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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by willyee on August 30, 2005, at 19:30:42
Hey you mentioned tca,knowing my addiction problem to parnate,where i stand now,as good as untreated at all,deathly afraid of withdrawal,which tca med would u recomend,or just for the fun of it what protocol of meds period would u use?
Posted by linkadge on August 31, 2005, at 7:21:51
In reply to Linkadge, posted by willyee on August 30, 2005, at 19:30:42
I think the ritalin could be used to help come off the parnate untill it was safe to start a TCA.
Imipramine + Ritalin might be worthwile.
Linkadge
Posted by linkadge on August 31, 2005, at 7:26:54
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 7:21:51
Some people mix TCA's to fine tune their effects.
Some people start with clomipramine (more serotonergic) and add desipramine (noradrenergic) until the desired effect is achieved.
Linkadge
Posted by linkadge on August 31, 2005, at 7:41:07
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 7:26:54
Sorry didn't read that you had already tried imipramine.
In your case, I would give clomipramine a fair trial (if you were to try a TCA). It could be combined with the ritalin.
It was the most effective antidepressnat I have ever taken.
Linkadge
Posted by willyee on August 31, 2005, at 11:20:16
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 7:41:07
> Sorry didn't read that you had already tried imipramine.
>
> In your case, I would give clomipramine a fair trial (if you were to try a TCA). It could be combined with the ritalin.
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> It was the most effective antidepressnat I have ever taken.
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> LinkadgeI failed on imiprimine,however i was at least able to tolerate it,something ssris dont allow.
Having OCD like sympotms i have thought about cloimiprimmine,also i see enough success to try nortrptyline.These are 2 id consider.Amtrip i already use for sleep and other than sedating i dont see it being more than effective for mostly sleep like trazadone.
Ah but the one thing i forgot to mention,another reason other than fear for which im haulted from stopping parnate at the momment is im in a year long program where my parnate is free.I could never afford at the moment AD medication daily.
I know thats not saying much if the med i get free is not helping,also i do plan on a time comming soon where i will have insurance to try a different med,i would prob go for cloimprimine for its success with ocd while keeping a low dose stimulant to ease me off parnate.
Like phillpa said it best,it is scary when u become fine tuned to a med,know it well,and face the fear of leaving it behind to start a new voyage on a different drug,it is enough to make butterflies in my stomach right now.
Thanks for the response,the two u mentioned would be likly one of the two id start.
Posted by linkadge on August 31, 2005, at 11:58:53
In reply to Re: Linkadge, posted by willyee on August 31, 2005, at 11:20:16
The generic TCA's can be cheap, but it depends.
Parnate and Clomipramine for me were two totally different drugs for me.
My moods were kinda dark on the parnate. It helped a lot more with the energy. Whereas I could say that I felt happier on the clomipramine.
I know some people do well on it. I'd just hate for anyone to experiene what I did on it.
Linkadge
Posted by linkadge on August 31, 2005, at 12:01:37
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 11:58:53
My last statement wasn't clear.
I'd hate for somebody to experience what I did when I was on parnate.
Linkadge
Posted by willyee on August 31, 2005, at 13:09:16
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 12:01:37
> My last statement wasn't clear.
>
> I'd hate for somebody to experience what I did when I was on parnate.
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> LinkadgeSo you mean u had dark feelings on parnate?Did the med provide any actualy anti-depressant reliaf?
Also if u dont mind me asking,how long were u on parnate,and what was a common dosage for u,thank.
Posted by willyee on August 31, 2005, at 13:29:32
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 12:01:37
Two things id like to address however is,first if the tca helped why did u stop and choose to go off meds period.I workout non stop,complusvily,and endure sleep depreivation too even if not by choice.What made u decide these options to be more effective and gave u the bravery to tackle depression using these tools minus meds.
As far as parnate,i dont understand,major anxiety sites recomend parnate highly,i read quite a few articles claiming parnate to be the best medication in treatment resistent,as well as parnate is said to show on scans neuro protective properties on the brain.
These were some of the reasons i were so opted to get on it in the first place.
I do think my depression alone is just as much the culprit as parnates pooping out.
I tried no meds,and im either damaged from previous meds, or really have something wrong but the no med thing was long hard and miserabvle i couldent do it more than 6 months.I also chewed enough nurtional supplements to prob make up for meds in that time anyway.
Posted by linkadge on August 31, 2005, at 15:04:27
In reply to Re: Linkadge, posted by willyee on August 31, 2005, at 13:29:32
I took worked up to 40mg of parnate over a month and stayed there for about 8 months.
It was good at first, stimulating and rewarding, but it seemed to intensify. My thoughts started to beome darker over the course of time. It started to feel like I had smoked some bad marajuanna.
I found myself thinking constantly of all the things I had done wrong. I felt very guilty about them and found it very hard to find resolution.
It could have been the depression getting worse, and not the parnate at all.
After I had swiched to clomipramine things started to get a lot better. My mood seemed to brighten. It may have just been that it was a better drug for me.
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To answer second question I have tried to go my summer off meds. Doctors say it is unwise, and maybe it is. Some things are a lot better off meds some things are a lot worse.
I too have a lot of obsessions, and become preocupied with thoughts of severe brain dammage etc etc.
I believe the meds have caused some dammage. But I think about killing myself a *lot* so I will probably have to go back on them.
If so, it will probably be a TCA.
Linkadge
Posted by linkadge on August 31, 2005, at 15:08:23
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 15:04:27
You are right. Parnate, like deprenyl has neuroprotective properties.
Linadge
Posted by willyee on August 31, 2005, at 15:44:54
In reply to Re: Linkadge, posted by linkadge on August 31, 2005, at 15:04:27
> I took worked up to 40mg of parnate over a month and stayed there for about 8 months.
>
> It was good at first, stimulating and rewarding, but it seemed to intensify. My thoughts started to beome darker over the course of time. It started to feel like I had smoked some bad marajuanna.
>
> I found myself thinking constantly of all the things I had done wrong. I felt very guilty about them and found it very hard to find resolution.
>
> It could have been the depression getting worse, and not the parnate at all.
>
> After I had swiched to clomipramine things started to get a lot better. My mood seemed to brighten. It may have just been that it was a better drug for me.
>
> ------------------
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> To answer second question I have tried to go my summer off meds. Doctors say it is unwise, and maybe it is. Some things are a lot better off meds some things are a lot worse.
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> I too have a lot of obsessions, and become preocupied with thoughts of severe brain dammage etc etc.
>
> I believe the meds have caused some dammage. But I think about killing myself a *lot* so I will probably have to go back on them.
>
> I think the above comment more than probuably
>
> shows u should go back on meds,whether or not they are in the long run is understandable debate,but right now u r aware of this horrable thought about hurting urself,and all i can say is if u like many other people here are capable of offering this kind of support to people,this kind of knowledge,then i can just imagine aside from the board what the world would be loosing if a lot of us gave in.If you myself and others are capble of offering such great support to people here,im sure we dont realise how much we do for others around us in real life.
I dont have thoughts of hurting myself,im way to chicken for that,but i do wish a LOT that i just would vanisi h without a trace.
Outside my body i can see how much i wanna live,im sure u can too,its a horror how are brain chemisty can totaly munipulate this into making us feel we dont want to exist anymore.
Please,ur smart enough here to know u have to do quickly what u know u have,and qwell those totaly irrational thoughts u just mentioned above.
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Posted by linkadge on August 31, 2005, at 16:14:46
In reply to Re: Linkadge, posted by willyee on August 31, 2005, at 15:44:54
I know what you are saying.
I can rememeber the best parts of my life so well, but I can't access them.
It's like everything that I loved is locked behind glass, and I can only look at it.
I really want to get through school, and sometimes when I'm loaded up on meds it gets pretty hard to do the simplest things.
Take care
Linkadge
This is the end of the thread.
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