using ETD it remains effective and helps me sleep deep. On the other nights I'm taking 25mg Trazodone to sleep, just started but it's helping a lot. I think correcting sleep can either fix or greatly help anxiety.
You might also consider reading. "Dancing with Fear" is a great book for all types of anxiety as is "The Heartmath Solution"
Posted by FrequentFryer on March 3, 2007, at 7:17:03
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S!!, posted by Jedi on February 28, 2007, at 2:02:36
Thanks Jedi,
I would like to know how the Parnate goes for ya, it made me wanna sleep for 2 or so hours randomly all the time, but a high dose might be different.> > My main problem is Social anxiety and lack of pleasure (motivation). Ive tried every drug there is up to about 4 5 times!!,,, they all poop out.
> > Im currently on Nardil 90mg's and it pooped out a little but still works ok compared to all the rest.
> > Main problem is severe weight gain.
> > Im thinking of trying bupropion with effexor (had the most luck with effexor of the ss/nri's and maybe something else)
> ...
>
> Hi,
> I've mixed bupropion(300mg) with Nardil(90mg) with no problem. They are contraindicated so you would need a pretty open minded PDOC to prescribe the two together. The bupropion did help with the weight and sexual side effects of Nardil.
>
> I am in the process of a switch from Nardil to Parnate, mostly because of the massive weight gain on Nardil. At one point I had put on over 100 pounds with the drug. My problem is that every time I have been off Nardil in the past 10 years, my atypical major depression with social anxiety has returned. I did a trial of Parnate six years ago and it did not do the job. However, with my current MD, I think I can demonstrate with controlled studies how high dosages of Parnate can work for treatment resistant depression.
>
> The only other way I've found to control the weight gain from Nardil is with 2+ hours daily of strenuous exercise. I lost over 70 pounds on this program, but it is hard to maintain.
> Take care,
> Jedi
Posted by gardenergirl on March 3, 2007, at 12:35:55
In reply to Re: CAN I GET SOME HELP (ADVICE) PLEASE ALL PRO'S! » gardenergirl, posted by Phillipa on February 27, 2007, at 11:28:51
> GG congrats on the wt loss. Love Phillipa
Thanks, though it was a few months ago, and I think I've put a few pounds back on from night eating.
namaste
gg
This is the end of the thread.
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