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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Caleb462 on May 2, 2003, at 3:13:15
Last visit... my doctor wanted me to up my Effexor to 225 mg a day. I said ok... but quickly changed my mind after I left. The reason for the dosage up is that Effexor has pooped out... it probably won't poop back in after a dose increase, that rarely seems to happen. But it's not just that... I don't want to get the "SSRI effect"... the flattening, you guys know. Besides, SSRIs/SNRIs have never been fully effective for me.
So I want to try one of these:
A) Nardil
B) Parnate
C) AnafranilMy diagnosis is as follows:
GAD
OCD
SP
ADD
DepressionRight now.. what I need relief from the most is depression. But I want all these other things fixed as well - particularly the OCD, it has been with me for a long time. So... what do you guys suggest?
For a bit I was leaning towards Parnate because of it's stimulating properties, which I thought would help with my total lack of motivation, organization, attention span, energy, etc. But now I don't know.
Posted by ace on May 2, 2003, at 3:18:39
In reply to Ok... I have to make a decision, posted by Caleb462 on May 2, 2003, at 3:13:15
> Last visit... my doctor wanted me to up my Effexor to 225 mg a day. I said ok... but quickly changed my mind after I left. The reason for the dosage up is that Effexor has pooped out... it probably won't poop back in after a dose increase, that rarely seems to happen. But it's not just that... I don't want to get the "SSRI effect"... the flattening, you guys know. Besides, SSRIs/SNRIs have never been fully effective for me.
>
> So I want to try one of these:
>
> A) Nardil
> B) Parnate
> C) Anafranil
>
> My diagnosis is as follows:
> GAD
> OCD
> SP
> ADD
> Depression
>
> Right now.. what I need relief from the most is depression. But I want all these other things fixed as well - particularly the OCD, it has been with me for a long time. So... what do you guys suggest?
>
> For a bit I was leaning towards Parnate because of it's stimulating properties, which I thought would help with my total lack of motivation, organization, attention span, energy, etc. But now I don't know.Honestly Caleb,
I would do
1. Nardil
2. Anafranil.
3. Parnate.Just remember Nardil can be brilliant for OCD too. It helped my quite a bit, but not enough.
Good luck to you mate.
Ace.
Posted by Bob on May 2, 2003, at 11:16:25
In reply to Re: Ok... I have to make a decision » Caleb462, posted by ace on May 2, 2003, at 3:18:39
> Honestly Caleb,
>
> I would do
>
> 1. Nardil
> 2. Anafranil.
> 3. Parnate.
>
> Just remember Nardil can be brilliant for OCD too. It helped my quite a bit, but not enough.
>
> Good luck to you mate.
>
> Ace.Ace:
What are you taking to address your OCD now, since Nardil was not adequate?
Bob
Posted by jack smith on May 2, 2003, at 12:38:34
In reply to Ok... I have to make a decision, posted by Caleb462 on May 2, 2003, at 3:13:15
> Last visit... my doctor wanted me to up my Effexor to 225 mg a day. I said ok... but quickly changed my mind after I left. The reason for the dosage up is that Effexor has pooped out... it probably won't poop back in after a dose increase, that rarely seems to happen. But it's not just that... I don't want to get the "SSRI effect"... the flattening, you guys know. Besides, SSRIs/SNRIs have never been fully effective for me.
How long were you on it before it "pooped out?" The reason I ask is because a lot of people get an initial positive effect then it wanes and they call this poopout. It's not. This is when dosage raising is the most effective when an initial response fades. Poopout usually occurs after at least a year of positive response at a level dose.
Also, an increase to 225 is significant because at that level Effexor starts to significantly affect norepinephrine so it's not the same as just raising the dose with an SSRI. Just some thoughts.
JACK
Posted by justyourlaugh on May 2, 2003, at 18:15:53
In reply to Did it really Poopout? » Caleb462, posted by jack smith on May 2, 2003, at 12:38:34
cal,,
i was on effexor (300) for a time.
there was no help..nothing...
ive tried other ssri's...nothing
"zoloft" and wellbutrin is taking the edge off depression for me now...i feel better than i have in years,,no "numbing" at all...however i still am very bad around people and avoid them at all cost....but i feel i am on my way..
good luck caleb..
j
Posted by ace on May 2, 2003, at 23:47:11
In reply to Re: Ok... I have to make a decision » ace , posted by Bob on May 2, 2003, at 11:16:25
Soon to start Anafranil, Bob.
Cheers!
Ace.
Posted by Caleb462 on May 2, 2003, at 23:52:43
In reply to Did it really Poopout? » Caleb462, posted by jack smith on May 2, 2003, at 12:38:34
> > Last visit... my doctor wanted me to up my Effexor to 225 mg a day. I said ok... but quickly changed my mind after I left. The reason for the dosage up is that Effexor has pooped out... it probably won't poop back in after a dose increase, that rarely seems to happen. But it's not just that... I don't want to get the "SSRI effect"... the flattening, you guys know. Besides, SSRIs/SNRIs have never been fully effective for me.
>
> How long were you on it before it "pooped out?" The reason I ask is because a lot of people get an initial positive effect then it wanes and they call this poopout. It's not. This is when dosage raising is the most effective when an initial response fades. Poopout usually occurs after at least a year of positive response at a level dose.
>
> Also, an increase to 225 is significant because at that level Effexor starts to significantly affect norepinephrine so it's not the same as just raising the dose with an SSRI. Just some thoughts.
>
> JACKAha! Well I guess it didn't poop out then... it worked fairly well for a month, and then bam! nothing. So I just took my first dose of 225 mg, I'm gonna go ahead and see what happens until I switch to an maoi or anafranil. I told my doc I was also interesting in trying Provigil, and he said that's fine... so perhaps that will combat the "numbness" I would otherwise feel. I sure hope so... I've always liked the ways SSRIs and Effexor made me feel in some ways - more confident, more stable, more able to react to things appropriately, but I also despise the feeling of "not being able to feel." Like if I know I should be sad or mad about something, and it just won't happen.. my mind won't let me care about ANYTHING. It's disturbing... .but well, we'll see what happens.
This is the end of the thread.
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