![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 20 to 44 of 121. Go back in thread:
Posted by Phillipa on January 4, 2009, at 13:32:40
In reply to Re: I want to switch from nortriptyline to desipramine » Phillipa, posted by SLS on January 4, 2009, at 6:32:42
Scott they have no idea when contracted lymes could have been many years even before move to NC as lived in Ct. But infection control specialist that treated me in hospital with Iv rocephin pic line did so for only a week as side effects put me on biaxin xl for three years for three months at a time. The chart with the bands is much too complicated for me to understand some bands positive high and some low. Spinal fluid taps done twice and MRI of brain. Both those negative at time but lymes hides. When moved to Charlotte took the full infection control specialists chart I had copied to a rheumatololigist here he tested and of course Western blot still positive the health dept called and wanted to know why I wasn't being treated and the rheumatologist said forget it you've had enough antibiotics so no idea as he now isn't even in Charlotte. As for thyroid in the mail yesterday a letter and was tested before Christmas for a checkup that was cancelled and the paper said they unsuccessfully tried to contact us Christmas Eve And in eight weeks TSH has gone from .764 with Free T4 of 1.74 which was looking better. This paper said latest now TSH is 11.91 and Free T4 l.22. And the cell phone is my husbands who said there was a message and it wasn't important. So now it's change dose of synthroid again from taking 50mcg six days a week and l00mcg l day a week now its' 100mcg three times a week and 50mcg four times a week. And husband still refuses to believe anything is wrong with me. I quit don't even know how or where to research this anymore. Phillipa who is extremely upset. Extremely.
Posted by bleauberry on January 4, 2009, at 15:30:19
In reply to I want to switch from nortriptyline to desipramine, posted by SLS on January 3, 2009, at 16:30:10
It sounds like smart thinking, Scott. With its stronger potentiation of norepinephrine, I would think there is some risk there that warrants a cautious introduction of desipramine. You are an expert at these kinds of med manipulations and you know yourself better than anyone.
So while your doctor might have some concerns, I don't. I'm just glad you are feeling better than I recall you did in previous times. If it can be made even better, I know of no one more qualified to make med decisions than you.
Posted by dcruik518 on January 5, 2009, at 18:47:10
In reply to I want to switch from nortriptyline to desipramine, posted by SLS on January 3, 2009, at 16:30:10
Having taken both Nortriptyline and Abilify, I think you're almost certainly correct that the Nortriptyline is causing the weight gain. I gained twenty lbs on it, in just six weeks. I think Abilify causes weight gain, too, but much more slowly, like maybe one or two lbs per month. I'm trying to reduce it to 5mg, to see if I lose any weight.
~Dwight
Posted by SLS on January 6, 2009, at 6:59:05
In reply to Re: I want to switch from nortriptyline to desipramine, posted by dcruik518 on January 5, 2009, at 18:47:10
Thanks, Dwight.
-Scott
> Having taken both Nortriptyline and Abilify, I think you're almost certainly correct that the Nortriptyline is causing the weight gain. I gained twenty lbs on it, in just six weeks. I think Abilify causes weight gain, too, but much more slowly, like maybe one or two lbs per month. I'm trying to reduce it to 5mg, to see if I lose any weight.
>
> ~Dwight
Posted by SLS on January 8, 2009, at 16:04:31
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on January 6, 2009, at 6:59:05
Woohoo!
My doctor is letting me crossover from nortriptyline to desipramine. He is being rather cautious, but methodical in the way he makes the switch. I told him that, in the past, I needed 300mg of desipramine to get the most out of it. His first reaction was to not go so high in dosage. I explained to him that I am a rapid metabolizer of tricyclics. Seeing that I demonstrated a need to take 150mg of nortriptyline, it makes sense that I would need 300mg of desipramine. It is well known that 1mg nortriptyline = 2mg desipramine in terms of clinical equivalency. I guess I will just have to suffer for awhile. I will be reducing the nortriptyline and increasing the desipramine simultaneously.
I am going to need to be patient to follow my doctor's protocol for making the switch. I am probably going to feel worse for some period of time until I get up to 300mg with the desipramine.
Practicing patience really sucks.
I want to be feeling good yesterday.
- Scott
Posted by Phillipa on January 9, 2009, at 0:07:43
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on January 8, 2009, at 16:04:31
Scott well seriously congratulations. Hope you don't feel to horrible. Remember support is here. Love Phillipa
Posted by desolationrower on January 9, 2009, at 3:06:07
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on January 8, 2009, at 16:04:31
hm, good luck with the change.
i think betahistine would be ideal to counter weight gain, but probably not something you could get a doc to do. modafinil might be helpful in its stead, i sort of remember you saying you didn't take it, but a low dose might not bother you?
not sure what else you take, but at minimum i'd suggest
fish oil
vitamin d3
vitamin k2
magnesium
sounds like you excercise and i assume eat healthy.for weight loss also sesamin would be useful especially for triglycerides too, tho some people find it makes them sluggish or less libido. ashwaghadha is interesting, can't think if its ok with your regimine. green tea extract too. i would give it a try. those numbers are scary.
also, can't you just ask for plasma level of the tca if you think its not high enough?
-d/r
Posted by SLS on January 9, 2009, at 7:36:47
In reply to Re: I want to switch from nortriptyline to desipramine, posted by desolationrower on January 9, 2009, at 3:06:07
> hm, good luck with the change.
>
> i think betahistine would be ideal to counter weight gain, but probably not something you could get a doc to do. modafinil might be helpful in its stead, i sort of remember you saying you didn't take it, but a low dose might not bother you?
>
> not sure what else you take, but at minimum i'd suggest
> fish oil
> vitamin d3
> vitamin k2
> magnesium
> sounds like you excercise and i assume eat healthy.
>
> for weight loss also sesamin would be useful especially for triglycerides too, tho some people find it makes them sluggish or less libido. ashwaghadha is interesting, can't think if its ok with your regimine. green tea extract too. i would give it a try. those numbers are scary.That's a nice list of alternatives, D/R. Thank you. I think I'll try them. My fear is that without knowing it, my consuming any other substances might destabilize me and prevent me from responding to the medication regime. I think I'll wait until I am stable on the desipramine before adding anything.
> also, can't you just ask for plasma level of the tca if you think its not high enough?
If I have to fight my doctor on this one, I will go for blood levels at that point. I have been on desipramine often enough to know where my clinical range lies. One time, I was told to take 450mg of imipramine, and my blood levels still had not exceeded the therapeutic range. As purported in the PDR and other medical literature, most people will need no more than 200mg of desipramine. However, outpatients and people with more severe depressions are encouraged to target 300mg if necessary.
Thanks again.
- Scott
Posted by JadeKelly on January 9, 2009, at 9:40:30
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on January 8, 2009, at 16:04:31
> Woohoo!
>
> My doctor is letting me crossover from nortriptyline to desipramine. He is being rather cautious, but methodical in the way he makes the switch. I told him that, in the past, I needed 300mg of desipramine to get the most out of it. His first reaction was to not go so high in dosage. I explained to him that I am a rapid metabolizer of tricyclics. Seeing that I demonstrated a need to take 150mg of nortriptyline, it makes sense that I would need 300mg of desipramine. It is well known that 1mg nortriptyline = 2mg desipramine in terms of clinical equivalency. I guess I will just have to suffer for awhile. I will be reducing the nortriptyline and increasing the desipramine simultaneously.
>
> I am going to need to be patient to follow my doctor's protocol for making the switch. I am probably going to feel worse for some period of time until I get up to 300mg with the desipramine.
>
> Practicing patience really sucks.
>
> I want to be feeling good yesterday.
>
>
> - Scott
Some smart guy told me once that practicing patience really pays off (even tho it sucks).Good luck, hope you are feeling good soon.
~Jade
>
Posted by SLS on January 9, 2009, at 9:52:15
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on January 9, 2009, at 9:40:30
> > Practicing patience really sucks.
> >
> > I want to be feeling good yesterday.> Some smart guy told me once that practicing patience really pays off (even tho it sucks).
>
> Good luck, hope you are feeling good soon.I really appreciate your sincere sentiments. I might go through a bad spell. Knowing that people are behind me helps immensely.
Thanks.
Since we are not on the subject, how are you doing?
:-)
If Parnate 60mg doesn't seem to be doing the trick for you, would you increase the dosage of methylphenidate first, or increase the Parnate?
- Scott
Posted by JadeKelly on January 9, 2009, at 11:36:39
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on January 9, 2009, at 9:52:15
> > > Practicing patience really sucks.
> > >
> > > I want to be feeling good yesterday.
>
> > Some smart guy told me once that practicing patience really pays off (even tho it sucks).
> >
> > Good luck, hope you are feeling good soon.
>
> I really appreciate your sincere sentiments. I might go through a bad spell. Knowing that people are behind me helps immensely.
>
> Thanks.
>
> Since we are not on the subject, how are you doing?
>
> :-)
>
> If Parnate 60mg doesn't seem to be doing the trick for you, would you increase the dosage of methylphenidate first, or increase the Parnate?
>
>
> - Scott
>Ah, you want to know what grasshopper will do when you are the one in need of support? Okay, I'll tell you as a distraction. However, I've been looking at some old posts (really didn't know so much babble ends up on google) and you really should give your brain a rest and get some support for yourself. Are you going to tell us when you switch, and will you stay on the board when you don't feel good? I hope so. I promise not to ask you any questions : )
Okay. For now, I'm remaining a patient patient. I know, you're tearing up. I did add lithium so I'll see what that does, if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer. So...it looks like we will both have to be patient patients! I'm sorry your's may be worse, I hope you'll seek comfort for yourself while you need it.
~Jade
Posted by SLS on January 9, 2009, at 14:04:39
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on January 9, 2009, at 11:36:39
> Okay. For now, I'm remaining a patient patient.
:-)
I wish I could say the same. I am scheming even as we speak.
> I know, you're tearing up.
Not yet, but I will, I imagine.
1. The pain.
2. The frustration.
3. The unfairness.
> I did add lithium so I'll see what that does,
Good call. I like your decision.
> if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work. Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor will probably allow you to remain on the increased dosage of methylphenidate. However, if you were to ask him to do this after arriving at 80mg, he might be reluctant and say no.
I will try to continue to post, regardless of how bad I feel.
- Scott
Posted by JadeKelly on January 9, 2009, at 16:42:15
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on January 9, 2009, at 14:04:39
> > Okay. For now, I'm remaining a patient patient.
>
> :-)
>
> I wish I could say the same. I am scheming even as we speak.Well, since yours is a temporary insult to your system, I geuss a little scheming doesn't seem so bad. Just don't risk your health, (and I'll have some of what your having).
>
> > I know, you're tearing up.
>
> Not yet, but I will, I imagine.
>
> 1. The pain. Physical pain? Emotional? Both?
>
> 2. The frustration. This has to be the worst.
>
> 3. The unfairness. Definately.Can you add something for pain during this period?
>
>
>
> > I did add lithium so I'll see what that does,
>
> Good call. I like your decision.
>
> > if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
>
> Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
Patient patient. That was the best advice I've gotten. I can just be. Thanks.
>
>
I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work.After my "temporary remission", whatever one calls that, I increased from 5mg R to 10mg R but nothing. A little more energy as you would expect. So you are saying go to 15mg R or just go to 80mg Parnate since I already tried the Rit increase?
Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor
What doctor would that be? haha My doctor doesnt even know I'm taking ritalin. He said no.
So I'm gonna find one quick, can you see a PDoc putting me on 80mg Parnate? I'll find a way, I always do. I need to call the 2 you gave me and hopefully i'll get somewhere. I'll find one. And I'll use the litmus test!! They HAVE to pass the litmus test if they want to treat me.>
> I will try to continue to post, regardless of how bad I feel.If nothing else it'll be a distraction for you.
How long in between where neither tca is working? Isn't there SOMETHING you can take for the worst part? Schemer? I hope you have family or friends that will help you when its bad. Sounds like this kind of thing is harder than I thought. I feel for ya.
Btw- I am getting small A/D action from Parnate, that scary, panicky feeling is mostly gone. But its just like you guys said, if I don't take it on time and keep a regular sleep schedule I'll feel worse again. I have a long way to go, but I'm optimistic. Just didn't want you to think I wasn't being helped at all.So let us know when. In the mean time, I think you should hop around the board and annoy people....in a civil way, of course. It makes for good entertainment for you and us (well me anyway!) Its a win win!
Okay-keep in touch, feel free to babblemail if you're having a rough time. Whenever.
~Jade
>
> - Scott
Posted by Sissy35 on January 11, 2009, at 17:18:11
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on January 9, 2009, at 14:04:39
The two drugs are very simulair so I hope you don't experience too many side effects. One good thing desipramine kicks in faster for depression. but abit more stimulating. But I am sure you know all this already.
I just wanted to wish you luck and hope you don't lose your sense of humor or I will start a pettition to get you on drugs that make you who you are again.
All the best MR S, or is it DR.S now?
sissy35
Posted by bulldog2 on January 13, 2009, at 10:20:23
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on January 9, 2009, at 14:04:39
> > Okay. For now, I'm remaining a patient patient.
>
> :-)
>
> I wish I could say the same. I am scheming even as we speak.
>
> > I know, you're tearing up.
>
> Not yet, but I will, I imagine.
>
> 1. The pain.
>
> 2. The frustration.
>
> 3. The unfairness.
>
>
>
> > I did add lithium so I'll see what that does,
>
> Good call. I like your decision.
>
> > if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
>
> Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
>
> I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work. Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor will probably allow you to remain on the increased dosage of methylphenidate. However, if you were to ask him to do this after arriving at 80mg, he might be reluctant and say no.
>
> I will try to continue to post, regardless of how bad I feel.
>
>
> - ScottYou also might find you need less thann you needed previously.
Posted by JadeKelly on January 13, 2009, at 12:26:50
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on January 9, 2009, at 14:04:39
> > Okay. For now, I'm remaining a patient patient.
>
> :-)
>
> I wish I could say the same. I am scheming even as we speak.
>
> > I know, you're tearing up.
>
> Not yet, but I will, I imagine.
>
> 1. The pain.
>
> 2. The frustration.
>
> 3. The unfairness.
>
>
>
> > I did add lithium so I'll see what that does,
>
> Good call. I like your decision.
>
> > if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
>
> Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
>
> I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work. Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor will probably allow you to remain on the increased dosage of methylphenidate. However, if you were to ask him to do this after arriving at 80mg, he might be reluctant and say no.
>
> I will try to continue to post, regardless of how bad I feel.
>
>
> - ScottMaybe
haha
I went up to 70mg. Until I find new Doc I don't want to run risk of running out. Maybe I will stay at current dose of Ritalin, seems like getting the Parnate at therapeutic range is most important. Darn, had a dream last night. Stubborn brain.
Hope you are doing/feeling well : )
~Jade
Posted by JadeKelly on January 13, 2009, at 12:49:21
In reply to Re: I want to switch from nortriptyline to desipramine, posted by bulldog2 on January 13, 2009, at 10:20:23
> > > Okay. For now, I'm remaining a patient patient.
> >
> > :-)
> >
> > I wish I could say the same. I am scheming even as we speak.
> >
> > > I know, you're tearing up.
> >
> > Not yet, but I will, I imagine.
> >
> > 1. The pain.
> >
> > 2. The frustration.
> >
> > 3. The unfairness.
> >
> >
> >
> > > I did add lithium so I'll see what that does,
> >
> > Good call. I like your decision.
> >
> > > if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
> >
> > Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
> >
> > I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work. Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor will probably allow you to remain on the increased dosage of methylphenidate. However, if you were to ask him to do this after arriving at 80mg, he might be reluctant and say no.
> >
> > I will try to continue to post, regardless of how bad I feel.
> >
> >
> > - Scott
>
> You also might find you need less thann you needed previously.Oh,
Sorry BullDog,
You might not have understood my response, I thought it was Scott, so what were you referring to, the Parnate or the Ritalin. Are you taking Parnate? How much-or somthing else?
~Jade
Posted by JadeKelly on January 13, 2009, at 13:20:15
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on January 13, 2009, at 12:26:50
Oops!
Message was from BullDog
Diregard!
~Jade
;-)
Posted by bulldog2 on January 13, 2009, at 13:41:13
In reply to Re: I want to switch from nortriptyline to desipramine, posted by JadeKelly on January 13, 2009, at 12:49:21
> > > > Okay. For now, I'm remaining a patient patient.
> > >
> > > :-)
> > >
> > > I wish I could say the same. I am scheming even as we speak.
> > >
> > > > I know, you're tearing up.
> > >
> > > Not yet, but I will, I imagine.
> > >
> > > 1. The pain.
> > >
> > > 2. The frustration.
> > >
> > > 3. The unfairness.
> > >
> > >
> > >
> > > > I did add lithium so I'll see what that does,
> > >
> > > Good call. I like your decision.
> > >
> > > > if nothing within 2nd week, I'll switch to lamictal, and I was told that will take longer.
> > >
> > > Just to get to 100mg will take 5 weeks. You might not realize an optimal response until you get to 200mg.
> > >
> > > I was thinking that while you are still taking 60mg of Parnate, you might want to increase the dosage of the methylphenidate. It might work. Then, if it doesn't, you can then proceed to 80mg of Parnate. Your doctor will probably allow you to remain on the increased dosage of methylphenidate. However, if you were to ask him to do this after arriving at 80mg, he might be reluctant and say no.
> > >
> > > I will try to continue to post, regardless of how bad I feel.
> > >
> > >
> > > - Scott
> >
> > You also might find you need less thann you needed previously.
>
> Oh,
>
> Sorry BullDog,
>
> You might not have understood my response, I thought it was Scott, so what were you referring to, the Parnate or the Ritalin. Are you taking Parnate? How much-or somthing else?
>
> ~Jade
>
>Hi jade
You thought I was to old for an maoi so I ditched the idea.(i'm 61). Currently on low dose nortriptyline but not sure if that's the med for me. Won't address issues of social phobia or anxiety that the maois address. tend to be reclusive. Any ideas.
Still using the neurontin several days a week and that helps but can't use it every day as that builds tolerance rapidly.
I was telling Scott if he's lucky he may not have to go up to 300 mg of desipramine and it may work this time at a lower dose.
Posted by JadeKelly on January 13, 2009, at 14:53:04
In reply to Re: I want to switch from nortriptyline to desipramine, posted by bulldog2 on January 13, 2009, at 13:41:13
> > >
> > > You also might find you need less thann you needed previously.
> >
> > Oh,
> >
> > Sorry BullDog,
> >
> > You might not have understood my response, I thought it was Scott, so what were you referring to, the Parnate or the Ritalin. Are you taking Parnate? How much-or somthing else?
> >
> > ~Jade
> >
> >
>
> Hi jade
>
> You thought I was to old for an maoi so I ditched the idea.(i'm 61). Currently on low dose nortriptyline but not sure if that's the med for me. Won't address issues of social phobia or anxiety that the maois address. tend to be reclusive. Any ideas.
> Still using the neurontin several days a week and that helps but can't use it every day as that builds tolerance rapidly.
> I was telling Scott if he's lucky he may not have to go up to 300 mg of desipramine and it may work this time at a lower dose.Hi BullDog,
Please consider the source of that information.
Sorry for the misunderstanding, of which I think there have been many. So my idea is that you turn on your babble mail. Just a thought. Unless you have any heart problems, I don't know why you couldn't try MAOI if you wanted to. I think you were on the fence about it. I saw where it was posted that "someone said anyone over 60" should not be on MAOI. I did mention seeing an old article to someone, but when I saw it posted, I posted my opinion on the subject as well. Which is, as I said, I see NO reason why a healthy person in their sixties shouldn't try an MAOI if thats what they decide with their Doctor. I would!As far as sticking to your current plan, seems like their ought to be several other things you could alternate, aren't there? I don't think you should have to suffer 3 days so you can have 4 good ones! How long on the Nort? What about trying the one Scott's trying Des? What about (and I'm just listing some things I've heard others talk about) Lyrica, Bup-sp?, Ritalin,
benzo, (Ritalin and Klonopin worked for many years for me. ADD & Nerve Pain but I think they may offer a/d response too) Ah, I'm just repeating at this point what I've seen on the board. What is it you are looking for and what are you considering?~Jade
Posted by sissy35 on January 13, 2009, at 16:03:12
In reply to Re: I want to switch from nortriptyline to desipramine, posted by bulldog2 on January 13, 2009, at 13:41:13
Hi bulldog2
I was on nardil for over 20yrs and I am an old duck. No one ever said I shouldn't take it. Nardil is excellent for social phobia or anxiety of which I had both. Never left the house for 2yrs.
It does have a lot of hypotension in the beginning but is not as touchy as parnate it is a bit more forgiving. Never had high bp like with parnate. I woild still be on it if it still was working. 20yrs was a good run so I can't complain. It diffently is worth a try.
Sissy35
sorry jade don't hurt me!!!
Posted by bulldog2 on January 13, 2009, at 16:40:10
In reply to Re: I want to switch from nortriptyline » bulldog2, posted by sissy35 on January 13, 2009, at 16:03:12
> Hi bulldog2
> I was on nardil for over 20yrs and I am an old duck. No one ever said I shouldn't take it. Nardil is excellent for social phobia or anxiety of which I had both. Never left the house for 2yrs.
> It does have a lot of hypotension in the beginning but is not as touchy as parnate it is a bit more forgiving. Never had high bp like with parnate. I woild still be on it if it still was working. 20yrs was a good run so I can't complain. It diffently is worth a try.
> Sissy35
> sorry jade don't hurt me!!!Shame nardil changed to formula and now people need higher doses of it to obtain the same effect.
Posted by SLS on January 15, 2009, at 7:28:03
In reply to Re: I want to switch from nortriptyline to desipramine » bulldog2, posted by JadeKelly on January 13, 2009, at 14:53:04
Hi.
I'm starting to lose it. Depression is re-ermerging. Some derealization, too. I am still only taking 50% of the dosage of desipramine that I think I'll need. I'm not terribly scared, but I wish I could treat myself with this one. I do respect my doctor's wishing to be cautious and do no harm. I just wish that these were better days. I feel like they are being wasted.
Feeling lonely and old...
- Scott
Posted by JadeKelly on January 15, 2009, at 9:17:24
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on January 15, 2009, at 7:28:03
> Hi.
>
> I'm starting to lose it. Depression is re-ermerging. Some derealization, too. I am still only taking 50% of the dosage of desipramine that I think I'll need. I'm not terribly scared, but I wish I could treat myself with this one. I do respect my doctor's wishing to be cautious and do no harm. I just wish that these were better days. I feel like they are being wasted.
>
> Feeling lonely and old...
>
>
> - ScottHi Scott,
I wish there were something I could do. Depression Sucks. Just remember it will end. How long until you get to 100% desipramine dosage? I haven't taken it so I don't know how long it takes to work. I'm sorry you're lonely but we're here...and I've heard you're not old, so. I hope this goes quickly for you and take good care of yourself. You're a good guy and you deserve to be well. Better days are coming.
;-)
Patient patient, Jade
Posted by JadeKelly on January 15, 2009, at 12:27:28
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on January 15, 2009, at 9:17:24
Hi Scott,
Hope you're feeling even a little better would be nice, heh? Anyway, I'm looking for a new Doc and came across something interesting. Don't know if you're feeling like lookin at this kinda stuff right now or not but here it is:
My current PDoc lectures at Sheppard Pratt in Baltimore, and this PDoc was giving a lecture there as well, Dr. David Goodman. This was 10 years ago which was interesting to me. You may have already seen it. PDoc Goodman worked (works? I hope) at the Green Spring Station Johns Hopkins out patient Clinic, Psych Dept. I couldn't get the link to email so here it is:
http://www.mdpsych.org./SP99dGoodman.htm.
This was Spring 1999; Vol.No.1.
If you haven't seen this, read to the bottom. I think you'll find it interesting. Let me know if you want more of the lecture, etc.
I'll be calling over there anyway to get an appt with Goodman or his protege I hope.
Maybe you're watching a comedy and having an awesome lunch. I hope so.
~Jade
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