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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by rjlockhart04-08 on September 3, 2011, at 0:47:28
Prozac 60mg
I get mixed messages about this. It doesnt even work anymore. I may just flush it out of my system soon. Im going to lower it to 40mg.
My system is not ... i've said this alot already but its like my body is resistant to medication. It does nothing. I mean NOTHING.
Posted by sigismund on September 3, 2011, at 1:53:05
In reply to Is this a high dose. I mean really??, posted by rjlockhart04-08 on September 3, 2011, at 0:47:28
Matt, the fact that it doesn't work any more does not mean its not a high dose, and it doesn't mean it isn't doing anything.
Posted by SLS on September 3, 2011, at 5:36:41
In reply to Is this a high dose. I mean really??, posted by rjlockhart04-08 on September 3, 2011, at 0:47:28
> Prozac 60mg
>
> I get mixed messages about this. It doesnt even work anymore. I may just flush it out of my system soon. Im going to lower it to 40mg.
>
> My system is not ... i've said this alot already but its like my body is resistant to medication. It does nothing. I mean NOTHING.
>
>
This is where a good doctor should provide answers to your questions and that you not guess at the answers for yourself. Maybe Prozac has irrevocably pooped-out on you. Alternatively, you may be experiencing peaks and valleys on your way to wellness. Recovery from severe or chronic depression rarely appears as a straight line. It follows a more jagged pattern. Of course, there is the possibility that the Prozac 60mg is the right dosage for you, but that you need to add other drugs as augmenters in order to recapture the antidepressant response. There are too many "maybe's" that Psycho-Babble might not be equipped to consider them all.There is one important therapeutic modality that you might be neglecting, and you don't have to take any extra pills! If you are not using psychotherapy as an adjunct treatment, I think you might remain psychologically depressed on top of being biologically depressed. If you don't attack any psychopathology that exists, your chances of a full and long-lasting recovery may be diminished.
What are you being treated for? I forgot. Sorry.
Good luck.
- Scott
Posted by bleauberry on September 3, 2011, at 7:14:07
In reply to Is this a high dose. I mean really??, posted by rjlockhart04-08 on September 3, 2011, at 0:47:28
60mg isn't really a high dose. My GP used to consider that to be the upper dose at which time he would refer patients to a pdoc for higher doses. Doses can go as high as 80mg to 120mg.
How well it worked when it did work should be the question that determines whether to keep working with or not. If it worked very good and you need to recapture that, then a higher dose is the obvious first choice. Second choices would include substances that synergize with prozac. Those would include Zyprexa, Nortriptyline, Ritalin. The combination with zyprexa, for example, dramatically increases dopamine, serotonin, and norepinephrine. Prozac alone is mostly just serotonin with some modest boost of dopamine and norepinephrine.
Basics need to be attended to. That means diet should be ultra clean and balanced. As in low sugar, low carbs, high veggies, moderate proteins, organic always or as often as possible. Neurotoxins from a variety of causes....genetic weakness in detox, pathogenic organisms, environmental exposure, etc....can disrupt all of the neurotransmitters and receptor functions....making most psych meds fairly useless until the detox issues are addressed. So there is more to look at here than just prozac or whatever med.
Ok let's assume you've been up to 80 mg and still nothing. 100mg and nothing. Fine. That tells you some important stuff...you need to look at other stuff because serotonin is NOT the issue. With this approach, even failures become successes because they give clues and information to help solve the riddle, clues you didn't have previously. I take note that most doctors will go from one med to another basically blindly or based on what they have seen in their own practice....and totally ignore the clues that have been set before them. I just don't agree with that.
Here is something else to consider. Generic and brand are not equivalent. Long story, could write a book on it. They are basically the same, but have differences that can be significant from person to person. We have seen that at this website so many times with a variety of meds. One of my doctors refuses to even prescribe generics due to the amount of failures and complications he has had with them compared to brand. Except for one of the pain killers where he found one of the generic versions worked better than brand. So before a final ditch of prozac, it would definitely be worth the money to switch to brand for a couple weeks before giving up on the whole thing. I personally did fine on brand and then deteriorated on generic and then did fine again when I went back to brand....at the time I didn't know these switches had been made....but I sure felt it. SLS could tell you similar stories with some of his meds for example Lamictal. Xanax is another common one that often shows a marked difference between brand and generic.
So if someone tells me their prozac isn't working, and their prozac is generic, then I say they don't know if it works or not because they haven't tried brand prozac.
Just some stuff to think about.
Posted by Phillipa on September 3, 2011, at 10:43:38
In reply to Re: Is this a high dose. I mean really??, posted by bleauberry on September 3, 2011, at 7:14:07
I think Matt said that amphetamines were not an option for him as he became addicted to him. I think his posted link in a thread is a web page of his doc an additions doc. It's on this page. Phillipa
Posted by rjlockhart04-08 on September 3, 2011, at 11:25:49
In reply to Re: Is this a high dose. I mean really?? » bleauberry, posted by Phillipa on September 3, 2011, at 10:43:38
I think that is a rational choice to actually try to try the Prozac on the name brand. I can't take any amphetamines because of my addiction for now. When I get on my own and get my own doctor then maybe....because my mother keeps track of the things I take and she won't let me take addiction potential drugs. Its crazy yes, but the only way im going to get out of this is to move out. That's why I've been asking for help on moving out here on babble. No one seems to post anything but back in 2006 someone posted intructions and I should of listened and not been passive with it. It's been years since I wanted to move out.
Thank you for you posts.
matt
Posted by Solstice on September 3, 2011, at 13:22:42
In reply to Re: Is this a high dose. I mean really??, posted by rjlockhart04-08 on September 3, 2011, at 11:25:49
> I think that is a rational choice to actually try to try the Prozac on the name brand. I can't take any amphetamines because of my addiction for now. When I get on my own and get my own doctor then maybe....because my mother keeps track of the things I take and she won't let me take addiction potential drugs. Its crazy yes,
No.. it's not crazy. It's responsible.
> but the only way im going to get out of this is to move out.
I don't think it'll be that easy to find a doctor willing to prescribe drugs with the potential for abuse to someone with your history of addiction.
> That's why I've been asking for help on moving out here on babble.As badly as you want to move out, if you had the ability to accomplish it, you would have already done it. You seem to want someone on babble to take on responsibility for you - to take care of you and help you find a doctor that will give you access to amphetamines and other addictive drugs.. and I don't think that's gonna happen.
> No one seems to post anythingThank goodness.. and I don't think you're going to find anyone here that's willing to take you on.
> but back in 2006 someone posted intructionsand those instructions were very sensible..
> and I should of listened and not been passive with it.and if you wanted to take responsibility for yourself, I think you'd have done it by now. Your passivity is a 'sign' of your desire that others 'carry' you.
> It's been years since I wanted to move out.If you *really* wanted to move out, you would have made it happen.
I know I'm not telling you anything you want to hear.. but..
Solstice
This is the end of the thread.
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