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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by willyee on February 6, 2006, at 23:18:14
I remeber a user here mentioned they were on xyrem and dident use it,in fact poured it down the sink,ouch.Anyway im trying to find what type of doctor,and any other info on how to get this prescribed for me,if anyone mainly this one poster since i dont remeber who it was has input,please email me brklyn234@yahoo.com
Im having troule putting togther information on how to approacha docter on this drug.
Posted by SLS on February 7, 2006, at 6:19:13
In reply to Xyrem once mentioned here, posted by willyee on February 6, 2006, at 23:18:14
What do you hope will be the result of taking Xyrem?
Thanks.
- Scott
Posted by willyee on February 7, 2006, at 7:42:57
In reply to Re: Xyrem once mentioned here » willyee, posted by SLS on February 7, 2006, at 6:19:13
Ive used it extensivly for years,i know who founded it,i know how it works.It is only a sleep medication because that is what ind made it.
For sleep the doses are 4 grams and above,that is enormous.
At doses of mg,200 mg or so where its barly noticable in the brain,it produces a strong anti-anxiety effects,with much less depression than a benzo.It also produces mild pro social benifits too.
I told my doc i have used it in this mannner.In fact i dident even think one could saftly use it at a dose of 4 grams until i read the sheet.That is a very very large dose of the drug.
But i have numerous books etc i believe from reading and use its an extremly useful drug IF you plan to use it that way.Very very low doses of even 100 mg can be used in the same mannner a benzo does.
Posted by willyee on February 7, 2006, at 8:18:50
In reply to Re: Xyrem once mentioned here » willyee, posted by SLS on February 7, 2006, at 6:19:13
Oh i also forgot to mention i called a few times,they are actualy very very nice,and yess xyrem is off label at this time,the use of it is totaly up to your docters discression,in fact they helped me find a doc who commonly uses it but hes a city away.
I explained to them my current docs just arent familiar with it,but i was very surprised at how helpful they are.
Posted by SLS on February 7, 2006, at 8:26:54
In reply to Re: Xyrem once mentioned here, posted by willyee on February 7, 2006, at 8:18:50
Thanks for the explanation.
My doctor has mentioned using it several times in the past to treat me (bipolar depression). Generally, I do not suffer from anxiety. Lack of energy and loss of interest along with cognitive/memory impairments are my main symptoms.
- Scott> Oh i also forgot to mention i called a few times,they are actualy very very nice,and yess xyrem is off label at this time,the use of it is totaly up to your docters discression,in fact they helped me find a doc who commonly uses it but hes a city away.
>
> I explained to them my current docs just arent familiar with it,but i was very surprised at how helpful they are.
Posted by willyee on February 7, 2006, at 10:01:03
In reply to Re: Xyrem once mentioned here » willyee, posted by SLS on February 7, 2006, at 8:26:54
Its extremly powerful,potent,but extremly useful.I wish my docter would.Your very much more technical than i am,but ill give you a lamons term.
In mild doses you experiance lessened psychical anxiety,your mood begins to lighten,things dont seem so hopeless,theres no mania,you just feel quite good abut life,and you also have an incredable urge to be social,that is what i want it for,not a single mood stablizer can touch it.
Now you have people who will call it the date rape drug,but thats nonsense,first of all its STRONGLY contradicted with alcholol,second of all the medication should never be in the presensce of a bar or such,do u bring a benzo out on the town.
Its propganda to make this one time substance that ran 50 bucks a tub to 400 dollers a small bottle a prescription drug.The only way to make a legal natural substance become illegal with no law hearings is to provide to the public that it causes an immediate,direct danger,and thats the loop hole which was used,the whole date rape hysteria.Lets not forget the main ingerdient of all date rapes,alcholol itself.
As for it,basiacly its on step up the latter from gaba,aside from that it also has a soothing effect on dopamine.
Ive only used it in mg to 1 gram doses where it is an aid in depression and anxiety,going above a gram means u either are a big big person,are using to for a sleep aid,or unfortunatly one of those abousing it.
My friend i followed your situation,i STRONGLY recomend u try this,and you can feel free at any time to contact me i have tons of info on using this substance as a moood medication.Its also a very very good augmentor when used with a stimulant.The list goes on and on.
Last the person who worked with it and relaised it existed is the same French docter who brought to the market thorazine which was the first medication to finaly let shchizo patiens out of hopsitals.
As for sleep,i dont recomend it,simply because of the extreme doses required,were talking 100mg -a gram to augment........while sleep rquires over 4 WHOPPING GRAMS.lol i get excitied just speaking of it,youre a lucky man id take it in a instant.
Posted by Phillipa on February 7, 2006, at 20:15:19
In reply to Re: Xyrem once mentioned here, posted by willyee on February 7, 2006, at 10:01:03
Willyee did you google it on Dr. Bob? Fondly, Phillipa
Posted by willyee on February 8, 2006, at 8:09:04
In reply to Re: Xyrem once mentioned here » willyee, posted by Phillipa on February 7, 2006, at 20:15:19
> Willyee did you google it on Dr. Bob? Fondly, Phillipa
Lol not to come off as a smarta- but when it comes to xyrem,i should be a google engine.Im mostly trying to find out about its newly approved off label use and see if and how people with emotional disorders are getting this,i simply cant get it from no docters here,the poor lady on the phone sounded as if she wished she could write me the prescription when i told her how much i knew,how it worked,how its workings pretained to me,my history with it etc,she searched hard for docs in my area and found one in richmond but im not going alll the way up there to be shot down again.
Posted by jerrympls on February 10, 2006, at 3:37:08
In reply to Re: Xyrem once mentioned here, posted by willyee on February 8, 2006, at 8:09:04
I will probably ask my new psych doc about Xyrem to treat my severe insomnia. I've grown tolerant to all other helpful insomnia treatments and need something new to help - yes NEED - I am missing work and school because I can't sleep. I just hope he's an educated doc and knows of its uses.
Jerry
Posted by utopizen on February 12, 2006, at 14:47:14
In reply to Re: Xyrem once mentioned here, posted by jerrympls on February 10, 2006, at 3:37:08
> I will probably ask my new psych doc about Xyrem >to treat my severe insomnia.
I tried it for my "severe insomnia" (what was actually my early stages of depression, but god forbid I allowed myself to admit that depression and insomnia are inseparable).
Since it will indeed (and is clinically proven to do so) aggravate any existing depression, no matter how benign, it will basically make you more depressed in the long-run, worsening your depression.
I eventually caved after Ambien, Xyrem, Klonopin, you name it didn't work, and realized the reason why insomnia occurs is because obsessing about insomnia causes insomnia.
In the case of Xyrem: I literally was vomitting every night (not uncommon side effect) and when I woke up the next day, my friends told me "I look like Death."
They couldn't be more accurate. My eyes, at the age of 20, looked like a dying 90 year old's. Depression was written on my face.
Feel free to take it, but keep in mind it's not only contraindicated in depression...
******************
8% of patients taking Xyrem reported insomnia in clinical trials.
***********
For me, it caused insomnia as well. I would have to mix it with a benzodiazepine just to get any sleep. This is... better than Xyrem-induced insomnia... since it gets rid of the rumination Xyrem will cause, and the dysphoria and all...
but it's also risky, as benzos + Xyrem are a big risk for respiratory depression, which you can die from.
Um, no.Drugs do not treat insomnia at your level, unless you combine it with CBT. But that's for a different board.
In the meantime, focus on the thing insomnia is distracting you from-- your mood. Up the dose of your SSRI, or change it, and add a sedating Seroquel or some other sedating atypical...
I don't care what side effects you're anxious about with any other med...
vomiting every night and having amnesia while doing so until 2 weeks into doing it and having such dysphoria that night I felt God was punishing me for my sins and "connected with all sins of all mankind" is not a way to treat your insomnia.
Trust me, it might be annoying and seem less "proven," but there's a limit to what drugs can do. Your case warrants not limiting yourself to psychopharmacology. CBT board can help, ask people what helps them there. You've already admitted drugs can only go half way yourself, and I highly doubt my testimony will convince you to go on a quest for Xyrem.
Insomnia drugs aren't suppose to knock you over the head.
They're not meant to turn your body off like you're some laptop that needs to enter sleep mode.
Treat the depression, the anxiety, and insomnia will be treated in the process.
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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