![[dr. bob]](/dr-bob-sm.gif)
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 nhgrandma on November 1, 2000, at 5:41:39
John, Just curious. Does your doc know and approve of your current medications? Are you having trouble sleeping (posting at 4 am)? You sure seem to have great concentration now as compared to 2 years ago and sound so much happier. I've been on Celexa for 10 days and I feel awful (headache, nausea, exhaustion, etc.) but I'm not crying anymore. Should I stick with it?
Posted by JohnL on November 2, 2000, at 5:33:31
In reply to JohnL: Does your pdoc know?, posted by nhgrandma on November 1, 2000, at 5:41:39
> John, Just curious. Does your doc know and approve of your current medications? Are you having trouble sleeping (posting at 4 am)? You sure seem to have great concentration now as compared to 2 years ago and sound so much happier. I've been on Celexa for 10 days and I feel awful (headache, nausea, exhaustion, etc.) but I'm not crying anymore. Should I stick with it?
What doc? I don't have one. My pdoc recently retired. My GP now works in another State. I go to the local clinic a couple times a year to request a routine fasting liver test and blood test.
Though it's probably not wise or appropriate for many people, I am comfortable with self-directed care. I hate to admit it, because I have immense respect for the years of study and dedication doctors have invested in themselves, but I quite honestly have done much better directing my own course of action. Over the years I've learned the ropes. I feel comfortable and knowledgeable enough to make safe, disciplined, and controlled decisions. I shudder to think what side-effect laden drugs a doc would have me on, and probably not be nearly as well as I am now.
If you and I were neighbors chatting on the porch, I might offer you to try my Adrafinil for a couple weeks. I think you would like it a million times better than Celexa. Or maybe something like 5mg or 10mg of Celexa plus a little Adrafinil. Especially if you are over 40 in age, Adrafinil has a lot of potential with a side effect profile that is practically nill. Though mileage will vary, it can be a superb antidepressant, far superior to SSRIs, with no or nill side effects, and anti-aging cognitive enhancement benefits as well. I can't believe how fast I breeze right through crossword puzzles.
Yeah, I am feeling better. You can tell because I ramble on and on and on...:-)
I have to hit the road at 6:00am or 7:00am in the morning. I like my private peaceful time in the morning. I go to bed at 7:00pm or 8:00pm. That's why I show up here early in the morning. I've had a good night's sleep. I just go to bed early.
Hope Celexa gets a little smoother for you. You're almost halfway through a fair trial of it. Hang in there. Just keep one word on the back burner though...Adrafinil. I wouldn't keep mentioning it for no reason.
Best wishes to you, my friend in NH.
John
(ps. I'm looking to buy an acre or two of land to plant some hobby fruit trees. My yard's too small. If you see anything in the Derry area, please let me know. That would be an awesome location, and is only an hour away!)
Posted by judy1 on November 2, 2000, at 19:14:13
In reply to Re: JohnL: Does your pdoc know?, posted by JohnL on November 2, 2000, at 5:33:31
Wow, I'm really impressed. How do you get your prescriptions? I may have missed this thread, so I apologize if you have said that before. I posted below about restarting meds, if you have a moment I would greatly appreciate your opinion. Take care, Judy
Posted by Anna P. on November 3, 2000, at 9:36:04
In reply to Re: JohnL: Does your pdoc know? » JohnL, posted by judy1 on November 2, 2000, at 19:14:13
> Wow, I'm really impressed. How do you get your prescriptions? I may have missed this thread, so I apologize if you have said that before. I posted below about restarting meds, if you have a moment I would greatly appreciate your opinion. Take care, Judy
Hi John,
I'm just curious about Adrafinil in terms of liver toxicity and chest/heart pain.
You see, I can't take stimulants, Wellbutrin, Parnate and this mild stimulant Amineptine.What are my chances?
Anna P.
Posted by JohnL on November 5, 2000, at 7:55:39
In reply to Re: JohnL:Adrafinil:any liver or chest pain?, posted by Anna P. on November 3, 2000, at 9:36:04
> I'm just curious about Adrafinil in terms of liver toxicity and chest/heart pain.
> You see, I can't take stimulants, Wellbutrin, Parnate and this mild stimulant Amineptine.
>
> What are my chances?
>
> Anna P.
Anna,
I could be wrong but I would not expect any liver toxicity or chest pain with Adrafinil. In terms of chest pain, Adrafinil doesn't work the same way as other stimulants. I really think that classifying it as a stimulant is incorrect and misleading. It is more correctly in a class of its own that might be called arousal agents. For simple lack of another classification to put it into, they call it a psychostimulant. But it really isn't anything like psychostimulants in terms of mechanism, effects, tolerance, dependence, or withdrawal. It is not accompanied by increased blood pressure, increased blood flow, increased release of neurotransmitters, or anything else like that typical of stimulants. I think what it does more than anything else is wake up or excite norepinephrine receptors. If other stimulants cause chest pain, I would not expect that with Adrafinil. But of course, anything's possible. It's cheap enough and easy enough to try without any great loss if it doesn't work out.Liver toxicity as I understand it is dependent upon longterm use and primarily in the high dose range. I might get a liver test once every three months if I was taking four tabs a day. But at one or two tabs a day I think once every six months would be adequate. And even then it would probably be a waste of money. But it's the safe and responsible thing to do, not only with Adrafinil, but with any drug, especially if a combination of drugs is being used.
It's worth a try and I don't see any major risks. Probably the worst thing that could happen is it wouldn't work for you. I wouldn't be afraid of it though. It really is much milder than these other psychiatric drugs you and I normally deal with.
John
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.