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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Fivefires on November 23, 2008, at 15:36:17
Effexor-XR 450 mania so titrated down and off. There may have been a window, but it also may have just been that good feeling you have a bit after getting off of something.
I'm having ideation. Only Xanax and Provigil.
I'm sorry I never have anything positive to say anymore. No one IRL will speak to me for this very reason.
Why I posted here? I believe after all the meds I've been on there is very likely a chemical imbalance. Visit after visit w/ pdoc he would not augment w/ the Effexor-XR.
5f
Posted by yxibow on November 23, 2008, at 22:25:59
In reply to HELP PLEASE *little trigger*, posted by Fivefires on November 23, 2008, at 15:36:17
> Effexor-XR 450 mania so titrated down and off. There may have been a window, but it also may have just been that good feeling you have a bit after getting off of something.
>
> I'm having ideation. Only Xanax and Provigil.Suicidal thoughts? Because those of us with depression will tell you we have them. Its acting on it that I think you are scared about, and thinking about it is really trying to get away from your problems anyhow.
> I'm sorry I never have anything positive to say anymore. No one IRL will speak to me for this very reason.You do sound depressed though here. But have you ever turned the "nobody" all or nothing concept around and tried to think of something, just anything you used to like, even though you may not enjoy it.
> Why I posted here? I believe after all the meds I've been on there is very likely a chemical imbalance. Visit after visit w/ pdoc he would not augment w/ the Effexor-XR.
Are you sure its a chemical imbalance... I mean your system may be getting used to this but I bet there are some psychological reasons remaining why "nobody" in your perception will speak to you.If you really think its a chemical imbalance, and your doctor didn't like the Effexor-XR, there must have been a reason, I don't think someone would take someone off a SNRI out of the blue. Have you discussed Cymbalta ?
I don't recall your complete discussion, but Lithium is one of the fastest ways to stop ideation -- it also requires monitoring and has side effects.
Another antidepressant, yes, it is considered one by some, is Lamictal -- unfortunately it has a long titration length.
Otherwise, for anything serious that is more than an ideation, I would have to suggest a small dose of Seroquel.
Discuss this all with your doctor though -- it shouldn't be a one way street.
-- best wishes
Jay
Posted by Phillipa on November 26, 2008, at 12:25:39
In reply to HELP PLEASE *little trigger*, posted by Fivefires on November 23, 2008, at 15:36:17
Five Fires glad you posted but not that many go to neurotransmitters how bout main meds board? Just a suggestion even psychology might be helpful. Where's Thanksgiving for you? Love Jan
Posted by Fivefires on November 26, 2008, at 22:21:46
In reply to Re: HELP PLEASE *little trigger* » Fivefires, posted by yxibow on November 23, 2008, at 22:25:59
> > Effexor-XR 450 mania so titrated down and off. There may have been a window, but it also may have just been that good feeling you have a bit after getting off of something.
> >
> > I'm having ideation. Only Xanax and Provigil.
>
> Suicidal thoughts? Because those of us with depression will tell you we have them. Its acting on it that I think you are scared about, and thinking about it is really trying to get away from your problems anyhow.
>
>
> > I'm sorry I never have anything positive to say anymore. No one IRL will speak to me for this very reason.
>
> You do sound depressed though here. But have you ever turned the "nobody" all or nothing concept around and tried to think of something, just anything you used to like, even though you may not enjoy it.
>
> > Why I posted here? I believe after all the meds I've been on there is very likely a chemical imbalance. Visit after visit w/ pdoc he would not augment w/ the Effexor-XR.
>
>
> Are you sure its a chemical imbalance... I mean your system may be getting used to this but I bet there are some psychological reasons remaining why "nobody" in your perception will speak to you.
>
> If you really think its a chemical imbalance, and your doctor didn't like the Effexor-XR, there must have been a reason, I don't think someone would take someone off a SNRI out of the blue. Have you discussed Cymbalta ?
>
No luck on Cymbalta J.
> I don't recall your complete discussion, but Lithium is one of the fastest ways to stop ideation -- it also requires monitoring and has side effects.
>
> Another antidepressant, yes, it is considered one by some, is Lamictal -- unfortunately it has a long titration length.
>
Tried but had bad headaches.
> Otherwise, for anything serious that is more than an ideation, I would have to suggest a small dose of Seroquel.
>
Seroquel seemed to be 'like all the rage' when I was inpatient in late June. What exactly is it for Jay? I have no much anxiety it feels I'll up and stop breathing or my heart will just stop pumpin'. The depression is somewhere else. I can't see it. I can't describe it. This year it enveloped me sort of out of nowhere and hasn't let up. But, now off Eff-XR, just today, feelin' a bit more like my old self. I'm scared of bipolar meds because I don't think I'm bipolar. Oh. Forgot to say Provigil, whatever it is that it does in my brain function, it works. If I take too much, doesn't work right. But, 100mg a.m. and 100 m.g. midday is I think helpful. Something's missing. If I try Seroquel will I be labeled bipolar? It seems I'd have to be hypo and even then, a very good thing could happen in my life and I am able to just become very good along w/ it, whereas I understand that the lows in bipolar don't allow this. Will Seroquel help me w/ the anxiety and I talked to you about my fears of having that pressure on the top of my head if it or they are taken away or not titrated down. TY and I see you too Phillipa, but I gotta' lay down. I'm really very sad I have no family sorta. So Jay, there's yeah, environmental troubles, troubling me.Here's something off the wall. It's about where I live; this condo; I'm always hearing odd noises in the other room or in my room. One night I was lying in bed and I heard something hit the wall above me and felt it land on the bed beside me. I jumped up and threw blankets everywhere and there was nothing there. I lived in a place in Hawaii where there had once been a cult. Here also strange noises and odd things happened and I grew very will.
> Discuss this all with your doctor though -- it shouldn't be a one way street.
>
> -- best wishes
>
> Jay
>
U2, and I'll try talk tomorrow if able. Need to respond below to another too.
>
and hey: Please forgive my absences or lateness, or inattention, having trouble w/ the latter.>
>
..............................5f
Posted by Fivefires on November 27, 2008, at 18:57:13
In reply to Re: HELP PLEASE *little trigger* » Fivefires, posted by Phillipa on November 26, 2008, at 12:25:39
> Five Fires glad you posted>
Me too. Think I'm feelin' better off the Eff-XR, but I was so sick on it that I think it did in all my IRL support. They've dropped away like flies! I really have NO ONE. I MEAN, EVERYONE, IS JUST SICK OF ME SICK. Spent day alone so NOT TO FEEL PAIN might feel around them.
>but not that many go to neurotransmitters how bout main meds board?>
Probably. I'm giving some thot to tryin Seroquel.
>Just a suggestion, even psychology might be helpful.>
Grrrrrr ... I'm the Happy Thanksgiving Mad Lion and I'm gonna' devour the next therapist that challenges my every statement.
>Where's Thanksgiving for you?>
Out there somewhere beyond my bedroom door.
No.
It's at my daughter and son-in-laws' home; butt. me no go.
I didn't go because someone thinks my illness is bitchitis. Is this coded?
Is this how depression and anxiety appears to our young pp of Generation X?
I cried and will some more.
Butt, daughter will bring plate tomorrow.
Happy Thanksgiving Phillipa
IamThankfulForEvery1Here, 5f
Posted by Phillipa on November 27, 2008, at 23:04:06
In reply to ideation *little trigger* HAPPY TKS-GIVE FRIENDS!, posted by Fivefires on November 27, 2008, at 18:57:13
Five fires sorry you feel so badly seroquel is an atypical antipsychotic very strong if used to the benzos as a comparison but could help anxiety as well and sleep. Try a small dose? Doesn't mean you're bipolar. Sorry about Thanksgiving not great for me either. Talk tomorrow as Late. Love Phillipa
Posted by emme on November 28, 2008, at 7:17:40
In reply to Re: HELP PLEASE *little trigger*, posted by Fivefires on November 26, 2008, at 22:21:46
Hello.
> I have no much anxiety it feels I'll up and stop breathing or my heart will just stop pumpin'.Seroquel can be very effective for that over-the-top anxiety.
> more like my old self. I'm scared of bipolar meds because I don't think I'm bipolar.
I'd like to challenge that thought. Bipolar meds can also work for people with unipolar depression. Lamictal and abilify, for instance, can both help with depression. What you need is something that will ease your misery, regardless of how the drug itself is labeled.
> Will Seroquel help me w/ the anxiety
You won't know until you try. But if it does, I think you'll know fairly quickly.
> Here's something off the wall. It's about where I live; this condo; I'm always hearing odd noises in the other room or in my room. One night I was lying in bed and I heard something hit the wall above me and felt it land on the bed beside me. I jumped up and threw blankets everywhere and there was nothing there. I lived in a place in Hawaii where there had once been a cult. Here also strange noises and odd things happened and I grew very will.
If you haven't already, I'd encourage you to discuss this with your doctor.
Good luck and feel better.
emme
Posted by PollyFarm on November 30, 2008, at 1:39:30
In reply to Re: HELP PLEASE *little trigger* » Fivefires, posted by emme on November 28, 2008, at 7:17:40
sounds a bit like me in hollywood hills years ago...provigil, which I took for fatigue, proved to be a major problem for me and I've always been surprised that it works for people b/c it was a cause of some major suicidal ideation...
...I cried when my therapist suggested that I was bipolar but now I know that I'm not and life might even be a bit more fun and productive if I had some mania in my life (OK, I experienced it once, first time on Prozac...what a weekend!)...anyway, I've tried lots of different meds and it doesn't matter what they're supposed to be used for, b/c so many drugs have off-label uses. I personally loved Zyprexa but it is a major weight-gainer but may give you a bit of peace for a while, and my pdoc even prescribed Adderall XR to help w/appetite...and if you're anything like me, having the Adderall was a major boost b/c I could finally get things done...hmmm, a little like provigil w/out the gory crash...
...back to hollywood...I once came to my senses w/a real live lizard in my bed...maybe a lizard fell on your bed? They can scurry away quickly...that is probably not helpful if you're afraid of lizards, but better a lizard than a hallucination, I suppose?
Posted by Fivefires on November 30, 2008, at 20:31:23
In reply to Re: HELP PLEASE *little trigger*, posted by PollyFarm on November 30, 2008, at 1:39:30
I lived on Oaho and geckos or big cockroaches would do this, but I mean I tore up my bed and after living there a spot on the wall gets serious attn.
I am, I think, developing dementia. It's coming and going. I'm freaking out and no one IRL gets it.
tks, 5f
Posted by Fivefires on November 30, 2008, at 22:40:24
In reply to Re: HELP PLEASE *little trigger* » Fivefires, posted by emme on November 28, 2008, at 7:17:40
Emme I've always had pdocs put too much emphasis on depression when anxiety was and is 'literally reducing my chances to become literally again'. I've been on Lamictal which caused HAs. When on Seroquel I had a fullness feeling just on the top of my head, very scary. I just thot of this today. These docs put me on Seroqual and Trileptal, and while I could feel Valium giving me so much relief, the prior two didn't seem to do anything, unless they, not the absence of Valium at its regimented time, caused this fullness, which I now think was a bit of brain damage. Sorry missed post. I'm very unwell. I have no one to help me and getting worse every day don't know that my prior skills of finding the right care and advocating for myself is even something I can now do. I got a note that I'd accidentally deleted my link to this, my post, so sent it to DB. ty4suggestions/ideas 5f
I am tremendously scared.
Last eve' I was very weak and a bit disoriented and queasy stomach and breathing difficult and called the psychiatric helpline and asked what dementia was. Did I already tell you all this?
She said this is a psychiatric service and dementia is a neurologic condition or a medical condition so I will not help you with this. I called a med line w/ my ins. and she didn't like to hear the prior.
I need a medical bed; not p-bed. One of the many causes of dementia is no food. I don't eat. No one can come see me and all but one in huge fam' ignore.
Wonder they want I lose it so they can transfer me to state or fed and not have to pay. I've loved them and still do, but in leaving me alone in this, I can't help but wonder.
The med nurse told me to go to healthatoz.com for symptoms, reasons for onset, etc. of dem. No one in my fam has had. All alone and weak and scared. Feel like crying a lot. If it were not for my Xanax and Xanax-XR I'd probably be very agitated and whacked.
If I did the Seroquel route, what's the lowest dose anyone? And, what are 'the tells' that you are headed for SS or NLMS or 'what's the name of the other syndrome?'
I think no one will help cuz mother teach we need help ourselves. I don't want p-hospital. I do want med-hospitalization re: body malnutrition.
5x
Posted by Fivefires on November 30, 2008, at 22:54:10
In reply to Re: HELP PLEASE *little trigger*, posted by PollyFarm on November 30, 2008, at 1:39:30
> sounds a bit like me in hollywood hills years ago...provigil, which I took for fatigue, proved to be a major problem for me and I've always been surprised that it works for people b/c it was a cause of some major suicidal ideation...
>
> ...I cried when my therapist suggested that I was bipolar but now I know that I'm not and life might even be a bit more fun and productive if I had some mania in my life (OK, I experienced it once, first time on Prozac...what a weekend!)...anyway, I've tried lots of different meds and it doesn't matter what they're supposed to be used for, b/c so many drugs have off-label uses. I personally loved Zyprexa but it is a major weight-gainer but may give you a bit of peace for a while, and my pdoc even prescribed Adderall XR to help w/appetite>It decreases appetite?
>...and if you're anything like me, having the Adderall was a major boost b/c I could finally get things done...hmmm, a little like provigil w/out the gory crash...
>
Hmmm. I'm on Provigil. In what ways would you say it is the same, besides no gory crash????> ...back to hollywood...I once came to my senses w/a real live lizard in my bed...maybe a lizard fell on your bed? They can scurry away quickly...that is probably not helpful if you're afraid of lizards, but better a lizard than a hallucination, I suppose?>
First things I thought of was a gecko or a large cockroach, but been here 3-1/2yrs and haven't 'heard' or seen any.
tu, 5f
Posted by Phillipa on December 1, 2008, at 0:17:01
In reply to Re: HELP PLEASE *little trigger*, posted by Fivefires on November 30, 2008, at 22:54:10
Five Fires when are you going to write? Love Phillipa still don't understand that message you semt?????
Posted by Fivefires on December 13, 2008, at 13:30:48
In reply to Re: ideation *little trigger* HAPPY TKS-GIVE FRIENDS! » Fivefires, posted by Phillipa on November 27, 2008, at 23:04:06
Hi Phillipa. Are you saying Seroquel is or is not very strong?
miss ya, 5f
Posted by Phillipa on December 13, 2008, at 18:36:37
In reply to Re: ideation *little trigger* HAPPY TKS-GIVE FRIENDS!, posted by Fivefires on December 13, 2008, at 13:30:48
For me it was very strong that's me though. Write please? Love Phiilipa
Posted by Fivefires on December 15, 2008, at 10:11:14
In reply to Re: HELP PLEASE *little trigger* » Fivefires, posted by yxibow on November 23, 2008, at 22:25:59
> > Effexor-XR 450 mania so titrated down and off. There may have been a window, but it also may have just been that good feeling you have a bit after getting off of something.
> >
> > I'm having ideation. Only Xanax and Provigil.
>Oops. I'm still Eff-XR, down to 75mg, for whatever good it may be doing, pdoc said remain on it.
> Suicidal thoughts? Because those of us with depression will tell you we have them. Its acting on it that I think you are scared about, and thinking about it is really trying to get away from your problems anyhow.
>
>
> > I'm sorry I never have anything positive to say anymore. No one IRL will speak to me for this very reason.
>
> You do sound depressed though here. But have you ever turned the "nobody" all or nothing concept around and tried to think of something, just anything you used to like, even though you may not enjoy it.
>
> > Why I posted here? I believe after all the meds I've been on there is very likely a chemical imbalance. Visit after visit w/ pdoc he would not augment w/ the Effexor-XR.
>
>
> Are you sure its a chemical imbalance... I mean your system may be getting used to this but I bet there are some psychological reasons remaining why "nobody" in your perception will speak to you.
>Yes, kind of surrounding abuse and the presence of the abusers being a constant in my fam' puts pressure on all. There are somebodies, but pp don't dial a phone anymore or get in the car and come for visit. Expense yes. I've meant a lot to some and it disappoints to see me idk going downhill a bit here.
> If you really think its a chemical imbalance, and your doctor didn't like the Effexor-XR, there must have been a reason,>
Had a reactioin I'm sure would be called mania on 450 and scared me and was so awful, just titrated down, now staying on 75mg till see again.
>I don't think someone would take someone off a SNRI out of the blue. Have you discussed Cymbalta ?
>
Had a paradoxical reaction here. It turned on the 'pain switch' instead of turning it off re: cervical spine disc extrusions.> I don't recall your complete discussion, but Lithium is one of the fastest ways to stop ideation -- it also requires monitoring and has side effects.
>Oh nooo Mr Jay (Bill) o_o. Ascared of it o_o .. oh nooo
> Another antidepressant, yes, it is considered one by some, is Lamictal -- unfortunately it has a long titration length.>
Aggravated pain, c-spine to headache to migraine.
>
> Otherwise, for anything serious that is more than an ideation, I would have to suggest a small dose of Seroquel.
>This is what pdoc says ... wonder if small dose Seroquel. Oh noooo ... not psychotic yet ... don't wanna ever be ... ascared of this too ... oh no Mr. Bill (Jay that is.)
> Discuss this all with your doctor though -- it shouldn't be a one way street.
>
> -- best wishes>In the order lithium, Lamictal, Seroquel, if my dx were ptsd, borderline, or maybe atypical, knowing this, would you have switched the order around here at all. I know they're all diff' types of meds, but as you can see, Mr. Bill gets scared pretty easily of anything which might tip the left side of my brain any further. I've always thot lithium was for low-functioning pp and I'm considered a high-functioning (believe it or not) person over here. Lamictal I've tried. I was in hosp. short stint and everyone there said 'hey try seroquel ... it's cool'. What's up with them ya' think? Never been diagnosed bipolar, or, psychotic, or actually 'demented' Jay. I think part of this dementia scare is stress of holidays mixed w/ titrated down from 450 to 75 Eff-XR maybe, hope anyway.
Can you tell me if or how, Seroquel, works on dopamine? Dopamine is in charge of our 'feelings of well-being', isn't it? Or, is it one of the other ones? The ummm ... serotonin?
(Off subject a bit - When on a progesterone and testosterone cream from a compounding pharmacy, whatever was in the cream, helped w/ 'feelings of well-being' but caused mid-section weight gain.)
> Jay
tks J, 5f
This is the end of the thread.
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