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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Hombre on June 20, 2011, at 19:27:39
http://www.mediafire.com/?qwbsvs2bcmnbzvo
Probably outdated somewhat, but essential reading for those with med questions. Read this first, along with the Prescriber's Guide I also uploaded, and then tell your doc the options you want to try.
Only after you've tried several of the "heroic" combos should you come here asking amateurs for advice (not that the amateurs here aren't brilliant).
Posted by Phillipa on June 20, 2011, at 22:19:31
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
Kind of cute the way you put it. I'm sure not an expert. Good advise or a pdoc or doc. Phillipa
Posted by zonked on June 21, 2011, at 0:24:18
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
I wish I understood - I mean *truly understood*, from top to bottom, 1/10 of this. Is this a college text for budding psychiatrists, or ...?
How can a lay person such as myself develop a comprehensive education on this topic without going to medical school? I really want to understand how the brain works at a level that would allow me to appreciate this text.
If you don't mind me asking, are you a doctor yourself, or ..?
-z
Posted by zonked on June 21, 2011, at 0:32:57
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
> Only after you've tried several of the "heroic" combos should you come here asking amateurs for advice (not that the amateurs here aren't brilliant).
Also, this guy seems to *really* like Effexor, which was one of the worst experiences of my life....
Still fascinating =]
-z
Posted by mellow on June 21, 2011, at 3:06:37
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
Thanks. Covered about 200 pages of it. The atypicals were the most interesting. I had no clue they were using serotonin antagonism to kind of sneak in through the back door and put the breaks on dopamine in the limbic area. Honestly I had no clue there where four separate dopamine pathways. I just always heard people talk about d2 antagonism and how important it was for psychosis reduction. Now I can understand why I got manic when my doc tapered my risperidone. There was less serotonin antagonism on the front end of that dopamine reduction thus I got peppy again.
Great read! A little over my head at some points but I would love to read some more of that stuff.
mellow
Posted by Hombre on June 21, 2011, at 13:38:00
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
I suppose it might be hard to follow if you have no background in biology/physiology. I think he does a good job of trying to simplify things with his illustrations, though.
Posted by B2chica on June 21, 2011, at 15:20:55
In reply to Stahl's Essential Psychopharmacology, posted by Hombre on June 20, 2011, at 19:27:39
it does look interesting. enough to get you general info.
but the last copyright was 2002.
i do know that Neuroscience has come a long way in the last 5 years alone. so i'd be concerned that there is a lot of mis-information in there.
i didn't get a chance to look it over. and despite it's age i'd still Love to take a gander.
Thank you for that.b2c.
Posted by Hombre on June 24, 2011, at 5:37:24
In reply to Re: Stahl's Essential Psychopharmacology, posted by mellow on June 21, 2011, at 3:06:37
Yes, the atypicals kind of work like mirtazapine that way. I take seroquel and mirtazapine on top of Effexor, and that seems to do the trick, perhaps working at "both ends" i.e. reuptake inhibition and increased output of 5HT + NE through the antagonism of the [I forget] receptors.
> Thanks. Covered about 200 pages of it. The atypicals were the most interesting. I had no clue they were using serotonin antagonism to kind of sneak in through the back door and put the breaks on dopamine in the limbic area. Honestly I had no clue there where four separate dopamine pathways. I just always heard people talk about d2 antagonism and how important it was for psychosis reduction. Now I can understand why I got manic when my doc tapered my risperidone. There was less serotonin antagonism on the front end of that dopamine reduction thus I got peppy again.
>
> Great read! A little over my head at some points but I would love to read some more of that stuff.
>
> mellow
This is the end of the thread.
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