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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by 4mygrls on July 30, 2004, at 10:57:42
by saying that every mood stabilizer that i have been on has made me have more mood swings. I am on lithium 600mg, wellbutrin xl 300mg.clonzepam .5mg and 1mg and night. He was talking about adding serequel but i'm afraid of more sedation. i'm so much in a fog and my brain is screwed up. so i want off the lithium. i want to go back to an ssri. i was thinking lexapro. i tried it before but i don't think i used it for long. i honestly can't remember alot of how long and why i went off of any of those meds. anyhow,my question is in you guys opinions, which ssri is the best for stimulating and which anti-psychotic. which has the least side affects. my pdoc doesn't seem to think i need much of an anti-psychotic but he's not here when i feel like i'm going crazy and want to kill myself. it's like he doesn't believe what i'm telling him. i wont do this but it almost seems like i would have to try to kill myself in his office to get his attention. i don't feel suicidal right now but i did last night. i'm feeling much better today.
Kathi
Posted by Sad Panda on July 30, 2004, at 11:21:20
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 10:57:42
> by saying that every mood stabilizer that i have been on has made me have more mood swings. I am on lithium 600mg, wellbutrin xl 300mg.clonzepam .5mg and 1mg and night. He was talking about adding serequel but i'm afraid of more sedation. i'm so much in a fog and my brain is screwed up. so i want off the lithium. i want to go back to an ssri. i was thinking lexapro. i tried it before but i don't think i used it for long. i honestly can't remember alot of how long and why i went off of any of those meds. anyhow,my question is in you guys opinions, which ssri is the best for stimulating and which anti-psychotic. which has the least side affects. my pdoc doesn't seem to think i need much of an anti-psychotic but he's not here when i feel like i'm going crazy and want to kill myself. it's like he doesn't believe what i'm telling him. i wont do this but it almost seems like i would have to try to kill myself in his office to get his attention. i don't feel suicidal right now but i did last night. i'm feeling much better today.
> Kathi
>Quit Wellbutrin to start with, it can cause anger as a side effect. You need to trial an SSRI ASAP, it's a shame you can't remember why you didn't stay on Lexapro. Seroquel would be a good antipsychotic to be on, but don't take it unless you need it as a sedating TCA would be a better choice.
Do you actually have any psychotic symptoms like delusions or hallucinations?
Cheers,
Panda.
Posted by 4mygrls on July 30, 2004, at 18:44:16
In reply to Re: I need some advice on two meds. First let me start » 4mygrls, posted by Sad Panda on July 30, 2004, at 11:21:20
> > by saying that every mood stabilizer that i have been on has made me have more mood swings. I am on lithium 600mg, wellbutrin xl 300mg.clonzepam .5mg and 1mg and night. He was talking about adding serequel but i'm afraid of more sedation. i'm so much in a fog and my brain is screwed up. so i want off the lithium. i want to go back to an ssri. i was thinking lexapro. i tried it before but i don't think i used it for long. i honestly can't remember alot of how long and why i went off of any of those meds. anyhow,my question is in you guys opinions, which ssri is the best for stimulating and which anti-psychotic. which has the least side affects. my pdoc doesn't seem to think i need much of an anti-psychotic but he's not here when i feel like i'm going crazy and want to kill myself. it's like he doesn't believe what i'm telling him. i wont do this but it almost seems like i would have to try to kill myself in his office to get his attention. i don't feel suicidal right now but i did last night. i'm feeling much better today.
> > Kathi
> >
>
> Quit Wellbutrin to start with, it can cause anger as a side effect. You need to trial an SSRI ASAP, it's a shame you can't remember why you didn't stay on Lexapro. Seroquel would be a good antipsychotic to be on, but don't take it unless you need it as a sedating TCA would be a better choice.
>
> Do you actually have any psychotic symptoms like delusions or hallucinations?
>
> Cheers,
> Panda.
>
>
>
it has gotten worst. i feel like i am outsided watching in. i've taken more klonopin than i should and have been drinking margaritas. i can not bring myself to eat. i am someone else. i feel no feelings but then i do. i want to kill myself but that would leave my kids destroyed for life. my husband just says i'm selfish.he said don't i care about the kids. honestly, i tried to find a loving emotion in me and i couldn't. that makes me sad. he keeps telling me to call the pdoc but that wont do any good. what do i say to him? they never call back. he(my husband)is frustrated with me right now. i actually want to leave but i have nowhere to go. i have no friends or family here. there's only two places to go:6feet under or the hospital. and what is going to happen at the hospital? nothing? just more bills to pay.
Posted by zeugma on July 30, 2004, at 19:40:54
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 18:44:16
Zyprexa has a lot of side effects but it is supposed to work the best on suicidal ideation. For longer term, Seroquel is supposed to be less sedating than at lower dosages. If I had to be on an AP for bipolar, I would try Seroquel first.
Posted by Sad Panda on July 30, 2004, at 23:35:22
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 18:44:16
> > > by saying that every mood stabilizer that i have been on has made me have more mood swings. I am on lithium 600mg, wellbutrin xl 300mg.clonzepam .5mg and 1mg and night. He was talking about adding serequel but i'm afraid of more sedation. i'm so much in a fog and my brain is screwed up. so i want off the lithium. i want to go back to an ssri. i was thinking lexapro. i tried it before but i don't think i used it for long. i honestly can't remember alot of how long and why i went off of any of those meds. anyhow,my question is in you guys opinions, which ssri is the best for stimulating and which anti-psychotic. which has the least side affects. my pdoc doesn't seem to think i need much of an anti-psychotic but he's not here when i feel like i'm going crazy and want to kill myself. it's like he doesn't believe what i'm telling him. i wont do this but it almost seems like i would have to try to kill myself in his office to get his attention. i don't feel suicidal right now but i did last night. i'm feeling much better today.
> > > Kathi
> > >
> >
> > Quit Wellbutrin to start with, it can cause anger as a side effect. You need to trial an SSRI ASAP, it's a shame you can't remember why you didn't stay on Lexapro. Seroquel would be a good antipsychotic to be on, but don't take it unless you need it as a sedating TCA would be a better choice.
> >
> > Do you actually have any psychotic symptoms like delusions or hallucinations?
> >
> > Cheers,
> > Panda.
> >
> >
> >
> it has gotten worst. i feel like i am outsided watching in. i've taken more klonopin than i should and have been drinking margaritas. i can not bring myself to eat. i am someone else. i feel no feelings but then i do. i want to kill myself but that would leave my kids destroyed for life. my husband just says i'm selfish.he said don't i care about the kids. honestly, i tried to find a loving emotion in me and i couldn't. that makes me sad. he keeps telling me to call the pdoc but that wont do any good. what do i say to him? they never call back. he(my husband)is frustrated with me right now. i actually want to leave but i have nowhere to go. i have no friends or family here. there's only two places to go:6feet under or the hospital. and what is going to happen at the hospital? nothing? just more bills to pay.
>
>Hang in there, it will pass. Once you find the right medication you will be fine. Effexor pulled me out of a horrible place, I was fantasising about suicide every single day & feeling totally worthless & guilt laden about taking up space on the planet.
I would probably go see a different doctor & get a script for an actual antidepressant as you clearly need one. I am a bit puzzled that your current pdoc has not got you on one because lithium & wellbutrin are adjuncts & not antidepressants.
Cheers,
Panda.
Posted by 4mygrls on July 31, 2004, at 10:03:20
In reply to Re: I need some advice on two meds. First let me start » 4mygrls, posted by Sad Panda on July 30, 2004, at 23:35:22
> > > > by saying that every mood stabilizer that i have been on has made me have more mood swings. I am on lithium 600mg, wellbutrin xl 300mg.clonzepam .5mg and 1mg and night. He was talking about adding serequel but i'm afraid of more sedation. i'm so much in a fog and my brain is screwed up. so i want off the lithium. i want to go back to an ssri. i was thinking lexapro. i tried it before but i don't think i used it for long. i honestly can't remember alot of how long and why i went off of any of those meds. anyhow,my question is in you guys opinions, which ssri is the best for stimulating and which anti-psychotic. which has the least side affects. my pdoc doesn't seem to think i need much of an anti-psychotic but he's not here when i feel like i'm going crazy and want to kill myself. it's like he doesn't believe what i'm telling him. i wont do this but it almost seems like i would have to try to kill myself in his office to get his attention. i don't feel suicidal right now but i did last night. i'm feeling much better today.
> > > > Kathi
> > > >
> > >
> > > Quit Wellbutrin to start with, it can cause anger as a side effect. You need to trial an SSRI ASAP, it's a shame you can't remember why you didn't stay on Lexapro. Seroquel would be a good antipsychotic to be on, but don't take it unless you need it as a sedating TCA would be a better choice.
> > >
> > > Do you actually have any psychotic symptoms like delusions or hallucinations?
> > >
> > > Cheers,
> > > Panda.
> > >
> > >
> > >
> > it has gotten worst. i feel like i am outsided watching in. i've taken more klonopin than i should and have been drinking margaritas. i can not bring myself to eat. i am someone else. i feel no feelings but then i do. i want to kill myself but that would leave my kids destroyed for life. my husband just says i'm selfish.he said don't i care about the kids. honestly, i tried to find a loving emotion in me and i couldn't. that makes me sad. he keeps telling me to call the pdoc but that wont do any good. what do i say to him? they never call back. he(my husband)is frustrated with me right now. i actually want to leave but i have nowhere to go. i have no friends or family here. there's only two places to go:6feet under or the hospital. and what is going to happen at the hospital? nothing? just more bills to pay.
> >
> >
>
> Hang in there, it will pass. Once you find the right medication you will be fine. Effexor pulled me out of a horrible place, I was fantasising about suicide every single day & feeling totally worthless & guilt laden about taking up space on the planet.
>
> I would probably go see a different doctor & get a script for an actual antidepressant as you clearly need one. I am a bit puzzled that your current pdoc has not got you on one because lithium & wellbutrin are adjuncts & not antidepressants.
>
> Cheers,
> Panda.
>
>
>
i was on effexor when i switched to him. i was only on 75mg though. i basically just started it. at my last appt i asked him why he took me off of the effexor. he said cuz i said i was adhd and it runs in my family(i have 2 daughters with it), and i was already on wellbutrin and when i started wellbutrin it really boosted me and i held my longest standing job ever. he wants me on well instead of effexor. when i go back, i'm going to ask him to take me off of lithium and put me back on effexor. as for past ad's, well, i've tried just about every ssri there is and it did help a bit but not much. i specifically remember being on prozac and doing good till one day when i felt that snap(that change to anger). but i would take that over this. this lasts alot longer than that did. i have noticed that change and stress sets me off. i can't handle it at all. i have all classic adhd symptoms but of course they treat the bipolar first. i do understand why. today i feel better. i feel very sad and guilty but not angry,distant and cold. it was like i had no conscious(sp?). no inner feelings telling me right from wrong.
Posted by Mariposa on August 1, 2004, at 19:51:56
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 10:57:42
Only med I have ever taken is Lexapro, currently at 30mg, have been taking for 16mos. Dx - PMDD and depression.
The anger, impatience, you describe sounds just like me befor, I had terrible road rage - surprised I did not cause accidents, I got customer complaints and write ups at work, I felt like killing hubby just for breathing too loud, constantly argued w/him over the MOST STUPID things. I thought I was going through *the change* I felt so out of whack!!
I'm sorry I can't be of more help, I just wanted you to know I had similar feelings, and Lex has helped me get rid of them. You did say you had taken it before, how much were you taking, and for how long??
I have seen many posts here of people taking a Well/Lex combo and with good results.
Best of luck!~~~8|8
Posted by 4mygrls on August 1, 2004, at 21:04:41
In reply to Re: I need some advice on two meds. First let me start » 4mygrls, posted by Mariposa on August 1, 2004, at 19:51:56
i believe i took 20mg. I was on the max. I think i went off of it cuz it raised my heart rate up too much. but i was also on well and strattera at the same time. my resting heart rate was 130bpm. I was having lots of panic attacks. my family doc didn't agree with me being on all those ad's at the same time. she thinks it was all 3 combined that gave me the panic attacks and raised heart rate. i thought i had pmdd for a long time but when i charted my cycle i found out that the worst time was not only just before my mensus but just beyond it. it was about a two week period starting a week before my mensus and ending at about day 8. it varied though.
Posted by Mariposa on August 2, 2004, at 7:12:24
In reply to RE:What are the differences between the atypical, posted by 4mygrls on August 1, 2004, at 21:04:41
> i believe i took 20mg. I was on the max. I think i went off of it cuz it raised my heart rate up too much. but i was also on well and strattera at the same time. my resting heart rate was 130bpm. I was having lots of panic attacks. my family doc didn't agree with me being on all those ad's at the same time. she thinks it was all 3 combined that gave me the panic attacks and raised heart rate. i thought i had pmdd for a long time but when i charted my cycle i found out that the worst time was not only just before my mensus but just beyond it. it was about a two week period starting a week before my mensus and ending at about day 8. it varied though.
20mg is not the max., I currently take 30mg, many posters here have reported they take 40mg, then there was Cletus2 who was taking 100mg. I had a gyndoc tell me the max was 10mg, I had to go to a pdoc to get a higher dose. I have always had a low heart rate/BP, took it last nite and was 57 pulse, 100/51 - BP. Would have to say Lex has NOT been bad for me in that respect. I did have severe anxiety when first starting Lex, but have not had any more since. Have not argued w/hubby or received any more write-ups or customer complaints at work either. Road rage is non-existent. Lex has also gotten rid of my insomnia which I have suffered since late teens.
I too had the problems around period, as you describe, it would start almost a week before and continue almost a week after, basically I was whacked most of the month!
Posted by WAKI on August 2, 2004, at 23:22:15
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 10:57:42
I think the clonzepam is messing you up. It has too long of a half life. Skip it a few times and see what I mean.
Posted by WAKI on August 2, 2004, at 23:28:08
In reply to I need some advice on two meds. First let me start, posted by 4mygrls on July 30, 2004, at 10:57:42
One more thing. LIke I said before the clonzepam is the one making you a zomby.
Your death thoughts can be helped with a ssri, you need to work with the sertonin to get rid of those death thoughts,
Posted by ravenstorm on August 4, 2004, at 22:39:59
In reply to Re: I need some advice on two meds. First let me start, posted by WAKI on August 2, 2004, at 23:28:08
You mentioned margaritas.
PLEASE DON'T DRINK ON WELLBUTRIN!! The risk of SEIZURES is considerably higher if you add alcohol to the mix.
This is the end of the thread.
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