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SSRI for Anger and ARD (Anal Retentive Disorder)? » colin wallace

Posted by Ron Hill on May 9, 2003, at 12:31:14

In reply to JohnJ, TCA , posted by colin wallace on May 6, 2003, at 9:29:39

Hey Colin,

> I'm surprising myself with the ease with which I'm tolerating 10mg Prozac with my 300mg Lamictal-it feels like an entirely different drug, with the Lamictal 'filtering' all the unwanted side-effects ...

In addition to the antidepressive effects of Prozac, it's your opinion that it also smoothes out your dysphoric mood states (anger outbursts), right? This was my experience with the SSRIs, in general, and most notably with Prozac. For me, the SSRIs provide an antidepressant effect AND they treat my anger outbursts as well as my anal retentive nit-picky personality quarks. However, as I have discussed with you repeatedly in the past, after several weeks the SSRIs adversely affect my dopaminergic pathways causing me to lose my motivation and become apathetic and emotional blunted.

While the Enada NADH and TMG are doing a good job treating my atypical depression, I find myself in need of some anger management (in tablet form) and some anti-anal medication. In my previous life (before psychotropic medications), I managed my anger, anal, and depressive symptoms fairly well with a rigorous three-hour-a-day workout routine. Exercise didn't totally take away all the symptoms, but overall it did pretty good job. And I think that would work again, but it's hard to get there from the poor state of conditioning I currently find myself.

So I'm thinking about experimenting with some meds for treatment of the anger/anal issues. After I get my exercise routine back in place I might be able to discontinue or reduce any such medication. For the past month or so, I've been using a few milligrams of 5-HTP under my tongue PRN when I get angry. It works, but only for an hour or so. If I started to take higher dosages of 5-HTP on a more frequent basis, I suspect it would loose its effectiveness altogether.

Here’re the options I’m currently considering as add-on to my 600 mg/day of Lithobid and my OTC supplements:

Neurontin

Trileptal

Depakote (low dosage only because it caused hair loss, rash, weight gain, and increased depression when I took it years ago at 750 mg/day).

MAOI

Benzo

AP

Prozac (Dare I say it?! Maybe about three mg per day? Maybe the Enada NADH will counteract the adverse dopaminergic effects?)


I’d really rather not put any of these man-made drugs in my body (let alone the cost of this stuff to my self-insured pocketbook) but, at the same time neither my wife nor myself are satisfied with a rage-o-holic, anal retentive, SOB living with us.

Any thoughts?

> If you do venture over this side of the puddle, give me a yell and we can go visit Ron's new gogo bar in Kings Cross, London....

Yes, please do bring John-John (johnj) to the club. Remember to bring your money, however. The cover charge applies to everyone, even my good friends. Also bear in mind that touching the dancers is strictly prohibited.

-- Ron


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