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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 72. This is the beginning of the thread.
Posted by Escapee on July 31, 2016, at 17:47:51
Ive had enough of isocarboxazid. Numerous attempts to augment, synch and bully with it have failed. In fact I've toyed with this med for roughly 10yrs now. Not once did it match what Nardil gave me all by its self. So im going back to it (phenelzine). Have a handfull of meds to get clear of before I restart. I hope to be off all current meds in 5 weeks. So that will leave just the final 2 week washout before i can re-start phenalzine (thinking of it brings tingles up n down my spine!).
The only med I might hang onto is clonazepam. Stopping somewhere around 2wks after starting phenelzine. Last time(and the 1st) took 3weeks to feel the effects. Very anxiolitic. That was at 45mg yet i still jumped to 60mg by the time i re-visited my doc. This time I will go slower.
I pray it does its magic again. I'd be working again by/soon after xmas! Haven't worked for 11yrsWishing for brighter days,
Escapee
Posted by SLS on July 31, 2016, at 18:15:28
In reply to Enough is enough, posted by Escapee on July 31, 2016, at 17:47:51
> Wishing for brighter days,
I'll be wishing right along with you!
- Scott
Posted by Escapee on July 31, 2016, at 18:17:05
In reply to Re: Enough is enough » Escapee, posted by SLS on July 31, 2016, at 18:15:28
> > Wishing for brighter days,
>
> I'll be wishing right along with you!
>
>
> - ScottThanks! Expect up to the minute developement ;)
Posted by Escapee on July 31, 2016, at 18:31:27
In reply to Re: Enough is enough » SLS, posted by Escapee on July 31, 2016, at 18:17:05
I will be keeping my supplements & nootropics. Daily: Citicoline 1g, ALCAR 1g, Oxiracetam 1g, ALA 400mg, Hi omega 3 fish oils, Saw Palmetto 1800mg, Essential Amino Acids 1500mg, Gingko biloba 1800mg, Mega-dose multi.
Will start a short course of Valerian or Picamilon whilst coming off clonazepam. No cross tolerance.
I dont expect ending clonazepam to be too difficult, thanks to phenelzines GABAergic effects.
Posted by Escapee on August 1, 2016, at 13:25:12
In reply to Enough is enough, posted by Escapee on July 31, 2016, at 17:47:51
If u are giving up on, or changing meds and you have leftovers, please do not throw them. Instead check out http://intercare.org.uk/how-to-help/donate-medicines/
This is a UK site but please check if your own country has its own branch.
Most intact meds can be sent. Read all the do's and don'ts. Also take to you family GP/MD who can set up a recycle program to reduce to waist. I have sent meds myself for several yrs.
Otherwise, at least take unwanted/unneeded meds to ur doc or pharmacy for safe disposal. What ends up in our water supplies ultimately ends up in our food!Escapee
Posted by Escapee on August 5, 2016, at 8:16:29
In reply to Re: Enough is enough, posted by Escapee on July 31, 2016, at 18:31:27
Getting there!
Down to 30mg isocarboxazid, 100mg Quetiapine, 1.5mg clonazepam, 50mg amitrypyline, 150g bupropion.
When my amitriptyline goes, Im sure I will need a sleep aid for a week or 2. Anyone know how long from finnishing an MAOI i can use diphenhydramine? Or if what else is effective and safe?Thanks
Escapee
Posted by Escapee on August 8, 2016, at 11:06:59
In reply to Withdrawing - Sleep aids? » Escapee, posted by Escapee on August 5, 2016, at 8:16:29
OK. Now I'm almost done with my med reductions. Bearing in mind I'm keep 100mg quetiapine + 'some' clonazepam, I've dropped dramatically.
This week:
10mg isocarboxazid (ditching on Sunday)
150mg bupropion (last dose on Wednesday)
50mg amitriptyline (ditching on Sunday)
1.5mg clonazepam (down to 1mg on Sunday)
100mg quetiapine (keeping)
Diphenhydramine (just started for sleep)
Keeping all supplements + added AnthroPlex, a strong adaptogenic.Next Monday will be 11days before I see my pdoc to begin phenelzine. I think that's a long enough washout of the contraindicated meds
A few things have happened. My appetite is almost completely gone so small regular snacks throughout the day. Also lost almost a stone in weight since I began reducing. Almost no depression at all. YET! Social & general anxiety sky high. I expected that.
Escapee
Posted by SLS on August 8, 2016, at 11:16:35
In reply to bit by bit, almost there..., posted by Escapee on August 8, 2016, at 11:06:59
I hope you are wonderfully surprised!
- Scott---------------------------------------------------
> OK. Now I'm almost done with my med reductions. Bearing in mind I'm keep 100mg quetiapine + 'some' clonazepam, I've dropped dramatically.
>
> This week:
> 10mg isocarboxazid (ditching on Sunday)
> 150mg bupropion (last dose on Wednesday)
> 50mg amitriptyline (ditching on Sunday)
> 1.5mg clonazepam (down to 1mg on Sunday)
> 100mg quetiapine (keeping)
> Diphenhydramine (just started for sleep)
> Keeping all supplements + added AnthroPlex, a strong adaptogenic.
>
> Next Monday will be 11days before I see my pdoc to begin phenelzine. I think that's a long enough washout of the contraindicated meds
>
> A few things have happened. My appetite is almost completely gone so small regular snacks throughout the day. Also lost almost a stone in weight since I began reducing. Almost no depression at all. YET! Social & general anxiety sky high. I expected that.
>
> Escapee
Posted by Escapee on August 8, 2016, at 11:20:36
In reply to Re: bit by bit, almost there... » Escapee, posted by SLS on August 8, 2016, at 11:16:35
Posted by Escapee on August 8, 2016, at 14:33:50
In reply to Re: bit by bit, almost there... » Escapee, posted by SLS on August 8, 2016, at 11:16:35
>Almost no depression at all. YET!
Spoke too soon
Posted by SLS on August 8, 2016, at 15:14:28
In reply to Re: bit by bit, almost there..., posted by Escapee on August 8, 2016, at 14:33:50
> >Almost no depression at all. YET!
>
> Spoke too soon.What's happening?
- Scott
Posted by Escapee on August 9, 2016, at 3:52:10
In reply to Re: bit by bit, almost there... » Escapee, posted by SLS on August 8, 2016, at 15:14:28
> > Spoke too soon.
>
> What's happening?
>
>
> - Scottbattery died. had a bad night too....16 more days
Posted by Escapee on August 9, 2016, at 4:12:32
In reply to Re: bit by bit, almost there... » SLS, posted by Escapee on August 9, 2016, at 3:52:10
Just ordered some 5-HTP online. Hopefully here by tomorrow. Ive used it before when switching meds with good effect. Doesn't last long. 7-10 days, but it has helped to break through downward spirals.
Posted by Escapee on August 9, 2016, at 14:57:18
In reply to Re: bit by bit, almost there..., posted by Escapee on August 9, 2016, at 4:12:32
And now im drinking. Sh*t loads. I'm tense, nervous when outside and am drinking like a fish with little effect. What a mess. gotta do something. Try and get a bed in a psych ward? Will they take me? Will I have to lie and say i'm suicidal or will that hang on my conscience and pull me even lower. Should have organized this all 1st. But no chance of the f**king NHS bast*rds doing that.........................................................................................................................................................................................
Posted by Escapee on August 9, 2016, at 15:52:13
In reply to Re: bit by bit, almost there..., posted by Escapee on August 9, 2016, at 14:57:18
Heres my last post on the subject. Thanks to all the helpfull comments and sugestions! I'm so f*ckin gratefull. How f*ckin kind. Now all go do one.
Posted by shadowtom2 on August 9, 2016, at 19:11:21
In reply to Re: bit by bit, almost there..., posted by Escapee on August 9, 2016, at 14:57:18
It definitely sounds like you're in a dark place, Escapee, and I find it to be quite troubling that the last day or two have been as difficult for you as they've been. If you've yet to reach out for assistance from a mental health professional, I'd strongly encourage you to do so. I'll be keeping you in my thoughts in hopes that you'll get yourself back to being in a better state of mind. I think that you can get through this, but please, get in contact with someone with the expertise to help guide you through this difficult period.
Tom (the former Tomatheus)
Posted by Escapee on August 10, 2016, at 8:44:07
In reply to Re: bit by bit, almost there... » Escapee, posted by shadowtom2 on August 9, 2016, at 19:11:21
Yea yesterday was bad. Apologies for my outburst everyone.
Three nights in a row now, since starting it, the diphenhydramine has given me throbbing headaches at night. I guess coz i still got other ADs floating around my system. Nightmares too since i started it.
I see my GP on Friday. Ive had a congested airways now for 3-4 months. Not coughing but still blocked. Thats why im going but I intend on asking for some sleepers. Zopiclon perhaps. I cant up the amitriptyline as that would defeat the object. Same with clonazepam.
My last 150mg of bupropion today (had it). That will probably begin to help sleep. I still have other meds, ready for augmentation (instead of chucking them). I've never had suicidal idealization so am not worried about ODing. I'm about to take some pregablin. 100mg to start with (remember, right now I need help with sleep & stress/irritation). Hope it helps to chill me out.
I could kill for a 'smoke' right now. Gotta stop drinking in the evening too. I cant even drink more than 2-3 beers. Then I bloat and that's that. Gives me wretched heartburn too. I think a 30day course of thiamine 100mg is in order. I'm just so board with my days right now. Ive never felt time lag so bad. I've already ordered some 'activated' B6, B12 & Folate (P-5-P, Methyl B12 & Methyl Folate) . Mainly for the B6 to keep any Nardil B6 interference at bay.
Eating less by the day. Not healthy I know, but hey! I'm loosing weight fast (still overweight). I have all the micro-nutrients I need. I gotta stay out of hospital. I can't go in, not with Social anxiety this bad! Lets see what this pregablin does - GULP!
Posted by Escapee on August 10, 2016, at 9:16:31
In reply to Re: bit by bit, almost there... » shadowtom2, posted by Escapee on August 10, 2016, at 8:44:07
Ah my 5-HTP has arrived. Need to get off the ADs 1st. Start it sat or sun.
Posted by Escapee on August 10, 2016, at 9:23:41
In reply to Re: bit by bit, almost there..., posted by Escapee on August 10, 2016, at 9:16:31
Posted by shadowtom2 on August 10, 2016, at 11:20:48
In reply to Re: bit by bit, almost there... » shadowtom2, posted by Escapee on August 10, 2016, at 8:44:07
Thank you for the update, Escapee. I think it's good that you seem to be doing at least somewhat better today than how you were doing yesterday, and it's also good to see that you have an appointment with your GP scheduled for Friday. As far as the changes that you've been making to your regimen of medications and supplements are concerned, I do hope that things will go at least reasonably smoothly for you. I am, however, not in a position to give advice on how to proceed with the changes that you're making to your regimen other than to say that contacting your GP at any time when you think that you might need professional guidance is something that I'd recommend considering. It is, of course, my hope that everything will go at least reasonably well for you over the next few days and that the discussions that you'll have with your GP and any other members of your GP's medical staff on Friday will serve you well.
Take care,
Tom
Posted by Escapee on August 10, 2016, at 11:33:11
In reply to Re: bit by bit, almost there... » Escapee, posted by shadowtom2 on August 10, 2016, at 11:20:48
Thanks shadowtom2.
Dont worry about lack of advice. I haven't asked for any. Ive simply welcomed peoples comments. Anyone may jump in any time if they think they can help, whatever it is. I just wanna write this stuff down. And though I'm not looking for answers (as you can see I'm making the decisions here) I feel more 'safe' & comfortable writing it down where others can see. Makes me feel less alone.
Posted by Escapee on August 10, 2016, at 17:08:38
In reply to Re: bit by bit, almost there... » shadowtom2, posted by Escapee on August 10, 2016, at 11:33:11
The 5-HTP & Pregablin make such a difference. Phew
Posted by shadowtom2 on August 10, 2016, at 17:24:44
In reply to Re: bit by bit, almost there..., posted by Escapee on August 10, 2016, at 17:08:38
> The 5-HTP & Pregablin make such a difference. Phew
I'm glad to hear that these things are helping you, Escapee. I wish you the best of luck as you continue to make your way through the treatment-related transitions that you're going through.
Tom
Posted by Escapee on August 10, 2016, at 17:33:10
In reply to Re: bit by bit, almost there... » Escapee, posted by shadowtom2 on August 10, 2016, at 17:24:44
Can't sleep. Gonna take another 150mg pregablin.
This is my last post on this thread. The threads a total mess. Looks awful on the board. If Dr. Bob or any Administrator could please delete the whole thread Id much appreciate that. I feel greatly embarrassed.
Probably update after I've started Nardil. Though I'm also thinking Parnate, possibly....
Posted by shadowtom2 on August 12, 2016, at 9:49:54
In reply to Re: bit by bit, almost there..., posted by Escapee on August 10, 2016, at 17:33:10
Escapee,
I know that you wrote that you won't be making any more posts to this thread, but I wanted to say that if you'd like to check in with us at any point to let us know how you're doing, you could most certainly feel free to do so. I hope that you've been finding yourself doing at least reasonably well over the last few days, and I also hope that you'll find resuming Nardil (or possibly going with Parnate) to be beneficial.
Tom
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