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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 2 to 26 of 26. Go back in thread:
Posted by joe f on November 25, 2017, at 14:53:07
In reply to Suicidal; Switched to Mirtazapine, posted by phidippus on November 25, 2017, at 14:26:30
how can you describe your suicidal ideation
Posted by phidippus on November 25, 2017, at 14:56:38
In reply to Re: Suicidal; Switched to Mirtazapine, posted by joe f on November 25, 2017, at 14:53:07
Along the lines of, "There is no point in living, I should just die." "Life is too painful, I just want to die."
Eric
Posted by beckett2 on November 25, 2017, at 15:50:12
In reply to Re: Suicidal; Switched to Mirtazapine » joe f, posted by phidippus on November 25, 2017, at 14:56:38
Can you tolerate a low dose of lithium? I recall you had an issue with it I think.
I'm not sure what you mean by the right track. Is it finding a workable AD?
Posted by joe f on November 25, 2017, at 15:54:19
In reply to Re: Suicidal; Switched to Mirtazapine » phidippus, posted by beckett2 on November 25, 2017, at 15:50:12
do you stay housebound or do you get out....I believe isolation can lead to some negative thinking
Posted by phidippus on November 25, 2017, at 17:28:30
In reply to Re: Suicidal; Switched to Mirtazapine, posted by joe f on November 25, 2017, at 15:54:19
I get out every day.
Eric
Posted by phidippus on November 25, 2017, at 17:30:37
In reply to Re: Suicidal; Switched to Mirtazapine » phidippus, posted by beckett2 on November 25, 2017, at 15:50:12
Lithium is my go to for all things bipolar, it just doesn't have enough oomph to kick my depression.
The right track is finding a workable AD, yes.
Eric
Posted by joe f on November 25, 2017, at 18:11:30
In reply to Re: Suicidal; Switched to Mirtazapine » beckett2, posted by phidippus on November 25, 2017, at 17:30:37
did you ever try luvox to rid melancholy and repetitive thoughts?
Posted by beckett2 on November 25, 2017, at 18:55:27
In reply to Re: Suicidal; Switched to Mirtazapine » beckett2, posted by phidippus on November 25, 2017, at 17:30:37
> Lithium is my go to for all things bipolar, it just doesn't have enough oomph to kick my depression.
>
> The right track is finding a workable AD, yes.
>
> EricHave you tried Trintellix?
Posted by beckett2 on November 25, 2017, at 18:56:40
In reply to Re: Suicidal; Switched to Mirtazapine » phidippus, posted by beckett2 on November 25, 2017, at 18:55:27
Never mind about Trintellix-- just saw your other post.
Posted by phidippus on November 25, 2017, at 18:56:59
In reply to Re: Suicidal; Switched to Mirtazapine, posted by joe f on November 25, 2017, at 18:11:30
Indeed I have. It made me hypomanic-I drove 1700 miles to see my girlfriend on the spur of the moment, wrecked a car and bought a new one...
Eric
Posted by phidippus on November 25, 2017, at 19:00:38
In reply to Re: Suicidal; Switched to Mirtazapine » phidippus, posted by beckett2 on November 25, 2017, at 18:55:27
I didn't give it a fair trial. I guess I'll try it if Mirtazapine fails.
Eric
Posted by Lamdage22 on December 1, 2017, at 9:00:44
In reply to Re: Suicidal; Switched to Mirtazapine » joe f, posted by phidippus on November 25, 2017, at 18:56:59
> Indeed I have. It made me hypomanic-I drove 1700 miles to see my girlfriend on the spur of the moment, wrecked a car and bought a new one...
>
>
> EricSounds like trying drugs is a pretty dangerous business. Just saying.
Posted by MightyKondrian on December 5, 2017, at 16:52:31
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 1, 2017, at 9:00:44
You think "I want to die".
Dont you think maybe it would be better in hospital, voluntarily? If you said that to a doc you would have no choice.
Posted by MightyKondrian on December 5, 2017, at 17:02:31
In reply to Re: Suicidal; Switched to Mirtazapine » Lamdage22, posted by MightyKondrian on December 5, 2017, at 16:52:31
In my opinion venlafaxize is just another SSRI at standard doses. Interesting that you switched to mirtazepine. You can add back venlafaxine to the mirtazepine for miraculous results. These are both higher (not highest) doses. Its been coined the phraze 'Rocket Fuel' coz of the huge boost in NA/NE.
Mirtazepine is like 2 meds in one. Higher doses being more stimulating than smaller doses
Posted by Lamdage22 on December 6, 2017, at 7:50:40
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 1, 2017, at 9:00:44
I agree with mighty. However i would try to avoid psych drugs whenever you can. Your dangerous drug experiment could have gone south big time. And the same goes for any other psychiatric drug. You could have been killed and you could have killed others, too. Mirtazapine might be even worse. I mean who knows???
I dont think you are on the right track with Mirtazapine at all.
Posted by Lamdage22 on December 6, 2017, at 8:06:08
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 6, 2017, at 7:50:40
I think you dont want to die, you just dont want to go on living like you do right now. Things can change for the better. Get the best help that you can get. To me that is a hospital that offers lots of meaningful therapy and is careful with meds.
Do you think you can do that? Your Mirtazapine experiment would be at least somewhat safer that way.
Posted by phidippus on December 6, 2017, at 18:51:45
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 6, 2017, at 8:06:08
Somewhere along the way I got lost.
I was on Effexor and experienced suicidiality. I switched to Mirtazapine and have been experiencing improvements.
I think I'm on the right track now.
Eric
Posted by phidippus on December 6, 2017, at 18:52:29
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 6, 2017, at 7:50:40
Effexor sucked. Mirtazzapine good...;)
Eric
Posted by Lamdage22 on December 7, 2017, at 6:37:30
In reply to Re: Suicidal; Switched to Mirtazapine » Lamdage22, posted by phidippus on December 6, 2017, at 18:52:29
Ok so killing yourself is out of the question now? Dont do anything stupid.
Posted by Lamdage22 on December 7, 2017, at 6:49:51
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 7, 2017, at 6:37:30
If Mirtazapine works for you right now thats fine but dont take it for granted. It could stop working and then you are back to zero. I would do as much non pharmaceutical therapy as possible even if you feel good on Mirtazapine. M. can help but dont expect it (or other drugs) to solve sll psychological problems for the rest of your life. Its not realistic. Work on improving yourself, your relationships and occupation as much as you can.
Stay vigilant. I wish you the best.
Posted by MightyKondrian on December 7, 2017, at 8:30:14
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 7, 2017, at 6:49:51
> Its not realistic. Work on improving yourself, your relationships and occupation as much as you can.
>
> Stay vigilant. I wish you the best.Lamdage22 is right. Also I think that now you feel better somewhat, It might be a good idea to tell your doc about it. No suicidal idealization any more? Then they wont put you in involuntarily, I dont think. At least they are aware of it and can sense the signs, possibly even before you do.
Best of luck. Keep us posted!
MightyKondria
Posted by Lamdage22 on December 24, 2017, at 1:30:13
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 7, 2017, at 6:49:51
Are you okay? Can you give us an update? Merry Christmas.
Posted by phidippus on December 24, 2017, at 12:56:00
In reply to Re: Suicidal; Switched to Mirtazapine, posted by Lamdage22 on December 24, 2017, at 1:30:13
So, the mirtazapine killed my libido and blunted my cognition. I stopped a week ago and already feel better. There's still this undercurrent of depression going on and I don't know how to deal with it.
I've been experimenting with ropinirole and found it somewhat helpful for the depression, but it makes me edgy and brings on insomnia.
Buprenorphine knocks my depression right out but feels a little weird.
Eric
Posted by Lamdage22 on December 25, 2017, at 13:44:29
In reply to Done with Mirtazapine, now just experiementing... » Lamdage22, posted by phidippus on December 24, 2017, at 12:56:00
You could try (psycho)therapy and social support and see where that gets you.
Posted by Lamdage22 on December 25, 2017, at 13:48:56
In reply to Re: Done with Mirtazapine, now just experiementing..., posted by Lamdage22 on December 25, 2017, at 13:44:29
You need the right therapist or clinic if you ask me. The wrong therapist may make you think that psychotherapy does not help, but this is not true.
Good luck
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