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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 suebird on April 24, 2004, at 8:57:05
ive been on paxil for a little over 3 months i was starting to do well then i went to get my period and went down hill got very anxious and depress because of the way i was feeling so the pdoc uped my paxil from 40mgs to 50mgs and said this will help with the problem i had she said its not unusual for this to happen and i'm improving once agin but i'm getting ready to start again in one week do you think I should stay on the 50mgs or up it to 55mgs until I finish my period or see if the 50mgs will get me through this time of the month. Any comments on this is welcome. Thank you Suebird
Posted by Joy on April 24, 2004, at 9:32:09
In reply to paxil user, posted by suebird on April 24, 2004, at 8:57:05
Hi,
This is just my humble opinion, but I would stay at 50 mgs which is a high dose of Paxil. See how you feel. It may be just the right dose. It's always better to go with the lowest working dose because of side effects. I had been on 20 mgs of Paxil a few years ago. I hope you stay level during your next period.
Joy
Posted by utopizen on April 25, 2004, at 18:26:02
In reply to Re: paxil user » suebird, posted by Joy on April 24, 2004, at 9:32:09
> Hi,
> This is just my humble opinion, but I would stay at 50 mgs which is a high dose of Paxil. See how you feel. It may be just the right dose. It's always better to go with the lowest working dose because of side effects. I had been on 20 mgs of Paxil a few years ago. I hope you stay level during your next period.
> JoyHow long does Paxil take to kick in for depression, or social/regular anxiety? Maybe three weeks? I tried it once for a few days, but quit over insomnia. Now I have Ambien, so I'm not worried... mmm... does it help energy levels?
My doc refuses to give me Sraterra, because it's "been out for less than three years." So I'm on Desoxyn and Klonopin, but my depression is making my ADD really bad and I don't respond to Desoxyn like I use to... now I understand why doctors have concluded stimulants were a bad idea to use as monotherapy for depression back in the 60's....
I still feel low energy levles, lethargy, things you'd ordinarily snap out of within 30 minutes of a low dose before I got depressed.
Posted by Keith Talent on April 25, 2004, at 21:16:02
In reply to Re: paxil user, posted by utopizen on April 25, 2004, at 18:26:02
Is Desoxyn just the dextro enantiomer of methamphetamine or both dextro and levo? Sounds like you need an antidepressant added.
Sue, the difference between 40 and 50 will likely be barely noticeable (much less than, say, the difference between 20 and 30). Benefits for anxiety take longer to appear than benefits for depression. They start at about 2 weeks, but take 3 months at the optimal dose to really be fully felt.
Posted by utopizen on April 26, 2004, at 11:32:41
In reply to Re: paxil user utopizen, posted by Keith Talent on April 25, 2004, at 21:16:02
> Is Desoxyn just the dextro enantiomer of methamphetamine or both dextro and levo? Sounds like you need an antidepressant added.
>Yeah, but my pdoc will only give me Ambien for insomnia, Klonopin for social anxiety, and Desoxyn for ADD. Refuses to give me any antipsychotic, Abilify he hasn't heard of, Straterra he never read anything on before yet, and Provigil+Straterra he refuses to give because they've "been out for fewer than 3 years." Um, geez, why not wait 7, and let them go generic while we're fence sitting?
Word of caution: If you see a new pdoc and he says he never sees sales reps (he'll boast of it) walk the heck out. If they were some Superman doc, they'd actually devote their time to reading on all the new drugs instead, but they do neither. And you can forget samples for all the meds that are a shot in the dark with their effectiveness yet cost you $15 each time to fill.
Posted by utopizen on April 26, 2004, at 11:34:41
In reply to Re: paxil user utopizen, posted by Keith Talent on April 25, 2004, at 21:16:02
> Is Desoxyn just the dextro enantiomer of methamphetamine or both dextro and levo? Sounds like you need an antidepressant added.
>it's desoxyephederine, or d-methamphetamine. It's chemically written in like a dozen different ways, but desoxyephedrine I guess was the easiest for Abbott Labs to world-play with. Hence Desoxyn, or D-METH, as the shorthand clinicians use. (Amphetamine is AMP, Ritalin is MPH)
Posted by Keith Talent on April 27, 2004, at 9:31:02
In reply to Re: paxil user utopizen, posted by utopizen on April 26, 2004, at 11:34:41
Utopizen, that's interesting about the d-meth. We don't have it in Oz. Is there any research data on which is more potent at releasing dopamine? Someone posted here a while back that meth has more serotonin-releasing effect than d-amph (might have been you). Does your psychiatrist prefer d-meth to d-amph for ADHD?
Posted by utopizen on April 27, 2004, at 11:29:27
In reply to Re: paxil user utopizen, posted by Keith Talent on April 27, 2004, at 9:31:02
> Utopizen, that's interesting about the d-meth. We don't have it in Oz. Is there any research data on which is more potent at releasing dopamine? Someone posted here a while back that meth has more serotonin-releasing effect than d-amph (might have been you). Does your psychiatrist prefer d-meth to d-amph for ADHD?
>No, ussually Desoxyn is used as the sort of stimulant for the patient that isn't getting their symptoms under control from the other stimulants. I've tried all other stimulants, except cylert, before.
Desoxyn is cute, but I don't know why you'd bother with it unless your ADD wasn't under control with something like Adderall... it only lasts a few hours, and there's no long-term formulation anymore.
This is the end of the thread.
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