![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by MOREL1 on April 18, 2004, at 21:58:09
Hey everyone,
Well thanks for the responses from everyone. I have been tested for allergies and have only been found to be allergic to grasses. As far as chronic fatigue syndrom, I dont believe i suffer from that as far as I know because from what I read about the illness. Basically the illness is accompanied by muscle/limb weakness which i dont have. And I would become extremely tired after doing a strenous activity like working out at the gym but that in turn actually makes me feel better. That is of course when i can make it to the gym which i have not been able to for a while.
As far as the n cell that was mentioned by a post I think you're talking about noradrenaline. I am taking Celexa 20 for about 2.5 weeks now and i think the calming effect it has given has strarted to wear off. Has done nothing for my depression. I also believe that Celexa reuptakes serotonin and noradrenaline. I've dropped some weight recently because of my appetite suffering. I don't know if its deeper depression but now i sleep more often but still feel weak throug out the day. I'm going to my p'doc on wednesday to probably up my dosage of Celexa. Maybe add wellbutrin for energy but i'm concerned that it will affect my appetite since I have a fast metabolism. I also live in canada so Lexapro isn't available, but I think its the same like Celexa anyway. Thanks to all who respond and continue to respond. I pray and hope there will be some kind of change in the near future.Thanks for the support - if anyone else has anything to add at all please do. If there is any positive change I will definetly let you guys know.
Posted by collegeguy on April 19, 2004, at 1:44:31
In reply to NEVER ENOUGH SLEEP- TO THOSE WHO RESPONDED, posted by MOREL1 on April 18, 2004, at 21:58:09
Celexa (citaprolam) does not affect noradrenaline/norepinephrine levels in any appreciable way. Celexa and its racemic isomer Lexapro (escitaprolam) are probably the most specific of all the SSRIs in affecting only the reuptake of serotonin (i.e. very selective to serotonin).
Also, though Celexa and Lexapro are formulaically identical, their chemical structures are different. Lexapro is the more "useful" isomer of the drug, and it takes less Lexapro to achieve the same effects as a higher dose of citaprolam. As a result, people tend to experience fewer side effects than when on Celexa (because a lower dose of the drug is used).
Have you thought about trying a psychostimulant like Adderall (mixed amphetamine salts) or Dexedrine (dextroamphetamine)? Normally used to treat ADD/ADHD and narcolepsy, they are also used in certain circumstances "off-label" to treat other disorders like depression. People often find the energy boost of the stimulants an antidepressive in itself.
If you are too sensitive to psychostimulants, you could try a stimulating antidepressant like Wellbutrin, but you'd probably have the same problem with metabolism, since it actually stimulates norepinephrine.
Something else to ask your doctor about is Provigil, which is another drug used to treat chronic fatigue syndrome and narcolepsy (and off-label for people who are simply always fatigued). Provigil is non-stimulating, and works by preventing your body from becoming tired. Provigil and other "non-stimulating" stimulants (like Strattera, the ADD drug) might have an antidepressant effect for you simply by giving you more energy.
Effexor XR can also have a stimulating effect if taken in high enough doses.
Posted by MOREL1 on April 19, 2004, at 19:23:58
In reply to Re: NEVER ENOUGH SLEEP- TO THOSE WHO RESPONDED » MOREL1, posted by collegeguy on April 19, 2004, at 1:44:31
> Celexa (citaprolam) does not affect noradrenaline/norepinephrine levels in any appreciable way. Celexa and its racemic isomer Lexapro (escitaprolam) are probably the most specific of all the SSRIs in affecting only the reuptake of serotonin (i.e. very selective to serotonin).
>
> Also, though Celexa and Lexapro are formulaically identical, their chemical structures are different. Lexapro is the more "useful" isomer of the drug, and it takes less Lexapro to achieve the same effects as a higher dose of citaprolam. As a result, people tend to experience fewer side effects than when on Celexa (because a lower dose of the drug is used).
>
> Have you thought about trying a psychostimulant like Adderall (mixed amphetamine salts) or Dexedrine (dextroamphetamine)? Normally used to treat ADD/ADHD and narcolepsy, they are also used in certain circumstances "off-label" to treat other disorders like depression. People often find the energy boost of the stimulants an antidepressive in itself.
>
> If you are too sensitive to psychostimulants, you could try a stimulating antidepressant like Wellbutrin, but you'd probably have the same problem with metabolism, since it actually stimulates norepinephrine.
>
> Something else to ask your doctor about is Provigil, which is another drug used to treat chronic fatigue syndrome and narcolepsy (and off-label for people who are simply always fatigued). Provigil is non-stimulating, and works by preventing your body from becoming tired. Provigil and other "non-stimulating" stimulants (like Strattera, the ADD drug) might have an antidepressant effect for you simply by giving you more energy.
>
> Effexor XR can also have a stimulating effect if taken in high enough doses.
>
> Thanks for the helpful info. I didn't realize celexa was geared only to serotonin reuptake. i'm going to my p'doc tomorrow and will discuss the other options of stimulants. I still believe that depression is the main reason I never feel refreshed but you brought up a good point that sometimes the energetic boost is an antidepressent in itself. Anyway i printed off your response and plan to show it to my p'doc.Thnx a lot collegeguy
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.