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Re: d/r + experts - desperate for help w/my meds

Posted by desolationrower on April 27, 2009, at 0:25:59

In reply to Re: d/r + experts - desperate for help w/my meds, posted by Amelia_in_StPaul on April 25, 2009, at 14:30:55

ha. emotional support seems more human. i think i'd ratehr do that, although pharm advice make my brain more occupied.
> old man=psychiatrist? I'm confused--and I'm abashed to admit this, as it means that for all my feminism, I am sexist, but I thought you were/are a guy?

hm, englishi is your first language? i called my father. and i am a guy, you gueessed right.

no epilepsy (that i know of, i guess i don't have an 'epilepsy-free' certificate). thi sonly happened once.

> > about TCAs, they are preferred for psychotic depression (+an antipsychotic).
>
> I'm confused. Why do so many of them have a side effect as inducing schizophrenia, as opposed to the MAOIs and SRIs?
>
i don't remember ever seeing that written before...

> I think so. Are you in favor of low-dose antipsychotics even in absence of a psychotic disorder? I looked up cyproheptadine--how do you know about this stuff? my pdocs have never even mentioned this medication. it looks promising, from what I've read, in terms of increasing non-rem sleep (which I need).

not often, they're quite overused, but i'm not totally against (and i was rec'ing a lower dose than the usual 'low dose').

not sure where i first read of cypro. i have enough trouble remembering what drugs do, let alone a personal intellectual history. i don't think i've really thought of any unique drug uses. there is a huge gap between research and average clininc.

> >
> I remember that it didn't really put me or keep me asleep any better than not having meds, but that I was quite out of it the next day, bumping into things and unable to focus--even on objects--as though I could see, but not really see. I don't know how to describe that. I could see objects, but couldn't precisely judge their location in space, so I'd bump into them.
>
> I think you may be right about anticholergenic drugs (their antimuscarinic effects--whew, I'm googling like crazy), if Effexor would be considered one of them. Are there classes of drugs that are anticholergenic, like SNRIs? Is Seroquel one of them, or no?

yeah taht sounds like anticholinergic effect. effeoxor doesn't have much of this. well 'anticholinergic drugs' are the class that are anticholinergic. http://en.wikipedia.org/wiki/Muscarinic_antagonist (wiki is occasionally wrong, and drug summaries often incomplete, but it has some good info too). there is disagreement on if quetiapine is significant M blocker. i'm not sure how acetylcholine (natural agonist for muscrainic and nicotinic receptors) works, if it has significant reuptake or not.


>
> is eye dilation a troubling sign? Or double-vision--should I withdraw after only two days if that happens? Nausea I've been able to work with, like when I'd start Wellbutrin (back when it didn't make me into a bit of a maniac), and just push through.

i think muscarinic effects reduce with time, not totally sure though.

> WOW, I have NEVER heard of these things, things like NAC. THANK YOU! What an encyclopedia your mind is. Methinks you are a pharmacist or doctor??

nah, just a combination of social anxiety and adhd that keeps me from doing much else.


> Ahhhhhhhh yessssss. My distractions are word games online. I wonder, though, isn't that a sign of perhaps some sort of dopamine deficiency, since gaming taps into the reward center of the brain?

most games give frequent feedback which people with ADHD need to keep doing something

> d/r thank you. thank you. thank you. I have learned so much in the 20 minutes that I've read and processed your post.
>
> sounds like maybe you were down last week if you were gaming? if so, i'm very sorry to hear it.
>
hm. i'm not sure 'down' is how i'd think of it. other than a year or two when i was depressed, failure to self-regulate isn't something that i feel as a 'hurt'. thanks though.

-d/r

 

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Psycho-Babble Neurotransmitters | Framed

poster:desolationrower thread:891937
URL: http://www.dr-bob.org/babble/neuro/20090129/msgs/892983.html