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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 19 to 43 of 43. Go back in thread:
Posted by Maxime on October 30, 2007, at 18:27:55
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Polarbear206 on October 30, 2007, at 16:54:36
I go manic on Effexor so it's not an option.
Trileptal is the mood stabiliser that I have been able to tolerate.
Yes, maybe I will give up the Adderall. It has never made me hypomanic and I have been on it for 2 years.
Thanks.
Maxime
> I would seriously consider ditching the Adderal. These kinds of meds and bipolar are not a good mix. It could very well be exacerbating your depression. How about effexor instead of zoloft? You obviously need one that targets more than serotonin, since Parnate worked for some time for you. Also, you may need to try another mood stabilizer down the road that may augment your AD. The problem is, you can't do too many things at one time. I would start with the adderal and go from there. Of course you should discuss this with you doctor first. Don't give up, PLEASE hang in there!! I have walked in your shoes.
>
> PB
Posted by Maxime on October 30, 2007, at 18:32:48
In reply to Re: You know Zoloft isn't working when, posted by stargazer2 on October 30, 2007, at 18:15:17
Thank you.
I have been on Zoloft before, and I did respond to it (at dose of 250 mg).
My pdoc always tries to give me hope and tells me that I have to keep trying. But he doesn't believe meds will ever really work for me.
He knows that I am suicidal, but not that I am planning anything. I see him on Friday. I don't want to end up in that nasty hospital I was in 2 years ago. It made me worse.
Thanks for your support.
Maxime
Maxime,
I too suffer with a treatment resistent condition.
Everything you wrote sounded like I did, with the exception of writing an obituary.How is your doctor? Does he give you hope that something will help you? Does he know what you are planning?
Are you worse on Zoloft? I became suicidal on Zoloft so if you are feeling worse than before starting it, it may be the wrong med.
I would let my pdoc know how badly I was feeling and go and see him (or her). You may need to get off Zoloft. Not all meds make us feel better, some can make us feel worse and that is what it sounds like 'Z' is doing to you.
I know how badly you are feeling. I would recommend you call your doc and get in to see him ASAP. You meds need to be adjusted.
Good luck, we are all pulling for you.
Stargazer
Posted by Polarbear206 on October 30, 2007, at 19:57:34
In reply to Re: You know Zoloft isn't working when » stargazer2, posted by Maxime on October 30, 2007, at 18:32:48
I didn't know you were on the zoloft before. As Racer said, don't give up on the zoloft yet. You still have a way to go to get to 250mg.
PB
Posted by Maxime on October 31, 2007, at 14:44:08
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Polarbear206 on October 30, 2007, at 19:57:34
> I didn't know you were on the zoloft before. As Racer said, don't give up on the zoloft yet. You still have a way to go to get to 250mg.
>
> PBThanks PB.
I just don't know if the Zoloft will work this time. Nothing works the same the 2nd time. I am really frustrated. It was the second AD I ever took and it pooped out on me.
I feel hopeless.
Maxime
Posted by Maxime on October 31, 2007, at 14:45:47
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Polarbear206 on October 30, 2007, at 19:57:34
So as many of you suggested I didn't take any adderall today. I feel like a slug. How long before that goes away?
Losing hope,
Maxime
Posted by Racer on November 1, 2007, at 12:08:05
In reply to Re: You know Zoloft isn't working when » Polarbear206, posted by Maxime on October 31, 2007, at 14:44:08
>
> I just don't know if the Zoloft will work this time. Nothing works the same the 2nd time.Actually, I haven't found that to be true -- thankfully. It may be that Zoloft will work as well again for you as it did before.
Remind me -- did you try Cymbalta? I ask because of your MS, wondering if it might help that at all?
As for your doctor not believing meds will really help you, what does he recommend to "really" help you? (Of course, I'm a big believer in -- I'll shut up now...) My guess is that something that helped your MS would probably also help your depression -- even though they're different, things like that add on to one another. My hip problem certainly drains my energy, which feeds my depression. (Of course, don't know that there's much to be done about that, so I guess my depression will get to be as fat as I am.)
I'm crossing my fingers that Zoloft works for you again. And I'm also crossing my fingers that you can hold on until it does.
Best luck to you.
Posted by Phillipa on November 1, 2007, at 21:03:26
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Racer on November 1, 2007, at 12:08:05
No cymbalta in Canada. I will do a google search of MS meds as here or elsewhere suggested the same thing. So not off base. Phillipa
Posted by Phillipa on November 1, 2007, at 21:43:26
In reply to Re: You know Zoloft isn't working when, posted by Phillipa on November 1, 2007, at 21:03:26
Here's a list of MS meds looks like TCA's seem to work well for depression with MS. Phillipa
Multiple Sclerosis Health Center Font SizeA A A Multiple Sclerosis (MS) - Medications
Medications for multiple sclerosis (MS) may be used:During a relapse, to make the attack shorter and less severe.
Over a long period of time, to alter the natural course of the disease (disease-modifying therapy).
To control specific symptoms as they occur.
Controlling a relapse
Medications can shorten a sudden relapse and help you recover more quickly. Temporary treatment with medications called corticosteroids is the most common treatment used to control a relapse. These medications have not been shown to affect the long-term course of the disease or to prevent disability.Altering the course of MS using disease-modifying treatment
Strong evidence suggests that MS is caused by the immune system causing inflammation and attacking the myelin-the coating surrounding the nerve and nerve fibers. Medications that change the activity of the immune system can reduce the number and severity of attacks that damage the protective myelin.Currently, interferon beta (Avonex, Betaseron, and Rebif), glatiramer acetate (Copaxone), mitoxantrone (Novantrone), and natalizumab (Tysabri) are the only medications that have been approved for this purpose. For people with relapsing-remitting MS, these medications can reduce the number and severity of relapses and can result in fewer brain lesions. They may also delay disability in some people. Betaseron and Novantrone may delay disease progression in some people with secondary progressive MS.
Currently, there is no effective disease-modifying treatment for primary progressive MS.
Some people have only one episode of a neurological symptom such as optic neuritis, but MRI tests suggest they may have MS. This is known as clinically isolated syndrome. Many of these people go on to develop MS over time. Avonex and Betaseron have been used for people with clinically isolated syndrome in an attempt to prevent MS from developing.
Relieving symptoms
Treating specific symptoms can be effective, even if it does not stop the progression of the disease. Symptoms that can often be controlled or relieved with medication include:Fatigue. Medications to reduce fatigue or help you sleep better may include amantadine (Symmetrel), modafinil (Provigil), or fluoxetine (Prozac).
Muscle stiffness (spasticity) and tremors. Medications that may reduce muscles spasms or stiffness include baclofen (Lioresal), tizanidine (Zanaflex), dantrolene (Dantrium), gabapentin (Neurontin), diazepam (Valium), or clonazepam (Klonopin). Sometimes a combination of these medications works best to reduce your muscle symptoms.
Urinary problems and constipation. Medications used to reduce frequent urination may include propantheline (Pro-Banthine), oxybutynin (Ditropan), or tolterodine (Detrol). Medications sometimes used to relieve constipation include bulk agents such as psyllium (Metamucil) or daily use of laxatives.
Pain and abnormal sensations. Depending on the severity of the pain, both prescription and nonprescription medications may be tried. Prescription medications commonly used to reduce pain associated with MS include baclofen (Lioresal), carbamazepine (Tegretol), or gabapentin (Neurontin). Nonprescription medications may include acetaminophen, ibuprofen, or naproxen sodium.
Depression. Antidepressant medications may be used to reduce depression that often occurs as a result of having MS. Antidepressants often tried include tricyclic antidepressants-such as amitriptyline (Elavil), desipramine (Norpramin), or imipramine (Tofranil)-or selective serotonin reuptake inhibitors (SSRIs)-such as fluoxetine (Prozac) or sertraline (Zoloft) among others.
Posted by Phillipa on November 1, 2007, at 21:44:58
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Racer on November 1, 2007, at 12:08:05
Also looks like prozac and zoloft are used. Phillipa Good luck Maxie it will work this time give it time to kick in.
Posted by Maxime on November 1, 2007, at 23:04:44
In reply to Re: You know Zoloft isn't working when, posted by Phillipa on November 1, 2007, at 21:44:58
> Also looks like prozac and zoloft are used. Phillipa Good luck Maxie it will work this time give it time to kick in.
Thanks Phillipa and Racer. I appreciate your support. But you don't have to worry about me anymore. I hope to gone by Sunday.
Take care.
Maxime
Posted by Maxime on November 1, 2007, at 23:19:59
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Racer on November 1, 2007, at 12:08:05
Thanks Racer.
I've gone back to meds that have worked and they don't work again.
Cymbalta isn't available in Canada.
I'm holding on until Saturday.
Take care and thanks for your help and friendship.
Maxime
Posted by Phillipa on November 1, 2007, at 22:57:16
In reply to Re: You know Zoloft isn't working when » Racer, posted by Maxime on November 1, 2007, at 22:19:59
Maxie why the weekend? And you will get well. Love Phillipa
Posted by Maxime on November 2, 2007, at 12:40:15
In reply to Re: You know Zoloft isn't working when » Maxime, posted by Phillipa on November 1, 2007, at 23:57:16
> Maxie why the weekend? And you will get well. Love Phillipa
Because the weekend is the best time to do it. I can't suffer anymore ... I am broken.
Maxime
Posted by MidnightBlue on November 2, 2007, at 16:37:51
In reply to Re: You know Zoloft isn't working when » Phillipa, posted by Maxime on November 2, 2007, at 12:40:15
Just wanted you to know I care. I'm sorry I can't be any more helpful.
MidnightBlue
Posted by Phillipa on November 2, 2007, at 20:30:12
In reply to Re: You know Zoloft isn't working when » Phillipa, posted by Maxime on November 2, 2007, at 12:40:15
Maxie somehow we have to patch you up and fix you have you read the deplin thread maybe some hope in that????Phillipa
Posted by CoutureMan on November 3, 2007, at 4:27:34
In reply to Re: You know Zoloft isn't working when » Phillipa, posted by Maxime on November 2, 2007, at 12:40:15
Maxime, I hope your statements are only a cry for help and you do not carry out a suicide attempt this weekend. I don't know you well at all but I hope you can call someone to get you to a hospital or some place where you will be safe from self harm.
Sincerely,
CM> > Maxie why the weekend? And you will get well. Love Phillipa
>
> Because the weekend is the best time to do it. I can't suffer anymore ... I am broken.
>
> Maxime
Posted by tecknohed on November 3, 2007, at 13:38:18
In reply to Re: You know Zoloft isn't working when » Phillipa, posted by Maxime on November 2, 2007, at 12:40:15
> Because the weekend is the best time to do it. I can't suffer anymore ... I am broken.
>
> MaximeBUT YOU HAVEN'T EVEN GIVEN YOURSELF THE TIME NEEDED TO RECOVER FROM THE ADDERALL!!!
Posted by elanor roosevelt on November 3, 2007, at 17:37:57
In reply to Re: You know Zoloft isn't working when » Racer, posted by Maxime on November 1, 2007, at 23:19:59
Maxime,
I have had very bad reactions when taking an AD that is not working. The effect it has can be worst that no AD and can trigger destructive thoughts.It's a bad place and it's the meds
Get off that Zoloft.If you are worried about your weight, wait the 2 weeks and go back on parnate. you won't gain weight on that.
But you must must must get into some sort of anorexia group where people will understand that aspectof your life.
The adderall, even if it's not clarifying your thoughts(it doesn't help me with that any longer) can be used to keep depression at bay but you need sleep so take it early in the day.
good luck
hang in there
call you doc and get in on monday
Posted by finelinebob on November 3, 2007, at 18:17:27
In reply to ditch the zoloft, posted by elanor roosevelt on November 3, 2007, at 17:37:57
> Maxime,
...
> Get off that Zoloft.
...
> hang in there
> call you doc and get in on mondayIt took me two hellacious years to realize that my problem wasn't with serotonin, and another 6 months to convince my PDoc.
SSRIs, despite what many docs and pdocs might believe, aren't for everyone and may not even be a good place to start. Don't let the bad meds or the Beast speak for you. They're not YOUR life so fight them to get it back.
You have it in you to do this.
flb
Posted by CoutureMan on November 10, 2007, at 5:25:00
In reply to Re: You know Zoloft isn't working when » Phillipa, posted by Maxime on November 2, 2007, at 12:40:15
Has anyone heard from Maxime?
CM
> > Maxie why the weekend? And you will get well. Love Phillipa
>
> Because the weekend is the best time to do it. I can't suffer anymore ... I am broken.
>
> Maxime
Posted by kaleidoscope on November 10, 2007, at 9:45:41
In reply to Maxime are you still with us?, posted by CoutureMan on November 10, 2007, at 5:25:00
Maxie, are you there?
Ed x
Posted by Phillipa on November 10, 2007, at 19:26:29
In reply to Re: Maxime are you still with us?, posted by kaleidoscope on November 10, 2007, at 9:45:41
Not a word it was last Sunday she was going to end it. Kalidescope figured you may have heard from her. Love PJ O
Posted by dreamweever on November 10, 2007, at 21:28:34
In reply to Re: Maxime are you still with us? » kaleidoscope, posted by Phillipa on November 10, 2007, at 19:26:29
> Not a word it was last Sunday she was going to end it. Kalidescope figured you may have heard from her. Love PJ O
I will probably get a PBC for this, but I found your post to be very insensitive. There are people here who are worried about her and to casually say "she was going to end it" is - well - I am speechless.
Posted by Phillipa on November 10, 2007, at 21:36:32
In reply to Re: Maxime are you still with us?, posted by dreamweever on November 10, 2007, at 21:28:34
How is it insensitive I've been friends with Maxie for over three years and she's babbled mailed me thoughout this. She hasn't babbled back. I'm terrified that something happened but praying she did take our advise and go back into the hospital. She's extremely brilliant and will not give up. I just wish she'd answer us. Phillipa
Posted by Phillipa on November 10, 2007, at 21:38:24
In reply to Re: Maxime are you still with us? » dreamweever, posted by Phillipa on November 10, 2007, at 21:36:32
Maxie please if you have access to a computer a message? Love hugs kisses Phillipa
This is the end of the thread.
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