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Re: Anyone Please with Desipramine?

Posted by micro on February 20, 2004, at 0:26:16

In reply to Re: Anyone Please with Desipramine? » Chairman_MAO, posted by Edgefield on February 17, 2004, at 13:59:37

> Thanks for the information. I don't know for sure, but I don't think my doctor will prescribe Parnate or Nardil at this time.
>
> Could you please explain to me which ADs are classified as stimulants? The reason I'm asking is because all of pdocs said that Wellbutrin was too stimulating for someone like myself with panic disorder. They all told me that it would make my symptoms worst. Well... Wellbutrin makes me sleepy. I take it around noon everyday, and then take a nap within the hour. I can not honestly say that it didn't make me anxious when I first began, because I was sooooo jittery and having multiple daily panic attacks that I really couldn't tell what was existing symptoms and what might have been the results of the Wellbutrin.
>
> After dismissing my two previous pdocs I was able to convince my third pdoc to allow me to try Wellbutrin at a very low dose. It has been a God send. I think my pdoc is still amazed at how well I've done on Wellbutrin an especially the fact that it make me sleepy.
>
> Thanks for your time!
>
> Edgefield
>
> > Replace Wellbutrin with a stimulant! If you cannot get that, I recommend trying Strattera first, as it doesn't have the cardiac+anticholinergic effects that desipramine does. If you cannot afford it or cannot tolerate it, desipramine will get the job done; it's a great drug if you can tolerate the side effects.
> >
> > The other option is Parnate, if you and your doctor want to make that commitment. MAOIs elevate mood like no other "antidepressants" (that is in quotes because stimulants and opioids are fine antidepressants) do. If I had a doctor willing to prescribe it, I would take Parnate (or Nardil if Parnate was too stimulating) in a heartbeat.
>
> Edgefield, I found your comment regarding sedation or sleepiness and Wellbutrin classic in the sense that many PCP's and Pdocs believe that all medications have similar causes and effects with everyone they prescribe to. I remember a time where Pdocs told people who were anxious depressives that Prozac would literally make them crawl out of their skin.[An actual quote] When in reality, it wasn't all that activating for a majority of people. If it was, Lilly certainly wouldn't have done so well with it!

I think your comment reinforces how little is really understood about human neurobiology as well as the importance of seeking the best possible Doc you can find. I can not say that I have had any hands on experience personally with these meds, but I certainly have experienced some of the end results of inappropriate rxing day in and day out. Micro

P.S. If Wellbutrin is a God send for you, then why alter the course?


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