Posted by JohnX2 on April 2, 2002, at 19:50:19
In reply to JohnX2: good news re pdoc, question, more! » JohnX2, posted by Janelle on April 2, 2002, at 18:31:40
> You are so right - from a medicine prescribing standpoint I also think my current pdoc (it's a SHE btw!) is good. And I have good news about the professional relationship problems regarding her not returning calls -- I had a talk with her (the second one I had to have over the course of a few months I'd say) and I think I finally REACHED her! I've had to call her a few times recently, and she has promptly returned each of my calls. I hope that telling you this doesn't jinx it; I don't want her to go back to her old ways!
>
> It's good to hear someone as knowledgeable as you confirm my pdoc's practice of only try to change one variable at a time. She generally doesn't like adding or changing (meaning new prescriptions) actual meds without seeing the person in the office, but she will do dosage changes on an existing med over the phone.
>
> Again GMTA - I have been thinking that I'm experiencing some kind of "mixed/agitated/dysphoric hypomania/panic with the racing thoughts and all, but who am I to be able to accurately assess my own situation!?!!
>
> Thanks for letting me know that caffeine will set you into "overdrive". I know it is a stimulant but had no idea it is a "convulsive" - yipes!
>
> Coffee aside, do you think that the EffexorXR 150mg dose may be too activating for me - even though I'm not bouncing off the walls like the last time I was on 150, could it be a subtle factor in my unusually hyper-anxious state?
>Effexor is a SNRI (Serotonin/Norepinephrine reuptake inhibitor). Less than 150 mg, it mostly works on the serotonin system. As you push the dose over that 150 marker, it starts to go after the norepinephrine. This is where the medicine can be more "activating". Personally I found Effexor to make me very anxious, but this was jus me. A lot of people find that effexor eases anxiety. Sometimes it is dose dependant. At the lower doses, with just the serotonin mechanism, maybe good for anxiety. At the higher doses, with more norepinephrine, maybe good for lack of energy, interest, etc. Maybe for your purpose, the lower dose is fine and the higher dose just adds agitation. Or maybe the higher dose helps, but you need some mood stabilizer to relieve the agitation?
> Thanks again for your further comments about my having guts (I needed to hear what you said!) and also thanks for saying that you "know" I will do well because I keep coming back. Well, I'm nothing if not tenacious and persistent, apparently these traits don't fade away unless I'm in a deep clinical depression, which at this point, thankfully I'm NOT. When I go there, I don't do ANYTHING, no computer, no nothing. Just veg (usually in bed).I'm glad you are able to get up and do some things. It always puts a smile on my face to see your posts on pbabble. :=)
PS. Do you want to see if we can get a redirect from Dr. Bob? You seemed interested in that topic on the admin page? We just need to do something that is not "civil". LOL
John
poster:JohnX2
thread:101511
URL: http://www.dr-bob.org/babble/20020402/msgs/101552.html