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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by ross c on November 14, 2002, at 11:03:56
what are you currently taking? still on the Paxil?
what else?
who is your doctor? and what did he say about Nardil and 2 months time. i remember something you said.
be good
ross
Posted by JonW on November 14, 2002, at 19:05:38
In reply to JON.W, posted by ross c on November 14, 2002, at 11:03:56
> what are you currently taking? still on the Paxil?
> what else?
> who is your doctor? and what did he say about Nardil and 2 months time. i remember something you said.
> be good
> rossRoss,
I'm currently on Paxil CR (25mg now) + Zoloft + Lamictal + Synthroid + Depakote. We're begining the process of slowly pulling away some of the meds, and starting with the Zoloft. I'm scared of rocking the boat because things are going well, but I guess I'll never know if I can do without the Z without trying. The sexual dysfunction from Paxil CR remains tolerable, but response to the "scenery" is certainly slower :) I would think decreasing zoloft could only improve things in this area. There's always Viagra, right? Actually, I'll probably give that a shot just to see if there's a big difference.
My pdoc is Dr. Michael R. Liebowitz in NYC from Columbia. I highly recommend him. You've probably heard me rave about him here before ...sorry to sound like a broken record everyone, but he's played a big part in moving me toward recovery... As to your question, if I remember correctly, he said 60mg is the minimum effective dose for SP and that in clinical trials for SP the response after 12 weeks was twice that of the response after 6 weeks. In other words, give it a chance and don't be afraid to increase the dose if you're not getting an adequate response. Nardil is the single most effective drug for SP. I hope everything works out for you.
Jon
Posted by ross c on November 14, 2002, at 21:51:08
In reply to Re: JON.W » ross c, posted by JonW on November 14, 2002, at 19:05:38
jon,
ive been on 75mgs of Nardil for almost id say 6 months now and it is the single most effective meds ive ever been on. as far as sexual side effects they are gone. rememeber i told you to stay on Nardil. in all of your posts you seem to always relate your drug to sex. why the paxil and the zoloft together? why not paxil and remeron or serzone and paxil? or if your totally bugged about sex and hopefully you have a girlfriend why not wellbutrin and remeron or serzone?
good luck
ross
Posted by JonW on November 15, 2002, at 10:55:58
In reply to Re: JON.W, posted by ross c on November 14, 2002, at 21:51:08
Hi Ross,
I'm glad to hear Nardil is working out for you! The reason I stopped Nardil was less about sex and more about insomnia. I hardly slept -- ever. I tried Ambien, Seroquel, Temazepam, Benedryl, Klonopin, and several combinations with these and other drugs to no avail. After 8 or 9 weeks I had plenty of other side-effects as well and made the decision to stop. If Nardil had been the miracle drug for me that it is for so many I may have stuck with it, but it's effect wasn't that different than any other drug for me.
The recent addition of Paxil CR has made a huge difference for me without the side-effects or dietary restrictions of Nardil. It's true that in the past I have made impulsive decisions about meds based on sexual dysfunction, but at the same time it's almost like if it has a negative effect on my sexual functioning it's going to work for social phobia. Anyhow, I don't really have a major problem with Paxil CR and consider the benefits to far exceed the drawbacks. I'm sure you feel the same way about Nardil. The combination of meds + CBT has been far superior to either alone for me. Well, glad to hear you've found a med that works and that you're tolerating it. For many of us, that's a rare thing! Good luck with everything!
Jon
Posted by Denise528 on November 15, 2002, at 12:23:16
In reply to Re: JON.W » ross c, posted by JonW on November 14, 2002, at 19:05:38
Hi Jon,
Can I ask you what benefit you get from each of these drugs. I know that Synthroid is supposed to help the ADs from working but why Paxil and Zooloft? and what does the Lamictal and Depakote do for you?
Paxil CR, Zoloft,Lamictal,Synthroid,Depakote.Thanks Denise
Posted by JonW on November 15, 2002, at 19:28:28
In reply to Re: JON.W, posted by Denise528 on November 15, 2002, at 12:23:16
> Hi Jon,
>
> Can I ask you what benefit you get from each of these drugs. I know that Synthroid is supposed to help the ADs from working but why Paxil and Zooloft? and what does the Lamictal and Depakote do for you?
>
>
> Paxil CR, Zoloft,Lamictal,Synthroid,Depakote.
>
> Thanks DeniseWell, Paxil CR and Zoloft was the result of transitioning from Z to P. Today is my first day without the Zoloft, and withdrawal hasn't been much of a problem so far... :)
Synthroid is for energy and possible mood stability. It doesn't seem to have effected me in any major way, but I'm on a very low dose. Lamictal and Depakote are for mood stability as well. It's hard to say exactly what role they play. My pdoc is going to slowly pull some meds away to see how I do. My sense is that the addition of Paxil CR has been the most beneficial, but it's unclear exactly what role the other meds play in my overall mental health. He feels that I may benefit from fewer meds rather than more. I was treated by my last pdoc as bipolar II and anti-convulsants, etc. were piled on. My current pdoc concedes I may be in that spectrum but questions if I necessarily benefit from being treated as a bipolar. I feel I was somewhat misdiagnosed as bipolar II, but I would rather the misdianosis be in this direction than the other as bipolar disorder is a truly hellish experience. Meds + CBT has been the most beneficial to me so far. I am so grateful to have gotten the kind of care I have. I urge anyone who is not getting better to seek the best they can afford. I can't really afford Dr. Liebowitz, but I know many people don't have the luxury of paying for care they can't afford. Every person battling mental illness deserves this. So anyone with a chronic depression, etc. who continues to suffer, you owe it to yourself not to skimp on your care -- so long as you don't have to give up eating :) This was the best decision I ever made... Hang in there everyone!
Jon
Posted by Ritch on November 15, 2002, at 21:42:35
In reply to Re: JON.W » ross c, posted by JonW on November 14, 2002, at 19:05:38
...I'm currently on Paxil CR (25mg now) + Zoloft + Lamictal + Synthroid + Depakote...
Jon, what are your current dosages for the Lamictal/Synthroid/Depakote? Do you know what your latest TSH has been?---Mitch
Posted by JonW on November 16, 2002, at 16:57:01
In reply to Re: JON.W » JonW, posted by Ritch on November 15, 2002, at 21:42:35
> Jon, what are your current dosages for the Lamictal/Synthroid/Depakote? Do you know what your latest TSH has been?---Mitch
Mitch,
My dosages are Depakote 1000mg, Lamictal 25mg, and Synthroid 0.05mg. I don't know what my TSH is, but my TSH before starting Synthroid was normal.
Jon
Posted by Ritch on November 17, 2002, at 10:14:24
In reply to Re: JON.W, posted by JonW on November 16, 2002, at 16:57:01
This is the end of the thread.
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