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Re: psychological or meds? » B2chica

Posted by mtdewcmu on April 28, 2011, at 13:29:47

In reply to Re: psychological or meds? » mtdewcmu, posted by B2chica on April 28, 2011, at 8:23:39

> i have experimented with not taking adderall when my anxiety was so high. it seems to only add slightly to it and only about the first hour after i take it. but when my anxiety starts causing me nausea thats when i just stop taking it. only because it normally does help with mood as well.
>

That's good, then. I got in trouble for saying this on another board -- but you have to be willing to experiment a little on your own. Waiting for your next monthly appointment to test a new idea can delay relief for really long time.

> ya i was thinking of trying celexa at one time. i'm glad you brought that up. the lexapro worked for the most part very well for me. i just couldnt tolerate the sleep effect...i did try different dosages but nothing seemed to help. course i was dealing with strictly depression at that stage a few years ago, hardly any anxiety. so maybe now even lexapro may be good to try again?? who knows.
>

I haven't tried Lexapro because it's too expensive. But it's supposed to have less side effects, not more. It could be worth a try, though, especially since it is so inexpensive. Celexa and Prozac are the cheapest SSRIs.

There had to be a dose low enough to where Lexapro was no longer sedating -- and I'm wondering if it would still benefit you at that dose.

> and aaah wellbutrin. that was probably my best drug to date (second from zyprexa) i cant even tell you how well that worked for me. Great mood, energy to function, no side effects, even lost a few pounds on it.
> i went off it from my first pregnancy. went back on it after that and never worked. i tried two different generics (dont get me started on those!!) and then the real thing...it was like taking sugar pills...nothing.
> i mean i wish i understood that poop out thing. i just dont see how a med can work SO well for someone then suddenly not at all...oh well.
>

Did you try going all the way up to 450mg? Wellbutrin has a weak amphetamine-like stimulating effect, and it seems to be highly prone to developing a tolerance and pooping out. The problem is that above 450mg there is increasing risk of seizure. If not for that, I wonder if you could just keep piling on more as it pooped out.

> but at next meeting i think i will talk more about wondering if the pristiq is working and either augmenting it or substituting it with another one.
>

From your posts, it seems safe to say that it isn't working.

> i do tend to need to watch out with some SSRI's but since i was on lexapro i would think celexa would be ok right?
>

I think so. I can't make any promises, though.

> *****************************
> i think one of my biggest issues is that i suffer from pretty rough PTSD. and sometimes its hard to tell the difference between what is psychologically causing symptoms and what is biological. i think the last really low time (tuesday) was psychological from the holiday weekend. cuz i had to leave work early so bad, went to friends house and sat like zombie and cried and curled up some. went home that night had big glass of wine and next day better some.
> i still often wonder if i have rapid cycling like every few days? or if its psychological? or what.
>

I don't think it matters what is psychological versus biological. The meds should help you deal with whatever it is. If there is something obviously non-biological that is making you suffer, like a bad relationship or a bad job, then you ought to change it. But if you still feel miserable after doing that, then you have to look to meds.

> lets just say i'm a nice challange to my pdoc. :)
> thanks much for your input mtdewcmu.
> b2c.

yw


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poster:mtdewcmu thread:983701
URL: http://www.dr-bob.org/babble/20110418/msgs/983978.html