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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 12 to 36 of 37. Go back in thread:
Posted by Phil on May 7, 2012, at 6:25:31
In reply to Re: Me and my doc...stims » Phil, posted by phidippus on May 6, 2012, at 21:41:38
Short story..my stepfather had little education, lived in a small town and was a farmer. He retired a millionaire. I observed him a lot and wondered what made him so successful. Besides hard work etc, he had curiosity about everything.
As a depressed person, sometimes I have curiosity about nothing. Stims help there. Also focus and as a mood brightener.
Also I'm a drummer but had not even looked at my drums in 10 years. When I started on Concerta, I ordered new heads, etc and I'm playing again. I've had trouble exercising because of a ligament problem in my left leg. So, I ordered a recumbent exercise bike(a decision I could never make)and I'm exercising.
And I'm curious. I listen to Ted Talks. I go to Google Scholar to read things and try to learn. I could go on.
On the other hand, I think more and more about trying to get off meds. I don't think that experiment would have a good outcome but I'd give almost anything to live without medication.
Posted by Phillipa on May 7, 2012, at 19:42:33
In reply to Re: Me and my doc...stims » phidippus, posted by Phil on May 7, 2012, at 6:25:31
Nor do I stick with them for now. Phillipa
Posted by Alexei on May 8, 2012, at 8:00:09
In reply to Re: weird » Alexei, posted by Phil on May 6, 2012, at 11:50:37
Thanks Phil ... Sounds like the stims have done wonders for you ... yet it took years for your pdoc to cooperate. And docs throw AAP's around like candy. Unbelievable.
Do you mind if I ask what you're taking now? Do any of your meds interfere with your vyvanse? No doubt in my mind that abilify is throttling my vyvanse. I could easily go higher than 70mg right now.
Have you had any experience with abilify?
Alexei
> First my doc waited years before introducing stims. First he tried Nu and Provigil which I think are useless. I think my therapist talked to him about my desire to get back on stims and a social worker that I did group with faxed him a copy of a report that I had slowed thought processes. I was also sleeping all day, etc.
>
> Gotta tell you Alexei, I've been cycled through so many meds that I'm not sure what's doing what. When I'm on Lamictal, Lithium and others, I'm not sure. My guess is that it's helping some. It and Zyprexa before it have added #'s.
> Most days I do OK. But as I told my doc, three weeks ago I had two days of 'I can't take it anymore suicidal ideation.' I think that had more to do with bipolar than medication failure.
> If I was asked I would say talk to your doc about Seroquel.
> My life circumstances suck and 99 days out of 100 I think I'm OK. I know that's a convoluted answer but it's the best I can do.
> Bottom line. Though things aren't perfect and for a few exceptions, I haven't been in a seriously deep depression in a long time.
Posted by Phil on May 8, 2012, at 19:15:06
In reply to Re: weird » Phil, posted by Alexei on May 8, 2012, at 8:00:09
So 100mg had me buzzing. He ups the dose to 120mg. I take 60mg and, day by day, break open one cap and put in water and gradually go up. Today I said screw it and took 120. I'm totally chilled almost like I've taken nothing. No rapid breathing or the like. Focus is OK. Full 'speed' ahead.
Posted by Alexei on May 9, 2012, at 6:32:23
In reply to Re: weird, posted by Phil on May 8, 2012, at 19:15:06
Sounds good. What time did it wear off? ... any crash or trouble sleeping?
> So 100mg had me buzzing. He ups the dose to 120mg. I take 60mg and, day by day, break open one cap and put in water and gradually go up. Today I said screw it and took 120. I'm totally chilled almost like I've taken nothing. No rapid breathing or the like. Focus is OK. Full 'speed' ahead.
Posted by Phil on May 9, 2012, at 8:14:18
In reply to Re: weird » Phil, posted by Alexei on May 9, 2012, at 6:32:23
Uh-oh, was it supposed to wear off?!! j/k Went to bed at 10 but took Seroquel 3 hours earlier. When Seroquel says bed time, it's bed time. I always sleep well. Thanks!
Posted by Alexei on May 9, 2012, at 8:30:04
In reply to Re: weird » Alexei, posted by Phil on May 9, 2012, at 8:14:18
Haha ... seroquel is a great med, no doubt! Makes me question my choice of abilify over Quel. I thought it would be better for depression..
300mg does you justice?
> Uh-oh, was it supposed to wear off?!! j/k Went to bed at 10 but took Seroquel 3 hours earlier. When Seroquel says bed time, it's bed time. I always sleep well. Thanks!
Posted by Phil on May 9, 2012, at 8:59:50
In reply to Re: weird » Phil, posted by Alexei on May 9, 2012, at 8:30:04
Yeah it does but I wouldn't mind trying 150. We shall see.
On the student doctor site I go to one person there said something lie, Seroquel sucks as a AAP. Something like that.
One thing I've learned there is that med students, residents, attending doctors have their bias' and I wonder sometimes if they know as much as we do. Their trick is memorize / regurgitate.
One doc said polypharmacy is just wrong. At a certain point it is but sometimes people with Bipolar 1 with psychosis are just not going to get by with Lithium alone.
They will grow up, hopefully.
Posted by Alexei on May 9, 2012, at 11:31:39
In reply to Re: weird » Alexei, posted by Phil on May 9, 2012, at 8:59:50
Yes I looked at that site, thread, and post. That was an extremely arrogant post... I'd hate to be his patient. Seroquel is pretty effective for anxiety/depression problems. Screw that guy. Maybe he prefers Haldol or moban, lolz..
Hey Phil, have a question for you. Does seroquel interfere with your vyvanse? I'm going to d/c abilify for that reason, plus it's making me MORE depressed! I just started a thread on that fiasco.
Have you tried abilify?
> Yeah it does but I wouldn't mind trying 150. We shall see.
>
> On the student doctor site I go to one person there said something lie, Seroquel sucks as a AAP. Something like that.
>
> One thing I've learned there is that med students, residents, attending doctors have their bias' and I wonder sometimes if they know as much as we do. Their trick is memorize / regurgitate.
>
> One doc said polypharmacy is just wrong. At a certain point it is but sometimes people with Bipolar 1 with psychosis are just not going to get by with Lithium alone.
>
> They will grow up, hopefully.
Posted by Phil on May 9, 2012, at 13:20:45
In reply to Re: weird » Phil, posted by Alexei on May 9, 2012, at 11:31:39
Abilify triggered a mixed states episode. I wasn't on it very long.
One of the reasons I was put on Vyvanse was lack of focus, maybe a bit dumb, and I slept all the time. I guess that's 3 reasons. I can still take a nap if I need to but no I can't say that it interfered, more like enhanced.
Although sometimes at night when it's wearing off I can get really pissed at my cat but knowing that I can control it. :)
Posted by phidippus on May 9, 2012, at 21:47:20
In reply to Re: Me and my doc...stims » phidippus, posted by Phil on May 7, 2012, at 6:25:31
Has anyone diagnosed you with ADHD?
Eric
Posted by Phil on May 9, 2012, at 22:19:19
In reply to Re: Me and my doc...stims » Phil, posted by phidippus on May 9, 2012, at 21:47:20
Yep. Before a doctor did my older brother read an article on it, called me and said this is you.
Certified.
Posted by Phil on May 9, 2012, at 22:27:57
In reply to Re: Me and my doc...stims » Phil, posted by phidippus on May 9, 2012, at 21:47:20
Actually three psychiatrists in a row have no disagreement on it. Ask my mother, my brothers, and my schoolmates. Nobody knew what it was back then but they knew I was 'special.'
I also had depression at a very young age. My family had their own problems, mine weren't noticed.
I came from a malignant home and I'm still paying.
Posted by phidippus on May 10, 2012, at 19:48:46
In reply to Re: Me and my doc...stims » phidippus, posted by Phil on May 9, 2012, at 22:27:57
So you need a good stim/AD combo?
Eric
Posted by Phil on May 10, 2012, at 20:23:39
In reply to Re: Me and my doc...stims » Phil, posted by phidippus on May 10, 2012, at 19:48:46
I'm bipolar I so not looking for AD. Not yet anyway.
Posted by Phillipa on May 10, 2012, at 20:41:00
In reply to Re: Me and my doc...stims » phidippus, posted by Phil on May 10, 2012, at 20:23:39
Phil I do remember when you experienced mania. Don't think the ad is a good choice if that is what caused the other. Phillipa
Posted by Phil on May 10, 2012, at 20:50:39
In reply to Re: Me and my doc...stims » Phil, posted by Phillipa on May 10, 2012, at 20:41:00
Yeah I'm not looking for one but curious why the question was asked.
Posted by Phillipa on May 10, 2012, at 21:34:21
In reply to Re: Me and my doc...stims » Phillipa, posted by Phil on May 10, 2012, at 20:50:39
Phil I remember the mania you conversed with me for hours. I'm sure you don't remember. Phillipa
Posted by Phil on May 10, 2012, at 21:54:30
In reply to Re: Me and my doc...stims » Phil, posted by Phillipa on May 10, 2012, at 21:34:21
On the phone??????
Posted by Phillipa on May 11, 2012, at 19:19:16
In reply to Re: Me and my doc...stims » Phillipa, posted by Phil on May 10, 2012, at 21:54:30
Phil no silly babblemails. I didn't think you'd remember you were really manic. Phillipa
Posted by Phil on May 11, 2012, at 20:29:03
In reply to Re: Me and my doc...stims » Phil, posted by Phillipa on May 11, 2012, at 19:19:16
What did I talk about? How fast was I talking? I'm curious cause I forget.
Posted by Phil on May 11, 2012, at 20:30:19
In reply to Re: Me and my doc...stims » Phil, posted by Phillipa on May 11, 2012, at 19:19:16
Scratch other email. What did I say?
Posted by Phillipa on May 12, 2012, at 19:37:42
In reply to Re: Me and my doc...stims, posted by Phil on May 11, 2012, at 20:30:19
Phil honestly I don't remember. Just you were very talkative. Nothing bad or would have remembered. Phillipa
Posted by creepy on May 16, 2012, at 7:45:43
In reply to Me and my doc...stims, posted by Phil on May 5, 2012, at 12:29:49
Id just fill the prescription and tell him the dose is waaay too much.
too much amphetamine can give you anxiety, higher BP and resting heart rate.
I wonder if vyvanse is any more predictable than adderall XR. I used to have problems where some days it worked other days it was like a sugar pill
Posted by Phil on May 16, 2012, at 8:11:48
In reply to Re: Me and my doc...stims, posted by creepy on May 16, 2012, at 7:45:43
Can't explain this but 120mg basically has no side effects except dry mouth. I was buzzed on 100mg. Maybe I got used to it.
Vyvanse seems inconsistent with me even though most people like its smooth release.
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Dr. Bob is Robert Hsiung, MD,
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