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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by phillybob on February 27, 2000, at 13:01:38
After reading this board, I see that there are some augmentation strategies that I have not tried which could be beneficial (such as Revia). I've tried most all of the newer front line AD's, with the necessary trials and increases in dosages and one time, a tricyclic. I've also coupled these along with, at various times, augmentation strategies (Zyprexa, Ritalin, Dr. Pepper ... okay, just joking on the last strategy). Through it all, I have only experienced little or no effect, solely side effects and/or an initial reaction that "poops out."
[The only exception was when I first started meds and took Prozac with success until I too, like a boob, stopped when I thought I was better; wonder if this is more than an isolated incident for those who stop it and re-try it in the future? Thus far, from the posts that I have read here, it seems like it may be a pattern.]
Anyhow, from speaking with my pdoc and re-affirming his recommendation when I read Dr. Bob's tips, all paths seem to lead to an MAOI. I have been "de-toxing" from AD's for a few weeks now. My last being Prozac has made this arduous time somewhat more lengthened (with its longer half-life). Thus, I am inclined to go with an MAOI at this point as opposed to augmentation (with Revia, for example) of an SSRI type med again.
I am more or less a functioning depressed person except when a double depression episode kicks in. My depression has bits and pieces of the symptoms of primarily atypical as well as dysthymia and cyclothymia. Basically, I am a miserable person (though I am the only one who really seems to know this, but sometimes I give up with the difficult efforts of appearing so).
So anyone got any words for me about MAOI's? Any good soy recipes (just joking)? Seriously, any places (web sites, etc.) that you could recommend would be helpful, particulary the real deal with the diet. Thanks all!
Posted by Noa on February 27, 2000, at 18:03:14
In reply to MAOI Newbee, posted by phillybob on February 27, 2000, at 13:01:38
Once again, I chime in with nothing to add. Don't have personal MAOI experience, but wanted to let you know your post made me laugh. I am one of those boobs who stopped taking Prozac when I felt better, but I gotta tell ya, it was with the doc's blessing, cuz at the time (1989-1990) it seems the thinking was that you could be on it for 6 months to a year and then stop with full success. Hah!
I also have the double dip flavor, which stinks. With each subsequent major depressive episode, the dysthymia part becomes less bearable, and I, less functional. Getting control over the big dips is crucial.
Good luck. Hang around, I am sure that info is coming soon.......
Posted by Janet on February 27, 2000, at 22:12:22
In reply to MAOI Newbee, posted by phillybob on February 27, 2000, at 13:08:01
> After reading this board, I see that there are some augmentation strategies that I have not tried which could be beneficial (such as Revia). I've tried most all of the newer front line AD's, with the necessary trials and increases in dosages and one time, a tricyclic. I've also coupled these along with, at various times, augmentation strategies (Zyprexa, Ritalin, Dr. Pepper ... okay, just joking on the last strategy). Through it all, I have only experienced little or no effect, solely side effects and/or an initial reaction that "poops out."
>
> [The only exception was when I first started meds and took Prozac with success until I too, like a boob, stopped when I thought I was better; wonder if this is more than an isolated incident for those who stop it and re-try it in the future? Thus far, from the posts that I have read here, it seems like it may be a pattern.]
>
> Anyhow, from speaking with my pdoc and re-affirming his recommendation when I read Dr. Bob's tips, all paths seem to lead to an MAOI. I have been "de-toxing" from AD's for a few weeks now. My last being Prozac has made this arduous time somewhat more lengthened (with its longer half-life). Thus, I am inclined to go with an MAOI at this point as opposed to augmentation (with Revia, for example) of an SSRI type med again.
>
> I am more or less a functioning depressed person except when a double depression episode kicks in. My depression has bits and pieces of the symptoms of primarily atypical as well as dysthymia and cyclothymia. Basically, I am a miserable person (though I am the only one who really seems to know this, but sometimes I give up with the difficult efforts of appearing so).
>
> So anyone got any words for me about MAOI's? Any good soy recipes (just joking)? Seriously, any places (web sites, etc.) that you could recommend would be helpful, particulary the real deal with the diet. Thanks all!I've just come off 4 wks of Parnate. It didn't help me . I found it easy to avoid cheese, wine etc. in their uadulterated form but when they are hidden you need to be careful. Here (Brazil), we have a delicious bread with cheese incorporated into the dough. I had polished off half a dozen of these delicacies before I realised what I had done. I spent a worrying couple of hours waiting for the headache etc. to appear but nothing happened. Good Luck Jan
Posted by phillybob on February 28, 2000, at 0:44:02
In reply to Re: MAOI Newbee, posted by Noa on February 27, 2000, at 18:03:14
> Good luck. Hang around, I am sure that info is coming soon.......
Thanks, Noa (and Janet, too!). I hope so. Sorry about posting this so many times but the only way that I could get to this was via the search. Even when I refresh the main page, this thread is not showing up. Maybe tomorrow it'll work. (if anyone can help, please email me at phillybob2000@aol.com). Keep the MAOI stuff coming, though i am headin' to the archives right now.
Posted by Ant-Rock on February 28, 2000, at 17:34:17
In reply to Re: MAOI Newbee, posted by Janet on February 27, 2000, at 22:12:22
> > So anyone got any words for me about MAOI's? Any good soy recipes (just joking)? Seriously, any places (web sites, etc.) that you could recommend would be helpful, particulary the real deal with the diet. Thanks all!
>
> I've just come off 4 wks of Parnate. It didn't help me . I found it easy to avoid cheese, wine etc. in their uadulterated form but when they are hidden you need to be careful. Here (Brazil), we have a delicious bread with cheese incorporated into the dough. I had polished off half a dozen of these delicacies before I realised what I had done. I spent a worrying couple of hours waiting for the headache etc. to appear but nothing happened. Good Luck JanHi Janet,
I hope you gave parnate a long enough trial. Four weeks seems like the bare minimum for most meds.You can go up to 60mgs of parnate to experience full effects, but this is best done gradually increasing dose over many weeks. Some studies have even used higher doses with good results(with guidance of Dr.,of course).
Just thought I'd share this info with you, I'd hate for you(or anyone) to give up on this med without giving it a fair trial.
Best of luck,
Ant-Rock
Posted by Janet on February 28, 2000, at 21:12:20
In reply to Re: MAOI Newbee(Janet), posted by Ant-Rock on February 28, 2000, at 17:34:17
> > > So anyone got any words for me about MAOI's? Any good soy recipes (just joking)? Seriously, any places (web sites, etc.) that you could recommend would be helpful, particulary the real deal with the diet. Thanks all!
> >
> > I've just come off 4 wks of Parnate. It didn't help me . I found it easy to avoid cheese, wine etc. in their uadulterated form but when they are hidden you need to be careful. Here (Brazil), we have a delicious bread with cheese incorporated into the dough. I had polished off half a dozen of these delicacies before I realised what I had done. I spent a worrying couple of hours waiting for the headache etc. to appear but nothing happened. Good Luck Jan
>
> Hi Janet,
> I hope you gave parnate a long enough trial. Four weeks seems like the bare minimum for most meds.You can go up to 60mgs of parnate to experience full effects, but this is best done gradually increasing dose over many weeks. Some studies have even used higher doses with good results(with guidance of Dr.,of course).
> Just thought I'd share this info with you, I'd hate for you(or anyone) to give up on this med without giving it a fair trial.
>
> Best of luck,
> Ant-RockI suffer from fatigue and depression and the Parnate floored me. I could barely get out of bed and my reactions slowed down so much I was scared to drive. I have kids and I have to function even if it's minimally. I had this response to all ADs except Effexor and I've come to the conclusion that ADs aren't for me. Thanks for your interest. Jan
This is the end of the thread.
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