Psycho-Babble Medication Thread 886564

Shown: posts 1 to 13 of 13. This is the beginning of the thread.

 

social anxiety vs. AvPD

Posted by HyperFocus on March 22, 2009, at 13:03:04

I used to have anxiety only when I socialised - in school or at work - basically I was afraid of being hurt in social situations . But now I have anxiety everywhere - and it's not just fear of being hurt. I'm obsessed with what people think about me. I can't sit outside in my yard to get fresh air - I'm afraid someone will be looking at me. I can't have casual conversations on the phone becuase I freeze up and don't know what to say. I spend a lot of time fantasizing about ideal social encounters. I spend even more time obsessing over past social experiences which I perceive as negative. I seem to be preoccupied not with fear but with the precursor to fear.

I feel safest with my family but the worrying is still there, greatly reduced, but still there. The only real socialising I can do is online and even then they worrying is there.

According to wikipedia:
"Research suggests that people with AvPD, in common with social phobics, excessively monitor their own internal reactions when they are involved in social interaction. However, unlike social phobics they also excessively monitor the reactions of the people with whom they are interacting...AvPD is reported to be especially prevalent in people with anxiety disorders, although estimates of comorbidity vary widely due to differences in (among others) diagnostic instruments. Research suggests that approximately 1050% of the people who have a panic disorder with agoraphobia have APD, as well as about 2040% of the people who have a social phobia (social anxiety disorder). Some studies report prevalence rates of up to 45% among the people with generalized anxiety disorder and up to 56% of the people with obsessive-compulsive disorder.
http://en.wikipedia.org/wiki/Avoidant_personality_disorder

Anybody with SP/SA feel like they have another co-morbid disorder - some sort of neurosis or maybe psychosis - rather than "just" social anxiety?

I know self-diagnosing is not ideal but honestly the doctors I've seen don't seem to offer any insight at all - it's just "you have social anxiety, try these meds, come back in 4 weeks." I wish I could find a doc who might take the time to research my condition and come up wit some new hypotheses.

 

Re: social anxiety vs. AvPD » HyperFocus

Posted by myco on March 22, 2009, at 13:21:37

In reply to social anxiety vs. AvPD, posted by HyperFocus on March 22, 2009, at 13:03:04

> Anybody with SP/SA feel like they have another co-morbid disorder - some sort of neurosis or maybe psychosis - rather than "just" social anxiety?

Hey,
Ya my sad is bad and generalized anxiety and atypical depression goes along with it. I'm pretty sure those 3 are all mixed anyway...i fall under all 3 to some degree but am defined perfectly by none alone. people with sad or gad often have atypical depression. maois are the best option here...i can speak from experience. youre symptoms are/were exactly like mine....the avoidance is mostly a behavioural issue that youve adapted to to avoid unneeded stress and anxiety. properly treated, avoidance is the first thing you will notice dissapears. you can use therapy to help with the avoidance but med/therapy combo is best. your word "neurosis" is a good pick...this is overreaction to everything to the extreme...gad is typical of this. sad and gad seem to go hand and hand...i think they are all related to atypical depression personally. try looking, in terms of self research, in the area of atypical depression and gad...you may see yourself...i did. thats how i began treatment.

 

Re: social anxiety vs. AvPD » HyperFocus

Posted by Phillipa on March 22, 2009, at 13:24:01

In reply to social anxiety vs. AvPD, posted by HyperFocus on March 22, 2009, at 13:03:04

I can have casual conversations on the outside as long as I can leave so must be outside or a store or such. Not comfortable with family except husband. Pdoc said Gad. Phillipa

 

Re: social anxiety vs. AvPD

Posted by ParnateStarted2008 on March 22, 2009, at 14:05:56

In reply to Re: social anxiety vs. AvPD » HyperFocus, posted by Phillipa on March 22, 2009, at 13:24:01

I never really thought much about AvPd.. That a wonderful new term ha.. my SP + Agoraphobia seem to fit me perfectly in my mind. AvPd fits me to a T or even better then the last 2. Only thing is that I cycle like a bi-polar, so all of a sudden im cured for a day or even a week sometimes, then Im bact to SP, Agoraphobia, and AvPd..AVPD really says the right thing to what i have. I woke up today hoping to go out ice fishing but couldnt leave my room except to go to the kitchen. Cant answer telephone calls. I took 2mg Clonazepam and it hasn't helped.. well maybe a little so i can talk on here. I have been doing good for the last 2 weeks. Yesrerday and today I have "crashed" again, for how long i dont know. I also take 100mg Parnate and 200mg Lamotragine daily.. I dont get depression really, I just get down that I feel like this. Damn this

 

Re: social anxiety vs. AvPD

Posted by desolationrower on March 22, 2009, at 17:27:52

In reply to Re: social anxiety vs. AvPD, posted by ParnateStarted2008 on March 22, 2009, at 14:05:56

yes i think my avpd is lots about having adhdi too. i get bored and not paying attention when people talk, which makes it harder to do conversation. avoidance, as opposed to anxiety, probably responds better to catecholaminergics than gabaergics, though i don't think its ever been studied directly. i haven't really had pdocs want to talk about what disorders led to what; they don't seem interested in that.

-d/r

 

Re: social anxiety vs. AvPD » desolationrower

Posted by Marty on March 24, 2009, at 15:00:51

In reply to Re: social anxiety vs. AvPD, posted by desolationrower on March 22, 2009, at 17:27:52

>Avoidance, as opposed to anxiety, probably
>responds better to catecholaminergics than
>gabaergics.

Yet most avoiding personnality people are subject to anxiety when taking catecholaminergics, no ? Which one you would think you'll be nice guesses for AvPD with some 'cycling' features ?

/\/\arty

 

Re: social anxiety vs. AvPD » Marty

Posted by desolationrower on March 27, 2009, at 2:34:13

In reply to Re: social anxiety vs. AvPD » desolationrower, posted by Marty on March 24, 2009, at 15:00:51

> >Avoidance, as opposed to anxiety, probably
> >responds better to catecholaminergics than
> >gabaergics.
>
> Yet most avoiding personnality people are subject to anxiety when taking catecholaminergics, no ? Which one you would think you'll be nice guesses for AvPD with some 'cycling' features ?
>
> /\/\arty
>
>

not sure i can parse that?

-d/r

 

Re: social anxiety vs. AvPD » desolationrower

Posted by Vincent_QC on March 28, 2009, at 13:01:31

In reply to Re: social anxiety vs. AvPD » Marty, posted by desolationrower on March 27, 2009, at 2:34:13

> > >Avoidance, as opposed to anxiety, probably
> > >responds better to catecholaminergics than
> > >gabaergics.
> >
> > Yet most avoiding personnality people are subject to anxiety when taking catecholaminergics, no ? Which one you would think you'll be nice guesses for AvPD with some 'cycling' features ?
> >
> > /\/\arty
> >
> >
>
> not sure i can parse that?
>
> -d/r


Humm I want more explanations here please!!!

OK...I have SAD, that's the primary problem but I have also the avoidant personality disorder but you cant have this treat by meds anyway...therapy only no??? I have also comorbidities like GAD and depression and BDD and panic disorder with agoraphobia, panic attacks...things like this...the whole package...

Nothing seem to help, just the Parnate but I can't tolerate the heart effect... so my question...you point out the fact about the avoidance, as opposed to anxiety, probably
responds better to catecholaminergics than
gabaergics meds... The gabaergics drugs are more the Nardil, the Parnate and all the gaba-b agonist or the benzos drugs no??? And for the catecholaminergics???? I don't find any informations on them...what it is??? I wonder... What kind of meds enter into that category???

I really want to find a solution...since a couple of weeks, my system seem to be completly f*ck up...Valium make me do panic attacks if I take it, but if I don'T take it I have more strong panic attacks...and if I increase the dosage the panic attacks are worse also...and I have this INCREDIBLE pain in the head...that's not an headache or a regular migraine...I never experience this before....seem like I will do a seizure or an ACV...I drive my car and always fear to crash somewhere and kill myself...thats worse in social situation...but I have it also at daytime when I Do nothing alone in the house... Strange... And no Doctor want to let me have a test for my head like a ECG...because of the Valium who will false the results...I just want to know what happen... I cannot believe anxiety can cause such a strong pain in my head...and make my life so misery...

Anyway, thanks for your help my friends!!!

 

Re: social anxiety vs. AvPD » Vincent_QC

Posted by myco on March 28, 2009, at 13:13:51

In reply to Re: social anxiety vs. AvPD » desolationrower, posted by Vincent_QC on March 28, 2009, at 13:01:31

Hey Vince,

> "OK...I have SAD, that's the primary problem but I have also the avoidant personality disorder but you cant have this treat by meds anyway...therapy only no???"

Yes you're right. Avoidance is a behavioural trait youve picked up, due to anxiety, to reduce the chances of feeling anxious. I have this to...this one responds well to therapy or beer lol benzo's also to some degree but youve already a problem with valium.

>"...I cannot believe anxiety can cause such a strong pain in my head...and make my life so misery..."

I know exactly how you feel here I think. These are actually headaches, whether or not you may believe. I had these...basically a panic attack that is ongoing will raise your bp way way up (for me anyway) and cause severe bp headache. Also sometimes without the raised bp I will get them...this intense pounding or throbbing in my head that no pain medication Ive used can help...I just have to wait it out or knock myself out to sleep to avoid it.


 

Re: social anxiety vs. AvPD » myco

Posted by Vincent_QC on March 28, 2009, at 14:10:02

In reply to Re: social anxiety vs. AvPD » Vincent_QC, posted by myco on March 28, 2009, at 13:13:51

> Hey Vince,
>
> > "OK...I have SAD, that's the primary problem but I have also the avoidant personality disorder but you cant have this treat by meds anyway...therapy only no???"
>
> Yes you're right. Avoidance is a behavioural trait youve picked up, due to anxiety, to reduce the chances of feeling anxious. I have this to...this one responds well to therapy or beer lol benzo's also to some degree but youve already a problem with valium.
>
> >"...I cannot believe anxiety can cause such a strong pain in my head...and make my life so misery..."
>
> I know exactly how you feel here I think. These are actually headaches, whether or not you may believe. I had these...basically a panic attack that is ongoing will raise your bp way way up (for me anyway) and cause severe bp headache. Also sometimes without the raised bp I will get them...this intense pounding or throbbing in my head that no pain medication Ive used can help...I just have to wait it out or knock myself out to sleep to avoid it.
>
>
>

Hi Myco,
Happy to sse that you're seem to feel good ;-)

Did you take any benzos now??? Or did you had an addiction to them before and succeed to stop them now? Since I was switch from the Rivotril to the Valium (The Rivotril was not working on me after less than 1 year, even at 8mg/day...it was like sugar pills for me...I was drinking tons of vodka and beers on it also...it's worse my alcohol problem at the time...but at the end, even at 8mg I had no relieve of my anxiety, social or general but also no side-effects at all at this high dose, no sedation, nothing at all...they just stop working that's it...), so the Doc change it for the Valium...since then...the headache seem to got worse...First, the Valium is more sedative...Second, it have a lot of active metabolites inside who make it really hard on the system...sometimes, you increase the dose one day because you feel worse one day and you feel the effect only 2 or 3 days after... That's really strange, I hate the Valium now...I was put on it to gradually stop the benzos drugs...the famous Dr Ashton method...1mg cut week...but that'S never happen , even after 2 years...i'm stuck at 20-30mg/day since then...

But like I was writing much earlier, since 1 1/2 weeks, I have a really weird sensation inside my head...I know it's not comming from my anxiety level, since I don't live anything new in my life, no new stressfull situation, nothing... I had some bad moments and more stressfull moments in my life since 2 years and I never had this strange sensation...Yes, I had the regular headache you talking about, the ones related with the panic attacks, the rise of the anxiety in social situation, things like this...but the continious pain in the middle of my head, like someone push my brain with his 2 hands...never...and I know what my anxiety can do on me and i'm sure that cant be linked to this!!!

Another point, before, I also often feel this strange pain, but when my brains was craving for more benzos drugs...so I was increasing my daily dose of Valium...and the pain dissepear....but now, I increase the dosage to 30mg and the pain stay at the same level and the more late it is at night, the more painfull it is... and no painkiller remove this pain...Advils, Tylenols, Aspirins, Motrins...I try everything...even the ones with codeine inside... The pain stay there...I get up in the morning and it's still there...

This pain appear 1 1/2 weeks after I stop the Clomipramine...after 3 weeks on it at 50mg...I stop cold turkey...I had also 3 days of Nortiptyline at 20mg...but too much high pulse rate so I stop... I'm also out of money since the day the mysterious pain begin...so maybe it's the anxiety??? You see i'm confusing a lot...

I don't know what to do... One thing is sure...I need a change of benzos, since the Valium is not appropriate for me now...the metabolites make it for me too much sedative and make me more depress with a more pronounced lack of motivation... I don't want also to fall again on the high addictive stuff like Xanax...who make me hospitalised last summer for high addiction... or the Ativan, who is not really good for panic disorder and is also a lot sedative... I need something more balanced like the Bromazepam... but that's not a lot used in those day...so I don't know if the new PDoc will say yes for it...or just say again that he don't want to change my Valium because anyway I have to come off of them because it's just b*llsh*t and make my state worse!!!

I need the Marplan so bad... why they cannot give me an answer more faster... I just loose my time wating...and wating...that's so stupid...anyway...

 

Re: social anxiety vs. AvPD » Vincent_QC

Posted by myco on March 28, 2009, at 15:07:06

In reply to Re: social anxiety vs. AvPD » myco, posted by Vincent_QC on March 28, 2009, at 14:10:02

> "Did you take any benzos now??? Or did you had an addiction to them before and succeed to stop them now?"

I take restoril occasionally but have recently been taking it more often due to serious lung illness since I need to sleep to get well. I had to get this med from another dr....my gp hates them and wont use at all with me...I think it may have something to do with my past substance abuse problems...he may be affraid I will get addicted but i dunno....he just doesnt like many medications. He is a "minimalist" if you know what I mean...the less meds in a patient the better.

>"I was drinking tons of vodka and beers on it also...it's worse my alcohol problem at the time"

I am recovering alcoholic...I used to use drugs and alcohol as a means of self medicating my anxiety since no dr would treat me properly with proper meds for anxiety. Was a horrible situation to get into since alcohol works great initially but then spend a year or so drinking a bottle of vodca or gin almost every night and you end up very depressed and angry...then do to much cocaine over time (works good to start for anxiety) but then you develop psychosis and paranoia horribly. I will never touch booze again since it led me in that direction. Drug use almost killed my spirit - my very sole or personality. You become empty inside, devoid of any positive emotional at all.

>"That's really strange, I hate the Valium now...I was put on it to gradually stop the benzos drugs...the famous Dr Ashton method..."

You should stop or do your best to stop. Try a different mabye...restoril is related to valium...it's a derivative or metabolite I believe. Seems, to me, better cleaner feel than valium but still suffers from the normal benzo problems. I prefer it to klon or xanax...but it still depresses me the next day after sleep...I dont like benzo's so far...mabye there is one out there that isnt depressing for me I dunno. I would need a different dr to experiment this way. Sometimes I feel so left out and jealous of many of you people on this board...you have good pdocs who allow you to suggest ideas and work with you towards your making you the best they can....for me I've almost always had to fight with family dr's for any kind proper anxiety treatment....they dont like to treat this condition with meds, most of them....thats what led me to alcohol in the begining. I remember having a comvo with a fam dr in vancouver regarding this very thing...my alcohol abuse did not phase him at all and he remained against proper anxiety meds despite my plea to help me stop self medicating. I wish general physicians were better educated...ignorance and closing doors on treatment options for patients is no way to practice medicine, in my opinion.

>"I know it's not comming from my anxiety level, since I don't live anything new in my life, no new stressfull situation, nothing..."

I understand but anxiety and panic is running through your veins anyway Vince....situations no longer matter...your head and body are in a high state of anxiety at all times and will occasionally manifest itself with strange, often painful and difficult to explain, physical issues.


Also and I know this mould be really tough to do...you sound like perhaps you are in medication burnout...to many meds to often for too long has begun to take its toll on your body and mind...a break mabye, if you can...i dont know how you would do that though...hospitilize yourself mabye for awhile to "get clean", so to speak, then start again monotherapy after a few months. I can imagine remnents of past medications still in your system producing odd side effects and negative interactions with one another. Youve probably not given your head enough time to clear all that stuff out. My preference is always monotherapy but seems no drug provides max benefit in monotherapy alone...nardil has comes the closest to this for me and I'm greatful to have the the chance to try this med knowing how family dr's are here in canada...i got very very lucky to use it.

>"I need the Marplan so bad..."

I am excited for you here...I am awaiting with antipation to see how you respond to Marplan...you deserve a good med. I know virtually nothing of this med and am very curious about it.


myco

---------------------------

> Hi Myco,
> Happy to sse that you're seem to feel good ;-)
>
> Did you take any benzos now??? Or did you had an addiction to them before and succeed to stop them now? Since I was switch from the Rivotril to the Valium (The Rivotril was not working on me after less than 1 year, even at 8mg/day...it was like sugar pills for me...I was drinking tons of vodka and beers on it also...it's worse my alcohol problem at the time...but at the end, even at 8mg I had no relieve of my anxiety, social or general but also no side-effects at all at this high dose, no sedation, nothing at all...they just stop working that's it...), so the Doc change it for the Valium...since then...the headache seem to got worse...First, the Valium is more sedative...Second, it have a lot of active metabolites inside who make it really hard on the system...sometimes, you increase the dose one day because you feel worse one day and you feel the effect only 2 or 3 days after... That's really strange, I hate the Valium now...I was put on it to gradually stop the benzos drugs...the famous Dr Ashton method...1mg cut week...but that'S never happen , even after 2 years...i'm stuck at 20-30mg/day since then...
>
> But like I was writing much earlier, since 1 1/2 weeks, I have a really weird sensation inside my head...I know it's not comming from my anxiety level, since I don't live anything new in my life, no new stressfull situation, nothing... I had some bad moments and more stressfull moments in my life since 2 years and I never had this strange sensation...Yes, I had the regular headache you talking about, the ones related with the panic attacks, the rise of the anxiety in social situation, things like this...but the continious pain in the middle of my head, like someone push my brain with his 2 hands...never...and I know what my anxiety can do on me and i'm sure that cant be linked to this!!!
>
> Another point, before, I also often feel this strange pain, but when my brains was craving for more benzos drugs...so I was increasing my daily dose of Valium...and the pain dissepear....but now, I increase the dosage to 30mg and the pain stay at the same level and the more late it is at night, the more painfull it is... and no painkiller remove this pain...Advils, Tylenols, Aspirins, Motrins...I try everything...even the ones with codeine inside... The pain stay there...I get up in the morning and it's still there...
>
> This pain appear 1 1/2 weeks after I stop the Clomipramine...after 3 weeks on it at 50mg...I stop cold turkey...I had also 3 days of Nortiptyline at 20mg...but too much high pulse rate so I stop... I'm also out of money since the day the mysterious pain begin...so maybe it's the anxiety??? You see i'm confusing a lot...
>
> I don't know what to do... One thing is sure...I need a change of benzos, since the Valium is not appropriate for me now...the metabolites make it for me too much sedative and make me more depress with a more pronounced lack of motivation... I don't want also to fall again on the high addictive stuff like Xanax...who make me hospitalised last summer for high addiction... or the Ativan, who is not really good for panic disorder and is also a lot sedative... I need something more balanced like the Bromazepam... but that's not a lot used in those day...so I don't know if the new PDoc will say yes for it...or just say again that he don't want to change my Valium because anyway I have to come off of them because it's just b*llsh*t and make my state worse!!!
>
> I need the Marplan so bad... why they cannot give me an answer more faster... I just loose my time wating...and wating...that's so stupid...anyway...
>

 

Re: social anxiety vs. AvPD » Vincent_QC

Posted by HyperFocus on March 28, 2009, at 16:06:35

In reply to Re: social anxiety vs. AvPD » myco, posted by Vincent_QC on March 28, 2009, at 14:10:02

>This pain appear 1 1/2 weeks after I stop the Clomipramine...after 3 weeks on it at 50mg...I stop cold turkey...I had also 3 days of Nortiptyline at 20mg...

Vincent is it possible the headache is due to stopping the Clomipramine and/or Nortriptyline? It seems that would be the likely culprit - TCAs aren't usually implicated with withdrawal effects like that but stopping one suddenly, especially when you've had other drugs in your system that might potentiate the withdrawal effects, might produce this symptom. I've taken amitriptyline a long time but I do get weird SEs if I don't take it for a couple of days.

Maybe you could look up withdrawal effects of Effexor and Cymbalta - it sounds similar to those. At any rate does adding back the clomipramine and Nortriptyline help? If so you may just have to go through an extended withdrawal plan using Prozac to get it completely out of your system. PB has a special set of pages dedicated to SNRI withdrawal - check it out.

Hang in there man. I know you're hurting but it will get better.

 

Re: social anxiety vs. AvPD » myco

Posted by Vincent_QC on March 28, 2009, at 21:05:28

In reply to Re: social anxiety vs. AvPD » Vincent_QC, posted by myco on March 28, 2009, at 15:07:06


>
> I take restoril occasionally but have recently been taking it more often due to serious lung illness since I need to sleep to get well. I had to get this med from another dr....my gp hates them and wont use at all with me...I think it may have something to do with my past substance abuse problems...he may be affraid I will get addicted but i dunno....he just doesnt like many medications. He is a "minimalist" if you know what I mean...the less meds in a patient the better.
>

You're not lucky Myco...I have a good Family Doctor who are not affraid to test meds but for the PDoc is another things...they are more rare...and less easy on the testing meds...

Benzos are benzos...some works more well than others... you have to find the good one...and change often since addiction appear fast, on people with past substances abuse like you and me...

> I am recovering alcoholic...I used to use drugs and alcohol as a means of self medicating my anxiety since no dr would treat me properly with proper meds for anxiety. Was a horrible situation to get into since alcohol works great initially but then spend a year or so drinking a bottle of vodca or gin almost every night and you end up very depressed and angry...then do to much cocaine over time (works good to start for anxiety) but then you develop psychosis and paranoia horribly. I will never touch booze again since it led me in that direction. Drug use almost killed my spirit - my very sole or personality. You become empty inside, devoid of any positive emotional at all.
>
We are different on that point...In my tennager years, I was hard on the chemical drugs...LSD (pure, not sh*t like today), PCP, mushrooms...and of course hash...I was smopoking hash 6 or 7 times a day... I had my first panic attack on hash...after panic attack occur on no substance... but I was not able to smooke hash after...just the smeel make me feel anxious to the point I start a panic attack...so I just stop the drugs at the time... around 23 into 25 I begin cocaine...but I guess stimulant drugs was not for me, too much of it was really hard on my anxiety ...I do a lot of panic attacks on it... I also try the Speed in 2005...and also the E...OMG....never again!!! I had the worst 6 hours of my life... panic attacks all the times... Anyway .. I stop drinking and drugs since 2006... I had a couple of beers sometimes since then...but never to the point where I was drunk...

>
> You should stop or do your best to stop. Try a different mabye...restoril is related to valium...it's a derivative or metabolite I believe. Seems, to me, better cleaner feel than valium but still suffers from the normal benzo problems. I prefer it to klon or xanax...but it still depresses me the next day after sleep...I dont like benzo's so far...mabye there is one out there that isnt depressing for me I dunno. I would need a different dr to experiment this way. Sometimes I feel so left out and jealous of many of you people on this board...you have good pdocs who allow you to suggest ideas and work with you towards your making you the best they can....for me I've almost always had to fight with family dr's for any kind proper anxiety treatment....they dont like to treat this condition with meds, most of them....thats what led me to alcohol in the begining. I remember having a comvo with a fam dr in vancouver regarding this very thing...my alcohol abuse did not phase him at all and he remained against proper anxiety meds despite my plea to help me stop self medicating. I wish general physicians were better educated...ignorance and closing doors on treatment options for patients is no way to practice medicine, in my opinion.
>
You're right on this... closing doors don't help...you should find another Doctor...a good one...that's hard but ì'm sure you can do... For the benzos...The lesser metabolites they have, the more good they are...also a 12-20 half-life is somewhat more good also...anyway the half-life is not represented with the real effect you will feel...The valium is supposed to have a half-life of 20-100 hours...I feel it 4 hours maximum... but I got sedation and more daytime sedation if I increase the dosage 2 or 3 days after...metabolites and accumulation effects... Bromazepam is my next choice... I know I have to stop them, but not before I will have find the good AD and be stable on it!!! I cannot do everything at the same time...no??? That's what I think...
>
> I understand but anxiety and panic is running through your veins anyway Vince....situations no longer matter...your head and body are in a high state of anxiety at all times and will occasionally manifest itself with strange, often painful and difficult to explain, physical issues.
Also and I know this mould be really tough to do...you sound like perhaps you are in medication burnout...to many meds to often for too long has begun to take its toll on your body and mind...a break mabye, if you can...i dont know how you would do that though...hospitilize yourself mabye for awhile to "get clean", so to speak, then start again monotherapy after a few months. I can imagine remnents of past medications still in your system producing odd side effects and negative interactions with one another. Youve probably not given your head enough time to clear all that stuff out. My preference is always monotherapy but seems no drug provides max benefit in monotherapy alone...nardil has comes the closest to this for me and I'm greatful to have the the chance to try this med knowing how family dr's are here in canada...i got very very lucky to use it.
>
I hate also combo... at least combo of AD's...like Wellbutrin with LExapro for example ... or a Stimulant with a AD... I prefer a all in one pill like the MAOI's... but I Cannot tolerate the Nardil at the 90mg dosage, the effective dosage for me...and the Parnate...at 20mg I begin to feel the blood pressure problem so I can't imagine being on a 60mg dosage of it !!! It's why I have hope on the Marplan... You know the main probl with the Nardil is that It does nothing at 75mg, nothing for my depression, nothing for my social anxiety...or my general anxiety...I just feel that I needed less benzos meds...I had the same reaction on the Parnate...so I guess it's a reduction of the anxiety...but I don't see it like this probably at the time??? ... But for the depression nothing...and the energy level also nothing...I was tired all the time...even after 3 months...I know maoi need a lot of times to adjust and work ...but 3 months it'S enought in my head no?

>
> I am excited for you here...I am awaiting with antipation to see how you respond to Marplan...you deserve a good med. I know virtually nothing of this med and am very curious about it.
>
>
> myco
>
> ---------------------------


I see the PDoc soon , I will get you inform...I guess it will be the same answer...No news from Health Canada...so probably the Pristiq try...arghhhhh....anyway...better than nothing...

You know, you talk about giving some times to my brains...I think when a med fail it's because it's do nothing inside the brains anyway...so I guess wating another 6 months will not help me more... I can't imagine being 6 months in a such high anxiety state like this!!! Never!!!

Well that's all for tonight...My head will explode!!! This f*ck*ng pain kill me...and it's not blood pressure, I just take it and it's normal...125/70 89 ...

So for now thanks again!!!

Take care myco!!!

Bye!

Vincent ;-)


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[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

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