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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by g_g_g_unit on June 16, 2009, at 23:07:06
hi, i'm looking for an anxiolytic that will help with depression/anxiety, because it's becoming increasingly apparent to me that unless i do something to get those two factors under control, i'm not really going to get anywhere; i mean what use is it wasting money on nootropics and stuff when you barely have the wherewithal to face the day. so here's to prioritizing - *toast*.
anything sedating/cognitive dulling is counter-progressive, since what i am looking for is something that will let me return to work while i treat underlying factors. i am interested in having some blood work, cortisol testing + hormonal panels done, but it's impossible to progress when every potential decision is being filtered through an inherently irrational thought process. i can't stick to anything because anxiety demands an instant solution, and will instantly shred any feeble little structures i try to put in place. it's amazing that i've managed to stay on memantine this long; part of that fact can no doubt be attributed to the fact that it's really great at turning the volume down on repetitive thoughts. but my mood really sucks, i can't get refreshing sleep, and i can't really capitalize on the (slightly) improved attention span due to a lack of emotional range. i might try going down to 15mg to see if that helps things, but in the meantime it would help if i could deal with my mood/motivation. i'm in CBT - which helps with general life-structuring - but my feelings are that it's potential is limited, since i think there is a definite chemical/endogenous basis to my problems.
currently at my disposal is one box of brand-name Wellbutrin SR; i understand that, at higher doses, it can have some dumb-drug effects, and also wind people up. but is it possible to get benefits for anxiety + dysthymia at a lower (100/150mg) dose? there is also the added consideration that memantine might potentiate its effect, though i'm a little put off by the fact that both drugs block nACHr receptors (i realise i'm not really in a position to be picky, but like i say, anything that might further dumb me down won't really help; i also seem to be a lot more dysfunctional when over-stimulated. as a little experiment, i took 300mg of N-Acetyl-Tyrosine yesterday morning, and had to suffer through the worst physical/mental tension for the rest of the day).
i am also going to place an order for some Stablon tonight, since it's profile sounds really attractive. i am also going to pick up some SAM-e to try as an adjunct. i've considered going down the herb route but it just doesn't seem all that reliable. i was reminiscing about my experience with St John's Wort, but after taking some bacopa these past couple days - which is great for stress, but leaves me a little fogged out - i recall that i had a similar reaction to SJW.
my GP is in the process of finding me a new pdoc, and also willing to support + supervise any decision i make, but until then, would Stablon or Bupropion be a better band-aid for motivation problems, coupled with mood, sleep + anxiety issues? i also realise bupropion is often contraindicted in anxiety patients, but at the moment most of mine stems from watching my life + potential slip away from me, so anything which promotes functioning could theoretically prove to be anxiolytic
Posted by Phillipa on June 16, 2009, at 23:47:40
In reply to bupropion low doses - dumb drug?, posted by g_g_g_unit on June 16, 2009, at 23:07:06
I don't know when I tried the l50 of wellbutrin too stimulating for me but now I'm reading on here tonight about the stimulation of caffeine on luvox and I drink tea in am and two green teas iced during the day to stay awake so maybe wellbutrin would now work? memantine is alzheimers off label right? Sedating or stimulating? Love Phillipa
Posted by rjlockhart04-08 on June 17, 2009, at 7:38:01
In reply to bupropion low doses - dumb drug?, posted by g_g_g_unit on June 16, 2009, at 23:07:06
You one good poster, that was an article.
There something that may help, just as side line helper:
http://en.wikipedia.org/wiki/L-TheanineMedication's
Higher dose of Prozac....doenst effect dopamine much. Yet it does increase activty. Paxil is the opposite.
Vyvanse...yet, this stayed in my system long. It doubled up on molucules, even after metabolized. Day after day...
Dexedrine Spansules are effective.rj
Posted by linkadge on June 20, 2009, at 19:08:28
In reply to bupropion low doses - dumb drug?, posted by g_g_g_unit on June 16, 2009, at 23:07:06
Nootropics are notorious for causing depression as a side effect (presumably via enhancement of cholinergic activity).
Linkadge
Posted by Brainbeard on June 21, 2009, at 6:42:51
In reply to bupropion low doses - dumb drug?, posted by g_g_g_unit on June 16, 2009, at 23:07:06
Bupropion for ANXIETY? That's like taking an SSRI to increase your libido.
This is the end of the thread.
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