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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 Conundrum on July 2, 2010, at 22:59:48
I've read it makes you feel your emotions more strongly? This could maybe help with anhedonia sounds like it does the opposite of what SSRIs do.
Posted by bleauberry on July 3, 2010, at 4:39:41
In reply to Tianeptine good for anhedonia?, posted by Conundrum on July 2, 2010, at 22:59:48
Since it has a variety of mechanisms different than anything else on the market it is probably worth a shot. I felt great on it for about 1 day, almost immediately, and then just went seriously downhill after that. When I read the reviews of it at other websites, the responses to it are quite varied. Some great, some neutral, some with no side effects, some with anxiety type side effects. You just never know till you try.
Anhedonia without sadness. That's a tricky one. Well, I guess everything we deal with is tricky, isn't it. The first two things that come to mind are Ritalin and/or LDN. I don't think any kind of antidepressant is going to do the job. Just opinion.
Posted by Conundrum on July 3, 2010, at 11:28:56
In reply to Re: Tianeptine good for anhedonia?, posted by bleauberry on July 3, 2010, at 4:39:41
Thanks for the suggestions. I have tried ritalin before and found it useless. At low doses it did nothing and at high doses it made my heart beat faster and harder. I think a normal person would have experienced anxiety at that dose, but since it is very hard for me to really feel emotions including anxiety, I didn't feel anxious although the way my body reacted is similar to how a body reacts to anxiety.
LDN, never thought of that. Read some posts here I guess I thought it was more for the sad type of depression.
The two things that have mildly helped are low dose prozac, 5mg taken every other day. It doesn't make me feel my emotions more strongly or add color, but it gets me doing things and adds some amount of enjoyment but things still feel black and white.
Pristiq added some moments of colour sporadically throughout the day after the first dose and even more after the 2nd day. But after a couple weeks that decreased and it felt more like an SSRI. It sounds similar to what you experienced with cymbalta if I am remembering you post correctly. That it create more color but then stopped working after a while.
So now I'm thinkin nortriptyline, desipramine, cymbalta, or milnacipran maybe. Something that works to increase NE. Right now I'm trying mirtazapine, and I guess I'm skeptical. Its only been a week so I need to give it more time, and I may need to go up a dose. At least it hasn't made me want to eat the whole house or tired all day.
I guess I'm interested in seeing what tianeptine would do since it is an indirect serotonin antagonist. I'd have to get off prozac though and I am gonna give low dose prozac at least 8 weeks before I decide what to do.
This is the end of the thread.
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