![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 23 to 47 of 50. Go back in thread:
Posted by West on February 6, 2010, at 14:58:30
In reply to Re: Oregon University's new antidepressant » conundrum, posted by linkadge on February 6, 2010, at 10:31:49
To all intents and purposes I have found concerta to be a completely different drug to mph ir. The L-isomer, L-threo-methyphenidate, is covered by several patents citing its use as a short-acting mood lifter to be used during the 2-6 week waiting period for antidepressants.
My experience so far (3-4 months) has shown concerta to add another level to my treatment, however I am diagnosed with ADD. Nevertheless I think it might have this benefit in those not diagnosed. Particularly, cognitive problems relating to treatment might - to a degree - be restored. You may feel you're getting your brain back and start to have some positive affect.
There are also positive implications regarding dopaminergic dysregulation if one is also taking an SSRI/SNRI (though I don't pretend to know a lot about this). I could see how MPH on its own could be problematic.
Posted by bulldog2 on February 6, 2010, at 16:11:14
In reply to Re: Ritalin. Antidepressant effect., posted by West on February 6, 2010, at 14:58:30
> To all intents and purposes I have found concerta to be a completely different drug to mph ir. The L-isomer, L-threo-methyphenidate, is covered by several patents citing its use as a short-acting mood lifter to be used during the 2-6 week waiting period for antidepressants.
>
> My experience so far (3-4 months) has shown concerta to add another level to my treatment, however I am diagnosed with ADD. Nevertheless I think it might have this benefit in those not diagnosed. Particularly, cognitive problems relating to treatment might - to a degree - be restored. You may feel you're getting your brain back and start to have some positive affect.
>
> There are also positive implications regarding dopaminergic dysregulation if one is also taking an SSRI/SNRI (though I don't pretend to know a lot about this). I could see how MPH on its own could be problematic.I believe the effect of ssris may in fact be at least partially dopamine down regulation. Now when dopamine is overactive down regulation may be a good thing. The ssri is in fact acting a bit like an ap. But for those of
Posted by Cherry Carver on February 8, 2010, at 19:18:17
In reply to Oregon University's new antidepressant, posted by West on February 5, 2010, at 16:24:01
I mentioned this before, but Cymbalta made me throw up all day long after one dose and nearly stopped my heart. I hate this drug with all my might. I can't imagine what a stronger version would do! Wow!
>
> A stronger cymbalta? Less Hypotension (do they mean hypertension?) Don't they know milnacipran has been available for 15 years? Don't all shout at once...
>
>
> www.psychcentral.com/news/2010/02/05/improved-antidepressant-in-the-works/11212.html
Posted by floatingbridge on February 8, 2010, at 20:37:53
In reply to Re: Oregon University's new antidepressant » West, posted by Cherry Carver on February 8, 2010, at 19:18:17
CC, would it be stronger, or have less side effects--like effexor vs. pristiq? Could be you could not tolerate either. I tolerate both effexor and pristiq.... Pristiq does not work as well for me--but then, I compare that with the effexor response I had ten years ago....
fb
> I mentioned this before, but Cymbalta made me throw up all day long after one dose and nearly stopped my heart. I hate this drug with all my might. I can't imagine what a stronger version would do! Wow!
>
> >
> > A stronger cymbalta? Less Hypotension (do they mean hypertension?) Don't they know milnacipran has been available for 15 years? Don't all shout at once...
> >
> >
> > www.psychcentral.com/news/2010/02/05/improved-antidepressant-in-the-works/11212.html
>
>
Posted by Cherry Carver on February 9, 2010, at 0:05:42
In reply to Re: Oregon University's new antidepressant » Cherry Carver, posted by floatingbridge on February 8, 2010, at 20:37:53
Haven't tried any of those...here's what they prescribed for me in 1997 (Cymbalta came much later):
Wellbutrin
Buspar
Tegretol
Librium
Lithium
Depakote
Tofranil
Paxil
Mellaril
DesyrelAll these drugs were prescribed for me during the span of one month, several at the same time (even though they were contraindicated!). Needless to say, my mind has never been very clear since then.
I couldn't tolerate any of these, so they finally put me back on Klonopin. They did give me a brief course of Phenobarbital along with the other pills, but, to my great sorrow, I couldn't stay on it forever.
What was your response to Effexor? Also, you said you keep a mood chart--is that a doctor-specific chart or one you just keep to measure your own ebb and flow? How do you create a mood chart? I'd like to do that.
> CC, would it be stronger, or have less side effects--like effexor vs. pristiq? Could be you could not tolerate either. I tolerate both effexor and pristiq.... Pristiq does not work as well for me--but then, I compare that with the effexor response I had ten years ago....
>
> fb
>
> > I mentioned this before, but Cymbalta made me throw up all day long after one dose and nearly stopped my heart. I hate this drug with all my might. I can't imagine what a stronger version would do! Wow!
> >
> > >
> > > A stronger cymbalta? Less Hypotension (do they mean hypertension?) Don't they know milnacipran has been available for 15 years? Don't all shout at once...
> > >
> > >
> > > www.psychcentral.com/news/2010/02/05/improved-antidepressant-in-the-works/11212.html
> >
> >
>
>
Posted by floatingbridge on February 9, 2010, at 1:26:27
In reply to Re: Oregon University's new antidepressant » floatingbridge, posted by Cherry Carver on February 9, 2010, at 0:05:42
CC, that's one heck of a month! My head spins just reading the list. Don't know all of them.
My mood chart is on graph paper--pretty homey. Mood (depression & anxiety) registered 3x per day (sometimes all at the end of the day); meds and dosage taken; certain activities (walking, therapy); plus any events of note, illnesses, pain level jotted in the header.
I also keep pages of notes on triggers, dreams, preoccupations, whatever. Over a year and a half now--enormously helpful to me. I am sooooo scattered!
SLS here has posted his own template of a mood chart. Google mood chart and all sorts of templates & examples come
up.
Posted by Sigismund on February 9, 2010, at 1:50:29
In reply to Re: Oregon University's new antidepressant » floatingbridge, posted by Cherry Carver on February 9, 2010, at 0:05:42
I had an old friend who had cancer, heart disease and other things besides.
The doctors had him on an shoe box full of worthless crap on what was then known as schedule 4, meaning it cost the doctor no attention from the Health Department to Rx it.
Eventually he came across a doctor with some brains, courage and ethics who, knowing he was was dying, prescribed narcotics and had all the rest thrown out.
That doctor said 'You can't feel any good on all of this'.
>Haven't tried any of those...here's what they prescribed for me in 1997 (Cymbalta came much later):Wellbutrin
Buspar
Tegretol
Librium
Lithium
Depakote
Tofranil
Paxil
Mellaril
Desyrel
Posted by bleauberry on February 9, 2010, at 19:14:40
In reply to Re: Oregon University's new antidepressant » floatingbridge, posted by Cherry Carver on February 9, 2010, at 0:05:42
I can understand not being able to tolerate any of those meds. Some people are very sensitive. I am. Any of those drugs can feel like serious nuclear bombs to certain people.
As for cymbalta, its power does not come from its NE reuptake. That is minimal, at just 1 part NE per 10 parts serotonin. There is something else about cymbalta, I'm not sure what, that makes it as harsh as it is. Its withdrawals are hell also.
A med much stronger than cymbalta, yet feels much cleaner and much easier to tolerate and much faster to work, is Savella. It is almost an equal balance between NE and serotonin. What makes it so much friendlier I have no idea. As sensitive as I am, and an ECT failure, Savella really surprised me.
You were asking about effexor. If you couldn't tolerate any of those other meds, I would stay far away from effexor or pristiq if I were you.
Safest bets for someone like you:
Lexapro liquid. With the measuring dropper you get at the pharmacy, you can make custom doses as accurate as 1/10th of a milligram. One of my doctors has people in remission on as little as 1mg lexapro. The usual doses are supposed to be 10mg to 20mg. Takes more time for small doses to work, but they can still work.I'm not suggesting lexapro in particular, just using it as an example. Prozac, zoloft, risperdal...many meds...available as liquids for custom small dosing. Me, I make my own custom doses.
I think doctors commonly and blindly overdose patients on what are supposedly normal doses. As I see it, there is no one-size-fits-all. For people with a history like yours or mine, I feel it becomes an integral and crucial part of the strategy to approach any new med with very tiny doses. Custom-made doses at home if need be. I've gotten real good at that.
Who knows, one of those meds you couldn't handle might have been magic for you, if they had you start at a much lower dose (1/10th) and go from there. Me and cymbalta...I found 3mg was decent...how do you get 3mg?...inside the capsule are coated beads...about 10 of them is 1mg...just count out a custom dose and swallow with applesauce. The usual dose of cymbalta...30mg...holy cow.
Anyway, yeah, cymbalta sucks bigtime. A few people love it. Savella is in my opinion the unsung hero that probably won't be fully discovered for another 5 or 10 years.
> Haven't tried any of those...here's what they prescribed for me in 1997 (Cymbalta came much later):
>
> Wellbutrin
> Buspar
> Tegretol
> Librium
> Lithium
> Depakote
> Tofranil
> Paxil
> Mellaril
> Desyrel
>
> All these drugs were prescribed for me during the span of one month, several at the same time (even though they were contraindicated!). Needless to say, my mind has never been very clear since then.
>
> I couldn't tolerate any of these, so they finally put me back on Klonopin. They did give me a brief course of Phenobarbital along with the other pills, but, to my great sorrow, I couldn't stay on it forever.
>
> What was your response to Effexor? Also, you said you keep a mood chart--is that a doctor-specific chart or one you just keep to measure your own ebb and flow? How do you create a mood chart? I'd like to do that.
>
> > CC, would it be stronger, or have less side effects--like effexor vs. pristiq? Could be you could not tolerate either. I tolerate both effexor and pristiq.... Pristiq does not work as well for me--but then, I compare that with the effexor response I had ten years ago....
> >
> > fb
> >
> > > I mentioned this before, but Cymbalta made me throw up all day long after one dose and nearly stopped my heart. I hate this drug with all my might. I can't imagine what a stronger version would do! Wow!
> > >
> > > >
> > > > A stronger cymbalta? Less Hypotension (do they mean hypertension?) Don't they know milnacipran has been available for 15 years? Don't all shout at once...
> > > >
> > > >
> > > > www.psychcentral.com/news/2010/02/05/improved-antidepressant-in-the-works/11212.html
> > >
> > >
> >
> >
>
>
Posted by Phillipa on February 9, 2010, at 20:09:50
In reply to Re: Oregon University's new antidepressant » Cherry Carver, posted by bleauberry on February 9, 2010, at 19:14:40
BB seriously when on 60mg of cymbalta went from 60mg to 30mg then off no side effects. Thinking at the time just crossed over to the luvox where I remain but cut the dose in half last two nights a bit of anxiety but fine now will keep in half. Also got the official website about 25 letters long from the health dept here for a direct line to CDC lymes. If interested I can give it to you. Health dept talked to for a very long time. Phillipa
Posted by Cherry Carver on February 10, 2010, at 17:56:37
In reply to Re: Oregon University's new antidepressant » Cherry Carver, posted by floatingbridge on February 9, 2010, at 1:26:27
Thank you for the mood chart recipe! I'll get right on it--I think I need to be keeping track, since I'm off to see a shrink on 2/18. I used to keep a journal, but it turned into an entry-of-the-month kind of thing about various obsessions, and it is stunningly repetitive.
Indeed, that was a hellish month. I think it wrecked my metabolism forever. One night I had so many pills handed to me that I thought the number would kill me. (I always palmed my pills anyway--either I was really good at it, or the pharmacist never looked to see if I was swallowing more than just water.) I took only half the dosage they gave me that night. Next day I awoke barely able to move. They had to take me to ICU. Ack!!!
> CC, that's one heck of a month! My head spins just reading the list. Don't know all of them.
>
> My mood chart is on graph paper--pretty homey. Mood (depression & anxiety) registered 3x per day (sometimes all at the end of the day); meds and dosage taken; certain activities (walking, therapy); plus any events of note, illnesses, pain level jotted in the header.
>
> I also keep pages of notes on triggers, dreams, preoccupations, whatever. Over a year and a half now--enormously helpful to me. I am sooooo scattered!
>
> SLS here has posted his own template of a mood chart. Google mood chart and all sorts of templates & examples come
> up.
Posted by Cherry Carver on February 10, 2010, at 18:33:25
In reply to Re: Oregon University's new antidepressant » Cherry Carver, posted by bleauberry on February 9, 2010, at 19:14:40
I totally agree with you. Nuclear bomb says it all. Cymbalta = death.
So many different reuptake inhibitors...Savella is described as a dual-reuptake inhibitor that eases the pain of fibromyalgia. So far, I don't have that, but I do have mild arthritis.
Klonopin works well enough without any noticeable side-effects, but it's always good to keep apprised of new things in case somebody wants to offer me something better than K. Mr. Carver takes Lorazepam and he was taking Lexapro, but his insurance wouldn't cover it. I thought about trying it, but the expense is prohibitive (I am uninsured). K already costs over $260/100mgs, and generic isn't an option (tried it with poor results).
Thank you so much for all your suggestions! I especially like your home laboratory experiments. Your way is the most sensible way to go with a new med: try less than the doctor prescribes and work up to the right dose. Everybody ought to do that. It never occurred to me to take a few grains of Cymbalta instead of the whole dose. It would have saved me a day of agony.
> I can understand not being able to tolerate any of those meds. Some people are very sensitive. I am. Any of those drugs can feel like serious nuclear bombs to certain people.
>
> As for cymbalta, its power does not come from its NE reuptake. That is minimal, at just 1 part NE per 10 parts serotonin. There is something else about cymbalta, I'm not sure what, that makes it as harsh as it is. Its withdrawals are hell also.
>
> A med much stronger than cymbalta, yet feels much cleaner and much easier to tolerate and much faster to work, is Savella. It is almost an equal balance between NE and serotonin. What makes it so much friendlier I have no idea. As sensitive as I am, and an ECT failure, Savella really surprised me.
>
> You were asking about effexor. If you couldn't tolerate any of those other meds, I would stay far away from effexor or pristiq if I were you.
>
> Safest bets for someone like you:
> Lexapro liquid. With the measuring dropper you get at the pharmacy, you can make custom doses as accurate as 1/10th of a milligram. One of my doctors has people in remission on as little as 1mg lexapro. The usual doses are supposed to be 10mg to 20mg. Takes more time for small doses to work, but they can still work.
>
> I'm not suggesting lexapro in particular, just using it as an example. Prozac, zoloft, risperdal...many meds...available as liquids for custom small dosing. Me, I make my own custom doses.
>
> I think doctors commonly and blindly overdose patients on what are supposedly normal doses. As I see it, there is no one-size-fits-all. For people with a history like yours or mine, I feel it becomes an integral and crucial part of the strategy to approach any new med with very tiny doses. Custom-made doses at home if need be. I've gotten real good at that.
>
> Who knows, one of those meds you couldn't handle might have been magic for you, if they had you start at a much lower dose (1/10th) and go from there. Me and cymbalta...I found 3mg was decent...how do you get 3mg?...inside the capsule are coated beads...about 10 of them is 1mg...just count out a custom dose and swallow with applesauce. The usual dose of cymbalta...30mg...holy cow.
>
> Anyway, yeah, cymbalta sucks bigtime. A few people love it. Savella is in my opinion the unsung hero that probably won't be fully discovered for another 5 or 10 years.
>
Posted by morganator on February 11, 2010, at 18:12:29
In reply to Re: Oregon University's new antidepressant » Cherry Carver, posted by bleauberry on February 9, 2010, at 19:14:40
Do you think Savella can be combined with an SSRI? I wish there was an extended release version of Savella. I wonder what it is that makes certain drugs have a shorter half life. I wish there was an easy way for drug companies to give the drugs they make much longer half lives so they could only be taken one time a day. I just hate being so dependent on a medication and having to make sure that I take it again half way through the day just to feel better.
Posted by floatingbridge on February 11, 2010, at 19:38:26
In reply to Bleauberry-Combining Savella with an SSRI, posted by morganator on February 11, 2010, at 18:12:29
Morganator,
Would you mind commenting on how Savella is going for you? Do you have a sense of how it compares to effexor? Or pristiq?
You may have commented elsewhere; I'm not up on all the threads.
fb
> Do you think Savella can be combined with an SSRI? I wish there was an extended release version of Savella. I wonder what it is that makes certain drugs have a shorter half life. I wish there was an easy way for drug companies to give the drugs they make much longer half lives so they could only be taken one time a day. I just hate being so dependent on a medication and having to make sure that I take it again half way through the day just to feel better.
Posted by morganator on February 12, 2010, at 1:20:25
In reply to Re: Bleauberry-Combining Savella with an SSRI, posted by floatingbridge on February 11, 2010, at 19:38:26
Actually it's the other way around. Sorry if my post was misleading. I am taking an SSRI and have interest in adding Savella. It's either Savella or Nortriptyline or nothing. Still in the early phase of Prozac so I may feel considerably better in 3 or 4 weeks.
If I do try it in a month or so I will definitely tell you how it goes. It sounds like an exciting drug.
Posted by bleauberry on February 13, 2010, at 18:00:58
In reply to Bleauberry-Combining Savella with an SSRI, posted by morganator on February 11, 2010, at 18:12:29
In Japan where Savella is one of their top performing antidepressants, it is commonly in combination with Luvox or Paxil...when Savella on its own fails, or the SSRI on its own fails, they then combine them.
At another forum...can't remember if it was revolutionhealth or askapatient...some took high doses of Savella with maximum doses of Cymbalta.
So yes, it can and has been combined with other SSRIs and SNRIs.
As for longer lasting versions, yeah, I hear ya, I wish they were all like that.
> Do you think Savella can be combined with an SSRI? I wish there was an extended release version of Savella. I wonder what it is that makes certain drugs have a shorter half life. I wish there was an easy way for drug companies to give the drugs they make much longer half lives so they could only be taken one time a day. I just hate being so dependent on a medication and having to make sure that I take it again half way through the day just to feel better.
Posted by bleauberry on February 13, 2010, at 18:10:02
In reply to Re: Bleauberry-Combining Savella with an SSRI, posted by morganator on February 12, 2010, at 1:20:25
Definitely give prozac at least 8 weeks, 12 is even better, before making any moves. You might be just fine by then and not need any changes. Let it happen if it is going to happen. Tinkering with it too early could mess things up.
If I were given the choice of adding either Savella or Nortriptyline to my ongoing prozac, Savella would be my first choice by a long shot. That's not to say that Nortriptyline might not work like magic, it's just that I've been on both meds and Savella for me was heads-and-tails far superior to Nortriptyline. But we're all different. That was just me. Mileage varies.
I've said it before, but I think the trick with Savella is lower doses than suggested, slower more conservative titration, and longer trials.
Let me know if and when you do this. Until then though, I would suggest just keeping Savella on the shelf and see what Prozac can do. Prozac was the first great SSRI and in my opinion still is the only real good one. My town doctor had hundreds of patients on Prozac and only a few on other SSRIs. I asked him why. He said it's because it usually works.
> Actually it's the other way around. Sorry if my post was misleading. I am taking an SSRI and have interest in adding Savella. It's either Savella or Nortriptyline or nothing. Still in the early phase of Prozac so I may feel considerably better in 3 or 4 weeks.
>
> If I do try it in a month or so I will definitely tell you how it goes. It sounds like an exciting drug.
Posted by g_g_g_unit on February 13, 2010, at 20:09:02
In reply to Re: Bleauberry-Combining Savella with an SSRI » morganator, posted by bleauberry on February 13, 2010, at 18:10:02
bleauberry, what timeframe would you recommend giving for Prozac's main side-effects to pass? i'm trialling it as well at the moment, and feel okay so far (it's definitely atypical as far as SSRI's go), but have been struck with some nasty insomnia which i'm dealing with by taking low-dose amitriptyline as needed. the combo isn't ideal - i feel a little groggy during the day - so was just curious if you've found the insomnia is a common start-up effect which usually passes
Posted by Phillipa on February 13, 2010, at 21:53:39
In reply to Re: Bleauberry-Prozac » bleauberry, posted by g_g_g_unit on February 13, 2010, at 20:09:02
Just a silly question of mine but if trials of meds are normally about 8 weeks doesn't that mean the meds would have worked if going to or shown improvement? If that's the case how can it take so long for a med to work or side effects to go away. I'd think you'd know before then. Dumb quesion I know Phillipa
Posted by morganator on February 14, 2010, at 2:49:20
In reply to Re: Bleauberry-Combining Savella with an SSRI » morganator, posted by bleauberry on February 13, 2010, at 18:10:02
Thanks Bleauberry. Yeah I am going to give Prozac a good 6 more weeks and maybe some dosage adjustment. I have been on it 2 times in my life. It worked both times but both times were a bit different. Man, the first time it was like the 21st day on it and bam, I felt fantastic. Anyway, right now it is combined with 3 mg Zyprexa in the Symbyax formulation. The doctor discussed stopping Symbyax and starting just Prozac. We will see what happens. It's really too bad Zoloft doesn't work like it used to, I had good long run with it, 7 years. If I hadn't stopped taking it I may still be on it. It just felt sooo clean at times and I slept great. Oh well.
Thanks again, I really appreciate you getting back to me and giving me some advice.
Posted by morganator on February 14, 2010, at 2:55:27
In reply to Re: Bleauberry-Prozac, posted by Phillipa on February 13, 2010, at 21:53:39
I think it simply takes that long for some of our brains and bodies to adjust and for the medication to make the necessary changes. Some think part of it is the time it takes drugs like Prozac to create new neurons in parts of the brain like the hippocampus. Who really knows for sure what is going on. I'm sure someone like Bleauberry or someone else here can give you a good guess.
Posted by bleauberry on February 14, 2010, at 16:10:29
In reply to Re: Bleauberry-Prozac » bleauberry, posted by g_g_g_unit on February 13, 2010, at 20:09:02
The insomnia side effect from prozac was always a problem for me. It was worse in the first couple months and got better, but was still a problem. I always had something. For along time it was 7.5mg remeron. Then for years it was 5mg zyprexa. I could sleep without those, but sleep was so much better with them.
The only other side effect I had was diminished libido. Unlike other ssris which totally destroyed libido, I had decent libido on prozac as long as there were several days inbetween intimacy. It was blunted, but alive, and tolerable. I never had any of the other ssri side effects while on prozac.
> bleauberry, what timeframe would you recommend giving for Prozac's main side-effects to pass? i'm trialling it as well at the moment, and feel okay so far (it's definitely atypical as far as SSRI's go), but have been struck with some nasty insomnia which i'm dealing with by taking low-dose amitriptyline as needed. the combo isn't ideal - i feel a little groggy during the day - so was just curious if you've found the insomnia is a common start-up effect which usually passes
Posted by g_g_g_unit on February 14, 2010, at 17:09:05
In reply to Re: Bleauberry-Prozac » g_g_g_unit, posted by bleauberry on February 14, 2010, at 16:10:29
> The insomnia side effect from prozac was always a problem for me. It was worse in the first couple months and got better, but was still a problem. I always had something. For along time it was 7.5mg remeron. Then for years it was 5mg zyprexa. I could sleep without those, but sleep was so much better with them.
>so your issues were more to do with sleep quality than onset?
i have trouble feeling tired at night (i rarely fall asleep before 4am without something to help me along), which i gathered was a factor of depression; i was hoping therefore that the prozac might indirectly help sleep.
Posted by conundrum on February 15, 2010, at 9:46:56
In reply to Re: Bleauberry-Prozac, posted by Phillipa on February 13, 2010, at 21:53:39
According to the following study it took 29 days on average for a response to prozac + placebo. (they were studying whether augmenting with pindolol would speed up the start up improvement of prozac).
According to Dr. David Burn's book "Feeling Good: The New Mood Therapy" it can take 5 weeks for prozac to start working, but one should give up to 8 weeks.
Most newer drugs like Lexapro and Pristiq should start working sooner, like after 3 weeks.
The thing about prozac is you have to wait for the drug to get to a steady state in your blood. If you read the pharmacokinetics here it explains it:
http://en.wikipedia.org/wiki/Fluoxetine#Pharmacokinetics
Posted by Bob on February 15, 2010, at 12:52:17
In reply to Re: Bleauberry-Combining Savella with an SSRI » morganator, posted by bleauberry on February 13, 2010, at 18:00:58
> In Japan where Savella is one of their top performing antidepressants, it is commonly in combination with Luvox or Paxil...when Savella on its own fails, or the SSRI on its own fails, they then combine them.
>
> At another forum...can't remember if it was revolutionhealth or askapatient...some took high doses of Savella with maximum doses of Cymbalta.
>
> So yes, it can and has been combined with other SSRIs and SNRIs.
>
> As for longer lasting versions, yeah, I hear ya, I wish they were all like that.
>
> > Do you think Savella can be combined with an SSRI? I wish there was an extended release version of Savella. I wonder what it is that makes certain drugs have a shorter half life. I wish there was an easy way for drug companies to give the drugs they make much longer half lives so they could only be taken one time a day. I just hate being so dependent on a medication and having to make sure that I take it again half way through the day just to feel better.
>
>Check this out...
http://www.bloomberg.com/apps/news?pid=20601103&sid=a0lZW4ldgHns
I've gotta wonder if this is politically motivated. I mean, the claims they make against this drug could be made against many current ADs on the market really. And what is that statement about the European market rejecting it? Isn't this originally a French drug??? What is going on here?
Posted by g_g_g_unit on February 15, 2010, at 17:36:08
In reply to Re: Bleauberry-Prozac, posted by conundrum on February 15, 2010, at 9:46:56
> According to the following study it took 29 days on average for a response to prozac + placebo. (they were studying whether augmenting with pindolol would speed up the start up improvement of prozac).
>
> According to Dr. David Burn's book "Feeling Good: The New Mood Therapy" it can take 5 weeks for prozac to start working, but one should give up to 8 weeks.
>
> Most newer drugs like Lexapro and Pristiq should start working sooner, like after 3 weeks.
>
> The thing about prozac is you have to wait for the drug to get to a steady state in your blood. If you read the pharmacokinetics here it explains it:
> http://en.wikipedia.org/wiki/Fluoxetine#Pharmacokinetics
>
> http://www.ncbi.nlm.nih.gov/pubmed/11199945sorry, i wasn't being impatient re: the therapeutic effect. i am just put out by insomnia, since i struggle with chronic sleep difficulties (as a result of med trials and depression, i guess).
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