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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 your#1fan on February 18, 2008, at 15:25:41
I take 40mg of Prozac in the morning. All it does is it gives me sort of a kick and im in an ok mood.
I was on wellbutrin years ago, but the anxiety it created was tremoundous.
Wander if Prozac Wellbutrin, and Xanax would work?
confused right now.
Posted by Racer on February 19, 2008, at 15:40:10
In reply to Prozac And Wellbutrin?, posted by your#1fan on February 18, 2008, at 15:25:41
Actually, from reading your posts recently, I suggest something more radical:
1. Get a second opinion from another, qualified psychopharmacologist. Ask for a detailed outline of a recommended treatment plan.
2. Follow that treatment plan, with supervision from a qualified psychopharmacologist.
3. I think you know what number three is, but just to make sure there's no misunderstanding, here it is: find a good therapist.
You seem to have trouble with fairly pronounced variations in your moods over the course of a day, and you certainly have trouble coping with day to day stressors. I don't think Wellbutrin would be a good candidate under the circumstances. I also think -- as has been suggested at other times by a variety of posters -- that perhaps you'd do much better with a mood stabilizer.Good luck.
Posted by KarenRB53 on February 19, 2008, at 16:58:14
In reply to Re: Prozac And Wellbutrin? » your#1fan, posted by Racer on February 19, 2008, at 15:40:10
Can you tell me how to find a psychopharmacist? I live in Canada.
Thanks
Posted by your#1fan on February 20, 2008, at 0:16:58
In reply to Re: Prozac And Wellbutrin? » your#1fan, posted by Racer on February 19, 2008, at 15:40:10
I talked with my on-campus psychologist, but she isnt my "medical" psychologist, but she for sure helps! we talk about many things, mask(S) during the day, diffrent persona's, substance abuse, and what problems that are currently im having, and tell the doctor.
Right now is mainly Anxiety, and ADHD!!! and some depression but prozac wiped it out.
I long time ago i never knew who i was, just said "forget it" made new persona's. Not other personalites....just diffrent ways of acting in diffrent situations.
Sometime, in my head if my mask falls off, i feel unreal.
________________________________Anyways see i always go off on something that doenst concern what where talking about......
I think Wellbutrin would help. And Some kinda of ADHD medication definently help, with some mood stabilizer. Im already on a pretty good one, Zyprexa.
Thanks for the advice, and i wished i took Wellbutrin and Concerta, that would work so great for me!
instead im 40mg of Prozac which has wiped out depression, even caused good moods, but not with concentration at all. Xanax........i would be in the ER most of the time, if i was not taking it.
Good luck....i can tell that wellbutrin and concerta help with focusing in what your saying in your posts. Your posts are very settle and to the point, mine are just scattered brained.
your#1fan
Posted by Racer on February 20, 2008, at 3:13:31
In reply to Re: Prozac And Wellbutrin?, posted by your#1fan on February 20, 2008, at 0:16:58
>
> i wished i took Wellbutrin and Concerta,
>
>
> ..i can tell that wellbutrin and concerta help with focusing in what your saying in your posts. Your posts are very settle and to the point, mine are just scattered brained.
>
>Actually, this is the sort of thing I've been referring to in suggesting that you're looking to medications for help with issues that would probably respond much better to behavioral approaches. My writing is equally coherent with or without medication -- it's something I put a certain amount of effort into, not something I take a pill for.
In my case, I've had a few more years than you have to learn how to write. At this point, it's not much effort at all to write posts that stick more or less to my points. It's something you could learn to do, if you chose to -- with or without medication.
Honestly, based on your history as you've disclosed it here over the years, I think Wellbutrin and Concerta would be a very bad combination for you. You've disclosed a history of substance abuse, which would tend to contraindicate any conventional psychostimulants, and you have a history here of writing many posts in a very short period, which suggests at least hypomania to me. I'd say Wellbutrin would be a dangerous choice for you.
I'm also going to repeat again -- talk to your doctor. Consult with your doctor. Work out a treatment plan with your doctor. Maybe the psychologist you're seeing at school can help you put together a list of your concerns to discuss with your doctor when next you see him. Perhaps you could discuss with that psychologist the potential benefits of getting a second opinion.
Good luck.
Posted by Jay-Bravest_Face on February 20, 2008, at 5:23:27
In reply to Re: Prozac And Wellbutrin? » your#1fan, posted by Racer on February 19, 2008, at 15:40:10
Actually, I think you should consider Wellbutrin AND a mood stabilizer. Depakote and Wellbutrin are a well tested combo. I was on the two for some time with great success, and now they have the ER/XR version of Depakote of which is supposed to be even better (once a day dosingfewer side effects..supposedly.) With Depakote, you will find much of the hyper-anxiety melt away. Its not an anti-anxiety med, but it helps slow-down your overall state of speed-increased mentality. The only reason I am not on the combo anymore is because I have found other meds that work better for me, in particular.
But, even as recent as a month or so ago, before I went on Cymbalta, I was considering the combo. Id honestly stay away from the ill-proven so-called mood stabilizers like neurontin, topamax, lamictal, etc. Tegretol is another mood stabilizer with some good results, but for mixed episodes with anxiety and depression, Depakote is the standard.
Lithium is THE one gold standard, but mainly for the pure mania side of bipolar, and I was told if you responded to benzodiazepines, you likely wont do well on lithium. And I didnt do well on lithium at all.Hang in there bud. Dont let your patronizing parents or people get you down. You are the master of your universe, and an adult, and dont need people chewing your ear off.
Best wishes,
Jay
Posted by your#1fan on February 20, 2008, at 14:26:53
In reply to That's nothing to do with medication » your#1fan, posted by Racer on February 20, 2008, at 3:13:31
3..2..1 lets go!
Racer i did go through a period a abuse with Adderall, but that was now 2 years ago. I learned that i sabotaged my own concentration by doing this.
I admit, i write very fast! well sometimes ill be looking at the screen and stare off for like 10 min. about something, and do something else, and then forget that i was posting to someone.
Anything that would really slow my brain down, i dont like the feeling of, i've seen people on Lamical in my acting class she takes the HIGHEST dose of it, she's quite a fiesty character, but she always calm. I dont want want something like Phenobarbital all day, being tired, not getting excited about things. That would make life "low".
I did at one time ask my doctor about phenobarbital, but now i would hate to take anyhting like that because for one thing it lasts too long! i would be lethargic, thats a nightmare! i need something to stimulate my mind that would calm my ADHD down.
I have posted here on d-amphetamine and i was fine, i made points, and i didnt do 10000 things at once when i was doing it, like right now im listening to music as im posting to stimulate my mind. If its not stimulated i become VERY SLOW!! THIS Needs to be docturmented. I dont have personality, or anything.
Concerta would really help me, and really it would calm me down. But i talked to the Doctor Vavvyanse he told me about and may go there. 50mg in morning 50mg in afternoon. It would calm me down.
Xanax definetnly calms my me down, but i feel sleepy, unless im having a panic attack, then it just brings me back to "reality". Even though most of the time im very nuerotic, because of my ADHD.
AND actually.......................im suppost to be doing a 2 page paper right now....but i chose to skip it. And write here. ROFL! for english comp 2.
Wish me luck!
your#1fan
Posted by Racer on February 21, 2008, at 9:29:28
In reply to Re: That's nothing to do with medication, posted by your#1fan on February 20, 2008, at 14:26:53
I kinda get the feeling your feelings might have been a little hurt by my post, which was certainly not my intention. I was very tired, and didn't take a lot of time to consider how my words might have come across to you.
If your feelings were hurt, I'm very sorry. It was not my intention to criticize you.
This is actually a pretty good illustration of one of the difficulties of the civility guidelines here -- intent is too hard to judge, so behavior is the only thing we have to go on. My intentions were good, I'm just not sure I managed to convey them very well.
Peace.
Posted by Dr. Bob on February 22, 2008, at 8:26:40
In reply to The perils of posting while tired and grumpy » your#1fan, posted by Racer on February 21, 2008, at 9:29:28
Posted by your#1fan on February 22, 2008, at 23:35:23
In reply to The perils of posting while tired and grumpy » your#1fan, posted by Racer on February 21, 2008, at 9:29:28
I was being defenisve i bit, but not in a way that i was being like critized or something.... i was telling it up frount really fast!
I do have a racy, and a lazy mind at the time. There is many times during the day, these are definently symptoms of ADHD, because im energetic but im not thinking at the same....
Thanks for thinking of me! though....
your fan
This is the end of the thread.
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