![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 4 to 28 of 153. Go back in thread:
Posted by cybercafe on September 7, 2003, at 4:22:12
In reply to Re: is this depression or SSRI apathy???, posted by linkadge on September 6, 2003, at 15:21:16
> probably SSRI apathy, I'm on celexa too, and have the same sort of deal.
are some SSRIs worse for apathy than others?
> From what I've heard SSRI's + low dose of Effexor are great for apathy, but most doctors seem to think these drugs work well enough by themselves.hmmm.. effexor gave me high blood pressure and tremors ... i would like to try abilify first
Posted by cybercafe on September 7, 2003, at 4:23:31
In reply to Re: is this depression or SSRI apathy???, posted by Sebastian on September 6, 2003, at 21:48:59
> I concure, don't have much apathy without meds. Especialy with zyprexa and then on with celexa.
>
> I wonder if you took one wellbutrin SR befor bed, would you have an easyer time getting up in the morning?dunno... i am taking lorazepam, zyprexa, celexa and ritalin .... i acctually take them ALL in teh morning to make sure they are not causing the sleepiness the next night....
anyways... hopefully later today (sunday) i will be driving to buffalo and get some abilify ...
Posted by Sebastian on September 7, 2003, at 10:24:02
In reply to Re: is this depression or SSRI apathy???, posted by cybercafe on September 7, 2003, at 4:23:31
Man if you take it all in the morning, you will just sleep all day, no motivation in the day, its fine if you are doing nothing, but if you want to get out and get a job you should only take the sleep meds in the evening, ie: zyprexa, celexa. Take the stims in the morning.
Seb
Posted by cybercafe on September 7, 2003, at 16:30:26
In reply to Re: is this depression or SSRI apathy??? » cybercafe, posted by Sebastian on September 7, 2003, at 10:24:02
> Man if you take it all in the morning, you will just sleep all day, no motivation in the day, its fine if you are doing nothing, but if you want to get out and get a job you should only take the sleep meds in the evening, ie: zyprexa, celexa. Take the stims in the morning.
>
> Sebthats some good advice dude..... but right now i just want to cut back on my sleeping hours... and i'm still sleeping 12 hours a day so i think it must be my state (mild depression or SSRI/antipsychotic apathy) and not a direct effect of the zyprexa itself .... remember i thought it was zyprexa causing sleepiness, BUT after going 5 mg -> 2.5 mg and taking it in the morning instead of at night my sleep is still the same
i wonder if it's common to feel this apathy on celexa or if it's cause of the zyprexa
Posted by Sebastian on September 7, 2003, at 17:37:10
In reply to Re: is this depression or SSRI apathy???, posted by cybercafe on September 7, 2003, at 16:30:26
Your depressed1!? Arn't you, take wellbutrin 300 a day. Thats what you need! Nice happy wake up in the morning wellbutrin.
Even if you do get to buffalo and get a month supply of Abilify, can you afford to go back every couple of months for a refill, no insurance to cover it?
I think it is possible to feel apathy from celexa, I think its also posible to feel apathy from a reduction in zyprexa. Just today I was falling asleep on the couch and just didn't want to get up, I think I have this problem when I reduce zyprexa, sort of layzness and not wanting to go anywhere, I actualy had the same problem on abilify.
Sebastian
Posted by stjames on September 8, 2003, at 1:38:16
In reply to Re: is this depression or SSRI apathy??? » cybercafe, posted by Sebastian on September 7, 2003, at 17:37:10
I would only call it SSRI apathy if it was constant.
If it is just in the AM, then to me this is sedation. I am much this way every morning for 30 mins and it lifts and i am fine all day. I have had AD induced apathy and it was 24/7, as is depression.
Posted by linkadge on September 8, 2003, at 8:20:07
In reply to Re: is this depression or SSRI apathy???, posted by stjames on September 8, 2003, at 1:38:16
You were on an MAO were you not?
I was just wondering what your reasons for
discontinuing were?Thanks
Linkadge
Posted by JaneB on September 8, 2003, at 8:40:39
In reply to Re: is this depression or SSRI apathy???, posted by stjames on September 8, 2003, at 1:38:16
> I would only call it SSRI apathy if it was constant.
> If it is just in the AM, then to me this is sedation. I am much this way every morning for 30 mins and it lifts and i am fine all day. I have had AD induced apathy and it was 24/7, as is depression.What did you do for SSRI apathy? Change AD's? Augmentation? This has happened to me on Zoloft, Effexor XR, Celexa and Lexapro. Right now I only take clonazepam but sleep is beginning to indicate potential depression coming. Maybe I am paranoid that it will return. I have been off Lexapro since March. The pdocs just upped dosages when the SSRI apathy appeared. At the time it was diagnosed as poop out but looking back I feel confident it was SSRI apathy.
Thanks,
JaneB
Posted by stjames on September 8, 2003, at 11:07:02
In reply to Re: is this depression or SSRI apathy???, posted by JaneB on September 8, 2003, at 8:40:39
> What did you do for SSRI apathy? Change AD's?I got off TCA's and onto Effexor and it went away.
Posted by JaneB on September 8, 2003, at 12:29:21
In reply to Re: is this depression or SSRI apathy???, posted by stjames on September 8, 2003, at 11:07:02
>
> > What did you do for SSRI apathy? Change AD's?
>
> I got off TCA's and onto Effexor and it went away.Sometimes I wonder if I should go back to Effexor. Are you able to sleep with Effexor or do you need to take something also for sleep?
Thanks,
Jane
Posted by stjames on September 8, 2003, at 13:31:21
In reply to Remind me please » stjames, posted by JaneB on September 8, 2003, at 12:29:21
Are you able to sleep with Effexor or do you need to take something also for sleep?
> Thanks,
> Janei have always (20 years) taken something for sleep
so Effexor did not change this.
Posted by JaneB on September 8, 2003, at 15:22:54
In reply to Re: Remind me please, posted by stjames on September 8, 2003, at 13:31:21
> Are you able to sleep with Effexor or do you need to take something also for sleep?
> > Thanks,
> > Jane
>
> i have always (20 years) taken something for sleep
> so Effexor did not change this.
>
Are you still taking remeron?
Posted by stjames on September 8, 2003, at 16:29:26
In reply to Re: Remind me please » stjames, posted by JaneB on September 8, 2003, at 15:22:54
> Are you still taking remeron?
>yes, 15 mgs. Over the years to moved from
using TCA's a sole treatment to Effexor
and TCA's (to fix poop-out but still using TCA's for sleep)
to Effexor and Remeron (to fix the flat affect
from the TCA's)
Posted by cybercafe on September 8, 2003, at 18:48:06
In reply to Re: is this depression or SSRI apathy??? » cybercafe, posted by Sebastian on September 7, 2003, at 17:37:10
> Your depressed1!? Arn't you, take wellbutrin 300 a day. Thats what you need! Nice happy wake up in the morning wellbutrin.
haha... good call
> Even if you do get to buffalo and get a month supply of Abilify, can you afford to go back every couple of months for a refill, no insurance to cover it?if abilify puts me back to work i can afford it .... we'll have to see
i just got back today actually, drove down there and got 1 month worth of samples (30 mg) which is 4 months worth of samples if i decide to take a low dose like 7.5 mg :)
> I think it is possible to feel apathy from celexa, I think its also posible to feel apathy from a reduction in zyprexa. Just today I was falling asleep on the couch and just didn't want to get up, I think I have this problem when I reduce zyprexa, sort of layzness and not wanting to go anywhere, I actualy had the same problem on abilify.noo! don't tell me you had the same problem on abilify :)
Posted by cybercafe on September 8, 2003, at 18:49:28
In reply to Re: is this depression or SSRI apathy???, posted by stjames on September 8, 2003, at 1:38:16
> I would only call it SSRI apathy if it was constant.
> If it is just in the AM, then to me this is sedation. I am much this way every morning for 30 mins and it lifts and i am fine all day. I have had AD induced apathy and it was 24/7, as is depression.ummmmm... even whne i'm depressed it's not constant, like sometimes i'll be doing things and be happy, othertimes i'll be motionless and depressed
Posted by cybercafe on September 8, 2003, at 18:50:28
In reply to question for cybercafe, posted by linkadge on September 8, 2003, at 8:20:07
> You were on an MAO were you not?
> I was just wondering what your reasons for
> discontinuing were?got diagnosed with ADHD (finally!)
so discontinued parnate to take ritalin
Posted by stjames on September 8, 2003, at 19:26:04
In reply to Re: is this depression or SSRI apathy???, posted by cybercafe on September 8, 2003, at 18:49:28
> > I would only call it SSRI apathy if it was constant.
> > If it is just in the AM, then to me this is sedation. I am much this way every morning for 30 mins and it lifts and i am fine all day. I have had AD induced apathy and it was 24/7, as is depression.
>
> ummmmm... even whne i'm depressed it's not constant, like sometimes i'll be doing things and be happy, othertimes i'll be motionless and depressedthat is called dysthymia
Posted by cybercafe on September 8, 2003, at 22:19:59
In reply to Re: is this depression or SSRI apathy???, posted by stjames on September 8, 2003, at 19:26:04
> > > I would only call it SSRI apathy if it was constant.
> > > If it is just in the AM, then to me this is sedation. I am much this way every morning for 30 mins and it lifts and i am fine all day. I have had AD induced apathy and it was 24/7, as is depression.
> >
> > ummmmm... even whne i'm depressed it's not constant, like sometimes i'll be doing things and be happy, othertimes i'll be motionless and depressed
>
> that is called dysthymiahmmm.. i think it's called mood reactivity... dysthymia means "mild depression" right? you're right about that though, i'm not feeling *that* bad
Posted by Sebastian on September 9, 2003, at 12:37:27
In reply to Re: is this depression or SSRI apathy???, posted by cybercafe on September 8, 2003, at 18:48:06
Don't pay any attention to me! Just take a low dose in the morning, like 7.5mg(1/4), take a zyprexa if needed. Don't pay any attention to posible side-effects, just take the drug, assume everything is wonderful.
Tell me how you are doing.
Sebastian
Posted by cybercafe on September 9, 2003, at 23:26:41
In reply to Re: is this depression or SSRI apathy??? » cybercafe, posted by Sebastian on September 9, 2003, at 12:37:27
> Don't pay any attention to me! Just take a low dose in the morning, like 7.5mg(1/4), take a zyprexa if needed. Don't pay any attention to posible side-effects, just take the drug, assume everything is wonderful.
oh you think 7.5mg is a low dose? like guaranteed no side effects? ... or should i start at 3.75 mg?
> Tell me how you are doing.thanks bro, you're support means a lot to me
btw... does abilify increase libido??
Posted by Sebastian on September 10, 2003, at 12:01:36
In reply to Re: is this depression or SSRI apathy???, posted by cybercafe on September 9, 2003, at 23:26:41
3.75 was nice, 7.5 was ok, but more was not good. Sorry if I was sounding like your doctor, I just didn't want you to think its bad befor you take it.
Seb
Posted by cybercafe on September 10, 2003, at 17:44:28
In reply to Re: is this depression or SSRI apathy??? » cybercafe, posted by Sebastian on September 10, 2003, at 12:01:36
> 3.75 was nice, 7.5 was ok, but more was not good. Sorry if I was sounding like your doctor, I just didn't want you to think its bad befor you take it.
hey dude what are the equivalent dosages between zyprexa and abilify ?
Posted by Sebastian on September 11, 2003, at 12:24:56
In reply to Zyprexa vs. Abilify, posted by cybercafe on September 10, 2003, at 17:44:28
In my opinion? Max dose of Abilify is 30 mgs, Max dose of zyprexa is 25mgs. If you take 2.5mgs zyprexa you probably only need 2-5mgs abilify. Just a guess, tell be what you find best.
Seb
Posted by cybercafe on September 12, 2003, at 1:11:31
In reply to Re: Zyprexa vs. Abilify » cybercafe, posted by Sebastian on September 11, 2003, at 12:24:56
> In my opinion? Max dose of Abilify is 30 mgs, Max dose of zyprexa is 25mgs. If you take 2.5mgs zyprexa you probably only need 2-5mgs abilify. Just a guess, tell be what you find best.
hmmmm.... okay, it takes what 15 days for abilify to build up in your system? maybe tonite i should try taking another 4 mg to help it buildup a bit faster
Posted by Sebastian on September 12, 2003, at 22:09:59
In reply to Re: Zyprexa vs. Abilify, posted by cybercafe on September 12, 2003, at 1:11:31
Couldn't hurt? I would take it right befor you sleep, so it won't keep you up all night.
Seb
Go forward in 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.