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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Lamdage22 on February 11, 2014, at 11:53:13
Hi,
i am a somewhat special case as i have schizo-affective depressive type and i react psychotic to MAOI and anorgasmic to every SSRI-type drug so far except Effexor. I do not need another AP as Seroquel fits the bill very well.
I switched back to Effexor because it was mildly effective and lacks the anorgasmia side effect. My psychotic symptoms are under control and we actually want to reduce the antipsychotics until i am at 300mg Seroquel. Like i had it before i made the attempt to quit everything.
Now i had those 4 substances in mind to improve my condition. Maybe i can replace the "or" with a "and". IDK.
Please some insights/support here.
Thanks. May wellness be with you.
I am switching to another place that offers up to 8 hours of therapy a day. I can stay there for a very long time if i want to.. Even go to professional school there.
Julian
Posted by phidippus on February 11, 2014, at 16:33:09
In reply to T3, Rilutek, Xyrem or Brintillex, posted by Lamdage22 on February 11, 2014, at 11:53:13
Don't know much a bout T3.
I currently take Rilutek to treat bipolar depression and OCD. It works pretty well.
Xyrem is a tricky medication and does not play well with others.
Brintillex is an SSRI that targets a bunch of specific receptors.
Eric
Posted by bleauberry on February 12, 2014, at 6:35:18
In reply to T3, Rilutek, Xyrem or Brintillex, posted by Lamdage22 on February 11, 2014, at 11:53:13
I don't know, I sort of like the looks of T3. That's simply because it is so often messed up...and sometimes not obvious on labs...in so many common chronic diseases, which all happen to have schizo-anxious-depressive stuff as common symptoms.
The problem with that is that it would be like attempting to fix a car that has a bunch of different issues by just doing an oil change. Sort of. Because in most of the common chronic illnesses that have difficult psychiatric issues as primary symptoms, and in most diseases actually, there are usually multi systemic physiological issues going on that all need to be addressed. It is often a guessing game, as it would be with the T3 or the other meds.
Issues to look at going forward:
Chronic systemic inflammation....testable by trying several anti-inflammation anti-disease herbs to see what happens.
Chronic systemic infection....not reliably tested by labs, mostly a clinical suspicion based on symptoms and history....for example, what else besides your psych symptoms is going on?.....fatigue, weakness, sleep issues, joint pains, muscle pains, bone pains, pains that migrate, pains that come and go, unexplained rashes or spots, headaches, migraines, all psych symptoms, vision issues, cloudy thinking, brain fog, memory problems....the whole picture can offer strong clues to point in areas of suspicion for testing or treatment. Luckily, there are herbs that deal with all spectrums of infection, viral, bacterial, parasitic, intracellular, fungal. Your reaction to trials of them offers strong diagnostic clues.
Chronic toxin accumulation....genetics or disease can result in poor excretion of trace amounts of environmental toxins, which leads to toxin overload years or decades later, and then can look like just about any disease, with the common denominator being psychiatric. This is easily tested by labs, DMSA 6 hour urine challenge. I would bet money that more than half, maybe as much as 80%, longterm psych patients have elevated levels of heavy metals in their fat tissues and brain. imo. I don't just pull those numbers out of mid air for no reason, they are based on clinical findings.I mention all this because while I think your efforts on choosing meds to help improve your quality of life is a good thing, the road is basically a dead end unless steps are taken to try to focus on the primary areas of common disease. That's because they mostly come with psych symptoms that are hard to treat, and that when the actual problem is suppressed, most or all of those bizarre longterm psych problems magically drift away all by themselves over time.
I was stuck in the mode of choosing my next best greatest med for about 15 years. There were some good moments and a lot of unsatisfactory times. But mostly it was a real hard fight that eventually leads nowhere....the road usually goes something like this.....poopout, med change, poopout, med change, repeat, repeat, repeat. I have seen a few people go 10 years or more with good results on a single med....prozac, zoloft, or nardil....but that is not common. In my opinion, the hidden underlying disease condition eventually overwhelms anything the meds can do.
Obviously a good MD who knows all this sort of stuff would be very helpful. They are out there, but few, hard to find. I like the ones that play the role of medical detective.
Anyway, T3 is always suspect in many common chronic disease, so that one makes sense to me. It would be the only thing in your cocktail that represents disease suppression rather than just symptom resolution.
Posted by Lamdage22 on February 12, 2014, at 9:51:17
In reply to Re: T3, Rilutek, Xyrem or Brintillex, posted by bleauberry on February 12, 2014, at 6:35:18
Bleauberry,
what are you suggesting in terms of herbs?
I am tired of this.
Why cant i go to the doctor and trust that he will give me the best possible care.To be honest i am too lazy to check those things you mentioned. What did lead to your success in terms of treatment?
This is the end of the thread.
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