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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Fivefires on September 13, 2007, at 15:34:58
He didn't even want to discuss Nardil, and said I'd experience weight gain w/ Remeron.
Instead, thinks I should increase Abilify dose.
I've already built up a tolerance to Abilify in less than a month at 5mg.
The relief I was initially feeling has acutely fallen off the wayside.
Anyone have opinion or suggestion?
I've got a virus or something, feels like flu, so pls forgive if sound a bit out of it.
tks, 5f
Posted by Racer on September 13, 2007, at 16:53:38
In reply to PCP frowned re: Nardil -or- Remeron, posted by Fivefires on September 13, 2007, at 15:34:58
Your doctor is probably right about the Remeron -- it causes weight gain for an awful lot of people who take it.
Advice? When you say that you've "developed tolerance" for Abilify, I wonder if you're meaning something else. Abilify is not one of those drugs, like benzos or psychostimulants, that causes tolerance as it's generally understood. My guess, wild and unsubstantiated as it is, is that you had an initial response to it, and aren't currently taking an adequate dose. Going further, my guess would be that raising it would be the best choice at this point -- find out if an adequate dose is all that's needed. Abilify's therapeutic window is usually described as between 15 and 30 mg. You're not there yet, and may find that you do just fine once you are.
Good luck. I hope this helps.
Posted by cumulative on September 13, 2007, at 18:48:21
In reply to PCP frowned re: Nardil -or- Remeron, posted by Fivefires on September 13, 2007, at 15:34:58
It might be worth looking for more liberal doctors, especially ones who specialize in treatment-resistant problems, if you're interested in something like Nardil. Most people working in the field right now will turn off immediately at the mention -- very unfortunate, I think, considering the superior effectiveness (and arguably -- I would argue -- a much better profile of side effects than SSRIs in the long run).
Posted by Phillipa on September 13, 2007, at 20:20:34
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by cumulative on September 13, 2007, at 18:48:21
Also having a virus could be affecting the way the abilfy is making you feel. Racer is right though no tolerance so are you very anxious or depessed. Why not the one you said worked for you? Phillipa
Posted by polarbear206 on September 13, 2007, at 22:17:27
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by Racer on September 13, 2007, at 16:53:38
Posted by Racer on September 14, 2007, at 0:49:19
In reply to FF. Good advice from Racer (nm), posted by polarbear206 on September 13, 2007, at 22:17:27
Posted by Fivefires on September 14, 2007, at 18:37:18
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by Racer on September 13, 2007, at 16:53:38
Ohhhhh .. 15-30mg. I was going to google this some time b4 now(?), so tks Racer for the answer here. U really do race around ya' know.
Worry re: weight gain on these high dosages. Guess could buy treadmill. Any1 know of a good treadmill? I got my coffee pot. What a story! I'll post it on Social.
Running always kept me in the best of shape and emotionally healthier as well. Now I'm only allowed to 'fast walk' re: c-spine stuff.
Peeps that 'fast walk' look like people who have to go to the bathroom real bad and are hurrying to get there b4 they have an accident..ha ha!!!
I'm sorry R, I need coffee~!
I'm at 7.5mg Abilify today and feel a little better.
The whole weight gain thing isn't even about eating so much, I don't believe. (Don't worry Racer, I'm trying not to ask any ?s I'm feelin' fatigued and silly.)
Weight gain is a huge issue for me. I'm sorry but I'm quite spoiled. I've never had weight probs' and apparently I have 'a cute little butt', or 'the cutest little butt', or 'the cutest little as ... I was saying ... if I lose my looks (according to 'the men' who've been and around in my life) there's nothing left. o_o
How do you spell the sound of whining?
Tks Racer! 5f
Posted by Phillipa on September 14, 2007, at 18:57:35
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by Fivefires on September 14, 2007, at 18:37:18
FF in a way you are putting yourself down as there will come a day as I've found when you will start to age and I know you possesss many other loveable qualities to take the place of looks. I'm finding that out myself. Give yourself the credit you deserve for being loveable with or without looks please????? Phillipa who isn't aging gracefully having a hard time as looks were stressed in my life also.
Posted by sam123 on September 15, 2007, at 14:19:40
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by Fivefires on September 14, 2007, at 18:37:18
> Weight gain is a huge issue for me. I'm sorry but I'm quite spoiled.
No, you are not spoiled. Weight gain from meds is a big deal. Get a scale and keep track of your weight as you raise the dose. That way you can react as soon as possible. Keep in mind your weight does vary a bit over time, even if you are not gaining or losing.
Posted by Fivefires on September 16, 2007, at 16:57:25
In reply to FF. Good advice from Racer (nm), posted by polarbear206 on September 13, 2007, at 22:17:27
(Sorry .. it's Sunday .. just now reading.)
Well yes, I totally agree w/ Racer, .. but, .. for some rather than others I'm afraid priorities are different.
It was my PCP who reacted this way. He doesn't deal w/ TRD and probably, well almost certainly, doesn't see 'me' as having this. I put on my best face for him. I try to keep my physical issues separate from my psychiatric issues, as this is the way the docs seem to prefer and this is the way which works best for me.
I've been reading about Nardil and all I can say is 'Hooray for the courage it takes a person to give up self-image re: weight gain, and sexual bounty, for the sake of happiness!'
I'm just not this strong.
My whole life has been about how I look and uknowwhat.
I just got done text messaging a guy 'we can only be friends' and he responded 'Too bad ... your loss'.
I saw the cell message and the innocent me was surprised, but I should have know he would reply this way, as this isn't new, story of my life. I'm nothin' but a freakin' plaything I guess. :(
Haven't had a lot of good guy friends for this reason. My father was my best friend. There have only been a small handful of men in my life who weren't here for one purpose in particular, and we know what this is, unfortunately.
5f
Posted by Fivefires on September 18, 2007, at 13:36:52
In reply to Re: PCP frowned re: Nardil -or- Remeron » Fivefires, posted by Phillipa on September 14, 2007, at 18:57:35
This has been so hard to do since my Dad passed away. I haven't seem myself in anyone's eyes, well except maybe a daughter's eyes, this way since. It reassured me. It told me I was valuable. I miss it so much. I need it more often.
How do you get it when you're all alone Phillipa?
I know you're going to say self talk, but I already self talk all the time. The naybur (ha) already complains I make too much noise.
5f
Posted by Phillipa on September 18, 2007, at 22:22:40
In reply to Re: PCP frowned re: Nardil -or- Remeron, posted by Fivefires on September 18, 2007, at 13:36:52
Actually no the years I lived alone I had my Brandy and Sheeba pups and also was a runner and worked a lot as I loved my jobs I was glad when I was alone and did a lot of reading. Phillipa
This is the end of the thread.
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