![[dr. bob]](/dr-bob-sm.gif)
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 Lamdage22 on April 14, 2014, at 2:56:48
My pdoc and i were talking about Brintellix and he doesnt feel comfortable prescribing it until its on the market in Germany.
He says that Lundbeck are pretty quick though to get their stuff on the market.
So we agreed to try Tianeptine this week and discontinue 75mg of Effexor. Effexor does very little for me exept numbing my d*ck.
When Brintellix is out i may try that. And if it works take Tianeptine ontop of it. I heard the right chronology is first ssri, then adding Tianeptine.
This may work. My illness is something along the lines of schizophrenia, schizophrenia with depression or schizo-affective.
Im Taking 700 of Seroquel, 1500 of Metformin, i take two pills of lithium orotate and 75 Effexor to be discontinued!
Li Orotate curbs my suicide thoughts big time.Im not doing terrible but could be better in areas of Motivation, positive outlook and mood. Those are the targets and Tianeptine and Brintellix the guns.
Anyone hear anything bout combining?
Hope yall are keeping your heads above the water like i do.
Julian
Posted by Chris O on April 14, 2014, at 18:50:39
In reply to Im gonna try Tianeptine soon., posted by Lamdage22 on April 14, 2014, at 2:56:48
Lamdage:
Well, if Effexor decreases your sexual pleasure, I don't know if Brintellix will be much better. I'm on Day 10 and the sexual side effects are quite strong--decrease in sexual desire, decrease sexual pleasure, and anorgasmia. (Interestingly, a few days ago, I was musing on how similar Brintellix and Effexor were in this department for me, though Effexor did not decrease my desire as much as Brintellix has, even at Day 10.) In the Brintellix insert, it says about one-third of men taking Brintellix had these side effects. On the positive side, Brintellix is decreasing my anxiety and depression (and paranoid worrying) quite moderately. The price for Brintellix in the States is ridiculous though ($250 a month w/insurance, $150/month with Takeda's wonderful "discount card.") I think Brintellix is worth a try, though. The effects of this drug have been much stronger for me than those of Viibryd, which I also tried a year and a half ago (or whenever) it came out, with absolutely zero results. It sounds like other posters on the board (Lousiana Sportsman comes to mind) are taking Brintellix with few if any sexual side effects.
Chris
Posted by LouisianaSportsman on April 15, 2014, at 1:03:23
In reply to Im gonna try Tianeptine soon., posted by Lamdage22 on April 14, 2014, at 2:56:48
That's cool. It's weird. Actually, how ironic! I was just thinking after I posted this:
http://www.dr-bob.org/babble/20140328/msgs/1064235.html
That I wish I could augment Brintellix with Tianeptine that I wish we had here in the States and here you are about to start up Tianeptine that we have here in the States while wishing you had Brintellix, lol.
I was just thinking about how fascinating adding tianeptine, an enhancer would be to the Brintellix, to give it a boost. Chris, I have not got a full remission of my symptoms with Brintellix.
Like SSRIs, tianeptine increases the typical antidepressants' number of SE transporter binding sites just via a different, novel mechanism of action; therefore, based on my theory, I wouldn't say that tianeptine + Brintellix would be a counterproductive measure. Only a layperson would say that, I believe. Come on, we're psychobabblists over here lol.
Chris, tianeptine shouldn't effect sexual functioning haha. It actually increases dopamine somehow, but I believe that might have to be in the higher dosage range. It seems good for cognitive functioning like Brintellix. Most of its "good stuff" comes from its unique glutamate and NMDA mechanisms. Just everything about it looks unique. I think it would help with my ADHD too.
Adding a typical SSRI to tianeptine is a common practice, but I'm suggesting someone trial a vortioxetine-tianeptine-sertraline "super-combo" which seems perfectly fine on paper. I said sertraline because you knew what was coming next: a nortriptyline suggestion. :p
Could you imagine a theoretical combo showing up next!?: 10mg. vortioxetine, 25mg. tianeptine, 50mg. sertraline, 75mg. nortriptyline
(notice everything is at the lower dosage range to avoid serotonin syndrome which is a possibility, of course, but I've seen people on here with way worse combos in terms of possible serotonin syndrome, imo)
Posted by Lamdage22 on April 16, 2014, at 13:57:22
In reply to Re: Im gonna try Tianeptine soon., posted by LouisianaSportsman on April 15, 2014, at 1:03:23
Well im gonna get it on friday. Sure hope i will not get sexual side effects... since it does the opposite of Ssri, i think there is a chance its sex side effect free.
Effexor isnt very effective at all. Its barely better than nothing!
I hate sexual side effects.
Posted by Lamdage22 on April 27, 2014, at 10:51:05
In reply to Re: Im gonna try Tianeptine soon., posted by Lamdage22 on April 16, 2014, at 13:57:22
Alright, i take the Effexor at night now. 75mg.
That way, during daytime i dont have sexual side effects.Tomorrow is my appointment where we will probably try Tianeptine.
Doc wants to discontinue Effexor. Id rather stay on it and then one day change Effexor+Tianeptine to Brintellix+Tianeptine.
I heard that you dont want to add Ssri to Tianeptine but you want to add Tianeptine to Ssri.
What are yall thinking?
Posted by Lamdage22 on April 28, 2014, at 7:10:44
In reply to Tianeptine only or Tia + Effexor, posted by Lamdage22 on April 27, 2014, at 10:51:05
Signature says it all. Lithium Orotate helps with suicidality with no side effects. Metformin helps with weight with hairloss.
Thats pretty much it. Seroquel has been the best antipsychotic for me. Antidepressants did either not work and not cause psychosis, or they did work but induced psychosis. The former is pretty much everything you can think of, the latter are Maoi.
Cheers
Posted by Lamdage22 on April 28, 2014, at 7:20:37
In reply to Tianeptine trial tomorrow, posted by Lamdage22 on April 28, 2014, at 7:10:44
I would encourage pretty much anyone with even occasional harmful thoughts to self or others or even a temper problem to take Lithium Orotate.
It really helps.
I will let yall know how the Stablon goes. They call it Tianeurax over here. For whatever reason, Servier sold the patent to a german, non-researching drug company.
My doctor has never tried it nor anyone of his colleagues.
Its in Germany only since last year.How long does Stablon exist and are there any long term studies?
I feel kind of safe since its not easy to get a drug approved for Germany, but only kind of safe.Anyone?
Posted by Lamdage22 on April 28, 2014, at 7:35:22
In reply to Lithium Orotate is a go-go, posted by Lamdage22 on April 28, 2014, at 7:20:37
It should be in the drinking water in a Lithium Orotate inspired dose. The world would be a safer place with less suicide, homicide and assault. So say the studies and my personal experience with Lithium and suicide thoughts.
I cant tolerate prescription dose Lithium and i never wanted to.
It would have made me a balloon with potential kidney and thyroid damage, and i would have hated myself for how i look. Took it for couple days. Doc and I canceled it.
Just my two cents. If you are talking suicide thoughts and i think most of us do at some point..
Try it.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.