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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by laurah952 on July 4, 2013, at 10:39:23
Hi all,
I'm on 60mg. Cymbalta for depression, and only recently (3 yrs ago) was I diagnosed with Bi-polar II.
I have tried endless mood stabilizers, and none have helped. Most make me so tired that I don't want to do anything. I was prescribed 400mg Tegretol to be split am & pm. I've all but stopped taking it. (I was already taking a much smaller dose prn for nerve pain)
I take Cymbalta 60mg/day for depression, but feel a need for better depression control. Pdoc won't up that, as she is worried about mood swings. I'm not - I feel tired and down all the time, and have lost interest in just about everything.
Any ideas on what meds/modifications I should make?
Thank you - Laura
Posted by Lou Pilder on July 4, 2013, at 11:07:17
In reply to Cymbalta not good enough for depression?, posted by laurah952 on July 4, 2013, at 10:39:23
> Hi all,
>
> I'm on 60mg. Cymbalta for depression, and only recently (3 yrs ago) was I diagnosed with Bi-polar II.
>
> I have tried endless mood stabilizers, and none have helped. Most make me so tired that I don't want to do anything. I was prescribed 400mg Tegretol to be split am & pm. I've all but stopped taking it. (I was already taking a much smaller dose prn for nerve pain)
>
> I take Cymbalta 60mg/day for depression, but feel a need for better depression control. Pdoc won't up that, as she is worried about mood swings. I'm not - I feel tired and down all the time, and have lost interest in just about everything.
>
> Any ideas on what meds/modifications I should make?
>
> Thank you - LauraL,
You wrote,[...tried endless mood stabilizers, and none have helped...make me so tired..don't want to do anything...I take Cymbalta..feel tired and down all the time...lost interest in just about everything...any ideas on meds/modifications...?.
I do have ideas that I think could give you a whole new life, and have a light to shine on you to heal you and be free from the darkness of being down all the time, and you could sing a new song.
Now what may be unbeknownst to you is that the drugs that you are taking into your nervous system act upon your brain and other organ in a way that scientists understand now, but had been revealed to people 1000s of years ago. Those that knew what was happening then, when mind-altering drugs were put into one's brain, had a different understanding of the mechanics, but the aame outcome was known. This has been further revealed to me in scientific terms.
Now here is a video that explain this happening to those that take mind-altering drugs as to the brain's reaction to chemicals that are mind-altering. Here methamphetamine is used as an example. This drug is given to children in a different formulation, but the chemical goes back 1000s of years and now we have modifications of it, but the same chemical.
Lou
To see this video, go to Google and type in:
[youtube,at3Sg6qvgTE]
Posted by Emme_V2 on July 4, 2013, at 11:26:30
In reply to Cymbalta not good enough for depression?, posted by laurah952 on July 4, 2013, at 10:39:23
> Hi all,
>
> I'm on 60mg. Cymbalta for depression, and only recently (3 yrs ago) was I diagnosed with Bi-polar II.
>
> I have tried endless mood stabilizers, and none have helped. Most make me so tired that I don't want to do anything. I was prescribed 400mg Tegretol to be split am & pm. I've all but stopped taking it. (I was already taking a much smaller dose prn for nerve pain)
>
> I take Cymbalta 60mg/day for depression, but feel a need for better depression control. Pdoc won't up that, as she is worried about mood swings. I'm not - I feel tired and down all the time, and have lost interest in just about everything.
>
> Any ideas on what meds/modifications I should make?
>
> Thank you - LauraHi Laura,
Have you tried Abilify? I have had good luck with it in conjunction with Lamictal. A very low dose of Abilify really flipped the switch for me in a good way with improved motivation and mood. I'm actually hoping to switch off to Latuda soon because of weight gain issues with Abilify, but weight gain does not seem to necessarily be a problem for everyone with this drug.
Good luck.emme
Posted by 10derheart on July 4, 2013, at 12:25:45
In reply to Lou's response-myconmh » laurah952, posted by Lou Pilder on July 4, 2013, at 11:07:17
Posted by polarbear206 on July 4, 2013, at 12:56:36
In reply to Cymbalta not good enough for depression?, posted by laurah952 on July 4, 2013, at 10:39:23
What are your symptoms, pattens like PRIOR to drug therapy and what are they NOW while taking Cymbalta. Drugs trialed and combinations too. Sorry all the questions , but very important to know.
Posted by Phillipa on July 4, 2013, at 21:43:55
In reply to Cymbalta not good enough for depression?, posted by laurah952 on July 4, 2013, at 10:39:23
Hi Laura shame since the Cymbalta helps the pain that you are still feeling depression. I once had trileptal added to help the ad work better. I do know that many doctors do prescribe Cymbalta up to 120mg but understand you doc's reluctance to. Phillipa
Posted by laurah952 on July 6, 2013, at 8:05:29
In reply to Lou's response-myconmh » laurah952, posted by Lou Pilder on July 4, 2013, at 11:07:17
I do have ideas that I think could give you a whole new life, and have a light to shine on you to heal you and be free from the darkness of being down all the time, and you could sing a new song.
You mentioned the adverse effects of methamphetamines, which I don't take, but didn't answer the question above. Please share your ideas, or a link to where the answer is revealed. I would like to see that information. If you can't, please don't respond at all.
Thank you,
Laura
Posted by laurah952 on July 6, 2013, at 8:13:30
In reply to Re: Cymbalta not good enough for depression? » laurah952, posted by Emme_V2 on July 4, 2013, at 11:26:30
>Have you tried Abilify? I have had good luck with it in conjunction with Lamictal. A very low dose of Abilify really flipped the switch for me in a good way with improved motivation and mood. I'm actually hoping to switch off to Latuda soon because of weight gain issues with Abilify, but weight gain does not seem to necessarily be a problem for everyone with this drug.
Good luck.
emme
Hi Emme,
I was on abilify for a very short period of time, and think I was scared away by warnings that it can increase blood sugar. Having been pre-diabetic for a short period of time, I'm steering clear of all that may do that.
Will you be adding Latuda to Lamictal? (I need to look them up)
Thanks,
Laura
Posted by Lou PIlder on July 6, 2013, at 8:32:52
In reply to Re: Lou's response-myconmh » Lou Pilder, posted by laurah952 on July 6, 2013, at 8:05:29
> I do have ideas that I think could give you a whole new life, and have a light to shine on you to heal you and be free from the darkness of being down all the time, and you could sing a new song.
>
> You mentioned the adverse effects of methamphetamines, which I don't take, but didn't answer the question above. Please share your ideas, or a link to where the answer is revealed. I would like to see that information. If you can't, please don't respond at all.
>
> Thank you,
>
> LauraLaura
You wrote, [...Please share your ideas..I would like t see that information...].
I can share this revelation with you, but...
It would require that you cooperate with me in a very long thread that could take weeks for the revelation to be uncovered to you. This is because if the nature of the prohibitions to me here from Mr Hsiung. One of those prohibitions restricts me from posting more than 3 consecutive posts so that you would need, or someone else would need, to post after I posted 3 consecutive posts , so that I could continue.
Another prohibition to me is that I am prevented from posting from a Jewish perspective as revealed to me. Because of that prohibition, it could require me to take weeks, or even months, for the revelation to be seen.
You may see in the archives where I have an encounter with a Rider on a White Horse. He is The Word of God that was there in the beginning, in the midst of the Paradise of God. It is this Paradise that has been revealed to me that you could return to and be a whole new creature, free from the captivity of depression and addiction.
It has been revealed to me that you and the others here have a head-start to be in this new realm, for a way that one enters this new realm is through great tribulation. And it is darkest before the dawn, and The Sun of Righteousness can arise with healing in His wings to bring one out of the darkness into a marvelous light.
Lou
Posted by SLS on July 6, 2013, at 9:12:19
In reply to Lou's reply-wdoofgd » laurah952, posted by Lou PIlder on July 6, 2013, at 8:32:52
> I can share this revelation with you, but...
Posted by laurah952 on July 6, 2013, at 9:41:22
In reply to Re: Cymbalta not good enough for depression?, posted by polarbear206 on July 4, 2013, at 12:56:36
> What are your symptoms, pattens like PRIOR to drug therapy and what are they NOW while taking Cymbalta. Drugs trialed and combinations too. Sorry all the questions , but very important to know.
They ARE important; I agree. I will attempt to answer that.
Initially, I sought help for severe panic attacks, and that was my only symptom as far as I knew. (25 yrs ago) I was put on Klonopin along with an antidepressant. I don't remember the order, but have been on Paxil, Prozac, Wellbutrin, Lexapro, Buspar, Seroquel, Zoloft and Cymbalta (there may have been more, but I don't recall)
About 4 years ago, I was diagnosed with peripheral neuropathy and I think some of the meds for that are also used as psych meds. To the above combo, (I believe that at that time, Prozac was being used along with Klonopin 8mg/day) I was given Gabapentin, Nortriptyline, and then Lyrica (it works better for me) I was also given Tegretol to use prn at night for pain.
About 3 years ago, I was diagnosed with bi-polar II, and to the above Klonopin, Prozac, Lyrica, and Tegretol, many mood stabilizers were tried and discontinued either due to side effects or because they didn't work. (I don't think any work to this day, so I've given up for now, and can live with the minor symptoms) For Bi-polar, I've been given (and I don't remember all) Abilify, Topamax, Saphris, Seroquel, Tegretol dosage was upped. I'm also on up to 100mg Trazadone prn for sleep. I try to stay away from weight gainers, any that increase blood sugar, or that aren't recommended for high cholersterol, or blood pressure (family history and I'm a smoker, for now) That's a difficult feat...
I didn't feel much of a depression until the peripheral neuropathy stopped me from doing almost everything. Once on Gabapentin 3000mg/day, I had a "nervous breakdown" from the unbearable pain, my loss of cognitive functioning, severe insomnia and other situational factors. Since then, depression has been a part of my life. I was still on Prozac to no avail. With time, a switch to Lyrica, and Cymbalta, I felt pretty good for over a year.
Lately, I've been feeling anxious, overwhelmed, extremely fatigued on many days, sad, and really unmotivated. I do have great days, but there's always that sick feeling in the pit of my stomach. I can fight and force myself to get in a workout, take a shower, get up and get dressed, and go out - anywhere, and it does help. I need caffeine to get me moving (and I'm cutting down) and that's probably part of my problem. 3-4 cups in the am.. If I don't drink it, I'm on the couch all day.
My current meds:
Klonopin 6mg (down from 8)
Cymbalta 60mg
Lyrica 100mg (lately needing 200 occasionally)
Trazadone 50-100mg prn
Tegretol - supposed to be on 400mg/day split am & pm, but as it makes me tired; I keep to 100 at night if needed for nueropathic painI told my new pdoc that everything is fine, as I don't feel like playing around w/ mood stabilizers anymore, and I don't want Klonopin adjusted in any way (I don't feel fatigued in any way on this anymore, but it does keep the panic attacks at bay)
Phew... think that's it. Sorry for the long post - I hope I was clear enough.
Thanks!
Laura
Posted by laurah952 on July 6, 2013, at 9:43:41
In reply to Re: Cymbalta not good enough for depression? » laurah952, posted by Phillipa on July 4, 2013, at 21:43:55
Thanks Phillipa, I'm feeling bad enough now that I may tell my new pdoc - just afraid to try med after med after med again.
Laura
Posted by laurah952 on July 6, 2013, at 9:51:31
In reply to Lou's reply-wdoofgd » laurah952, posted by Lou PIlder on July 6, 2013, at 8:32:52
>It has been revealed to me that you and the others here have a head-start to be in this new realm, for a way that one enters this new realm is through great tribulation. And it is darkest before the dawn, and The Sun of Righteousness can arise with healing in His wings to bring one out of the darkness into a marvelous light.
LouIf you are speaking of faith, I have a great Christian faith with a belief that God will get me through this. If it is darker before the dawn, I'd like to lighten that up now. That's why God made doctors who can help with medication and therapy. I'm willing to do the work.
- Laura
Posted by Emme_V2 on July 6, 2013, at 12:20:56
In reply to Re: Cymbalta not good enough for depression?, posted by laurah952 on July 6, 2013, at 8:13:30
> >Have you tried Abilify? I have had good luck with it in conjunction with Lamictal. A very low dose of Abilify really flipped the switch for me in a good way with improved motivation and mood. I'm actually hoping to switch off to Latuda soon because of weight gain issues with Abilify, but weight gain does not seem to necessarily be a problem for everyone with this drug.
>
> Good luck.
>> emme
>
> Hi Emme,
>
> I was on abilify for a very short period of time, and think I was scared away by warnings that it can increase blood sugar. Having been pre-diabetic for a short period of time, I'm steering clear of all that may do that.
>
> Will you be adding Latuda to Lamictal? (I need to look them up)
>
> Thanks,
> Laura
>
Hi Laura,I can definitely understand why you'd be leery of Abilify. Did you find it helpful when you tried it? If so, would you consider taking a low dose for a little while and watching your blood sugar carefully? I don't know the stats on how often it affects blood sugar.
I actually recently stopped Lamictal, and I'm waiting several weeks to see how I do without it before trying to switch over from Abilify to Latuda.
About a year ago, I started Minocycline, and it has been very effective in smoothing out bumps in the road. It's allowed me to reduce my dose of Abilify quite a lot and there's a good chance I'll be able to stay off of Lamictal. The Lamictal actually isn't bad to take, and it was an important part of my treatment for a long time. But if I don't need it now with the Minocycline on board, I'd prefer to take less medication.
emme
Posted by Lou Pilder on July 6, 2013, at 12:39:14
In reply to Re: Lou's reply-wdoofgd » Lou PIlder, posted by laurah952 on July 6, 2013, at 9:51:31
> >It has been revealed to me that you and the others here have a head-start to be in this new realm, for a way that one enters this new realm is through great tribulation. And it is darkest before the dawn, and The Sun of Righteousness can arise with healing in His wings to bring one out of the darkness into a marvelous light.
> Lou
>
> If you are speaking of faith, I have a great Christian faith with a belief that God will get me through this. If it is darker before the dawn, I'd like to lighten that up now. That's why God made doctors who can help with medication and therapy. I'm willing to do the work.
>
> - LauraLaura,
You wrote,[...I have a great Christian faith...I'd like to lighten that up now...God made doctors who can help with medication and therapy..I'm wiling to do the work...].
I am unsure as to what you are wanting to mean by what you wrote. If you could post answers to the following, then I could have the opportunity to respond accordingly.
A. Does your Christian faith take the position that what the bible says overrides what is said outside of the bible by people such as psychologists and psychiatrists?
B. If so, do you know what the bible says concerning Christians taking mind-altering drugs?
C. Do you know what the bible says as to how healing happens?
D. Do you know what a sorcerer is as the bible depicts? Are you aware that the bible writes about a Great Deception and a Strong Delusion? If so, do you know what is written concerning that?
E. If you are in darkness now, and you list all these mind-altering drugs that you take, what rationale do you use, if you are going to take more mind-altering drugs, to think that taking more of these drugs will lighten things up now?
F. If you are willing to do the work, what is the work that you are willing to do so that things lighten up now?
Lou
Posted by SLS on July 6, 2013, at 12:53:49
In reply to Re: Lou's reply-wdoofgd » Lou PIlder, posted by laurah952 on July 6, 2013, at 9:51:31
> > It has been revealed to me that you and the others here have a head-start to be in this new realm, for a way that one enters this new realm is through great tribulation. And it is darkest before the dawn, and The Sun of Righteousness can arise with healing in His wings to bring one out of the darkness into a marvelous light.
Lou> If you are speaking of faith, I have a great Christian faith with a belief that God will get me through this
Here we go...
:-)
- Scott
Posted by SLS on July 6, 2013, at 12:56:59
In reply to Re: Lou's reply-wdoofgd » Lou PIlder, posted by laurah952 on July 6, 2013, at 9:51:31
> That's why God made doctors who can help with medication and therapy. I'm willing to do the work.
What a wonderful perspective. This is how I approach things, too.
- Scott
Posted by 10derheart on July 6, 2013, at 13:00:24
In reply to Laura's Reply to Lou's reply, posted by SLS on July 6, 2013, at 12:53:49
Yup.
wheels on the bus....
Posted by laurah952 on July 6, 2013, at 17:30:27
In reply to Re: Cymbalta not good enough for depression? » laurah952, posted by Emme_V2 on July 6, 2013, at 12:20:56
> Hi Laura,
>
> I can definitely understand why you'd be leery of Abilify. Did you find it helpful when you tried it? If so, would you consider taking a low dose for a little while and watching your blood sugar carefully? I don't know the stats on how often it affects blood sugar.
>
> I actually recently stopped Lamictal, and I'm waiting several weeks to see how I do without it before trying to switch over from Abilify to Latuda.
>
> About a year ago, I started Minocycline, and it has been very effective in smoothing out bumps in the road. It's allowed me to reduce my dose of Abilify quite a lot and there's a good chance I'll be able to stay off of Lamictal. The Lamictal actually isn't bad to take, and it was an important part of my treatment for a long time. But if I don't need it now with the Minocycline on board, I'd prefer to take less medication.
>
> emmeHi Emme,
I really don't remember if Abilify worked for me or not, but according to all the commercials, it can give the AD a boost. I'd consider it again, pending another good A1C.
Hopefully you can reduce your meds. My daughter was prescribed Minocycline for her acne for 2 mos. and it worked great for that. I looked it up, and see that it has also been used as a psych med. I'm glad it's working.
Laura
Posted by laurah952 on July 6, 2013, at 17:37:17
In reply to Lou's reply-gdheelz » laurah952, posted by Lou Pilder on July 6, 2013, at 12:39:14
Lou, I'm not getting into it. What I believe is for me, and not subject to your own interpretation. Let's just leave this one alone.....
Laura
Posted by laurah952 on July 6, 2013, at 17:40:21
In reply to Laura's Reply to Lou's reply, posted by SLS on July 6, 2013, at 12:53:49
> > > It has been revealed to me that you and the others here have a head-start to be in this new realm, for a way that one enters this new realm is through great tribulation. And it is darkest before the dawn, and The Sun of Righteousness can arise with healing in His wings to bring one out of the darkness into a marvelous light.
> Lou
>
> > If you are speaking of faith, I have a great Christian faith with a belief that God will get me through this
>
> Here we go...
>
> :-)
>
>
> - ScottYeah... talk about a can of worms... my bad!
Laura
Posted by polarbear206 on July 7, 2013, at 17:34:45
In reply to Re: Laura's Reply to Lou's reply » SLS, posted by 10derheart on July 6, 2013, at 13:00:24
> Yup.
>
> wheels on the bus....Go round an round ,round and round and round and round.
Posted by Zyprexa on July 8, 2013, at 20:25:07
In reply to Cymbalta not good enough for depression?, posted by laurah952 on July 4, 2013, at 10:39:23
Have you tried Abilify? Its a moodstabilizer and antidepressant effects. It won't make you tired. I read that its used for bipolar. I took it a while back and it was awfull. But it did give a nice AD (antidepressant) effect. Its also an AP (antipsychotic) which is what I took it before and it made me worse. A lot of no sleep for me. I realy need something that sedates, zyprexa. But I've heard that abilify is very good for some.
Oh, and cymbalta can be bad for your liver, especialy if you drink with it. FYI.
This is the end of the thread.
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