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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by utopizen on April 25, 2004, at 16:43:18
I've tried Effexor at 400mg for several months, Celexa for several months, and Paxil I guess I stopped b/c it was causing insomnia... I'm about to see a sleep psychiatrist who will likely place me on Provigil+Straterra to "streamline" all these issues, but also would like to possibly add on an antidepressant now or down the road.
I'm thinking Paxil... how come that's not so popularly mentioned on this board? Everyone seems to be on Lexapro, what's up with that? It's either that or Zoloft, but I'm afraid Zoloft would make me tired...
Posted by BIGDaddyachmed69 on April 25, 2004, at 22:28:58
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
> I've tried Effexor at 400mg for several months, Celexa for several months, and Paxil I guess I stopped b/c it was causing insomnia... I'm about to see a sleep psychiatrist who will likely place me on Provigil+Straterra to "streamline" all these issues, but also would like to possibly add on an antidepressant now or down the road.
>
> I'm thinking Paxil... how come that's not so popularly mentioned on this board? Everyone seems to be on Lexapro, what's up with that? It's either that or Zoloft, but I'm afraid Zoloft would make me tired...I'm on Paxil...you're worried that Zoloft would make you tired, but if it didn't I'm sure Paxil would. I'm on Paxil CR, which seems to have less side-effects than the original. Have you tried Wellbutrin? I've heard of it being used for ADD, social anxiety and depression.
Posted by T_R_D on April 26, 2004, at 13:21:43
In reply to Re: Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by BIGDaddyachmed69 on April 25, 2004, at 22:28:58
Just a safety notice: you can't take Wellbutrin and Strattera together. They are similar drugs that work in the same way so (theoretically barring side effects etc...) one should be as good as the other.
Posted by Viridis on April 27, 2004, at 0:05:17
In reply to Re: Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by T_R_D on April 26, 2004, at 13:21:43
Wellbutrin is supposed to be a norepinephrine reuptake inhibitor like Strattera (and it may well be) but my understanding is that it has wide-ranging effects and its metabolites do many other things. I found it a strange and highly anxiety-inducing drug, and wouldn't touch it again. But it works well for others.
In contrast, I found Strattera quite relaxing, although ultimately its side effects made it inappropriate for me. Again, others do well with it, although I'd advise caution and a slow increase in dosage.
I can't offer any advice on taking the two together (this is something to discuss with your doctor), but would be careful with both (just like almost any med) until you know how you respond.
Posted by Keith Talent on April 27, 2004, at 9:37:47
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
The bad things re Paxil for me were sedation and anorgasmia. But out of all the SSRIs, it has the most oomph. I've found (through trial and error) that I'm not someone who responds to noradrenaline reuptake inhibition - definitely a sert-blocking preferrer (maybe also dopamine - something for the future).
Posted by Keith Talent on April 27, 2004, at 9:41:27
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
Re tiredness, I've found that all the SSRIs cause lethargy, anergia, apathy, amotivation long term. I'm looking to add d-amph for these problems. Have you had a problem with tolerance developing? A character on Psychobabble (can't remember who) was into NMDA antagonists for stim tolerance reversal.
Posted by utopizen on April 27, 2004, at 11:07:10
In reply to Re: Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by Keith Talent on April 27, 2004, at 9:41:27
> Re tiredness, I've found that all the SSRIs cause lethargy, anergia, apathy, amotivation long term. I'm looking to add d-amph for these problems. Have you had a problem with tolerance developing? A character on Psychobabble (can't remember who) was into NMDA antagonists for stim tolerance reversal.
>Mmmm... I think it's a combo of depression + stim tolerance. I've tried Adderall recently, and it too didn't give me the same get-up-and-go feeling I once had from it just last summer.
What is an NMDA antagonist? Is it an OTC? Any controlled studies support its efficacy? I don't want to bother with some placebo...
Posted by btnd on April 27, 2004, at 11:32:04
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
I'd recommend Ultram for ADD+SP+OCD. It's a great treatment. The only downfall is - it works for some, doesn't work for others. I'd give it a shot if I were you ;-)
Take care.
Posted by utopizen on April 27, 2004, at 13:11:07
In reply to Ultram » utopizen, posted by btnd on April 27, 2004, at 11:32:04
> I'd recommend Ultram for ADD+SP+OCD. It's a great treatment. The only downfall is - it works for some, doesn't work for others. I'd give it a shot if I were you ;-)
>
> Take care.?????!?!?!?!?!?!!?!?!?!
How on Earth would Ultram help one's ADD? I've never used it, but I can imagine it would exactly help, where is the basis? Controlled trials demonstrating efficacy? Or is this one of those "secrets" only "we" know of? I'm not following. It's an opiate antagonist or something, right??
I don't care about my social anxiety, I take a Klonopin Wafer (1 mg) and in 10 seconds my bloodstream is tranquillized =P
Posted by Sad Panda on April 27, 2004, at 14:12:13
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
> I've tried Effexor at 400mg for several months, Celexa for several months, and Paxil I guess I stopped b/c it was causing insomnia... I'm about to see a sleep psychiatrist who will likely place me on Provigil+Straterra to "streamline" all these issues, but also would like to possibly add on an antidepressant now or down the road.
>
> I'm thinking Paxil... how come that's not so popularly mentioned on this board? Everyone seems to be on Lexapro, what's up with that? It's either that or Zoloft, but I'm afraid Zoloft would make me tired...
>
>What about an old TCA like Desipramine or Nortriptyline?
Cheers,
Panda.
Posted by zeugma on April 27, 2004, at 16:20:52
In reply to Which antidepressant to use for ADD/Soc. Anx/Dep.?, posted by utopizen on April 25, 2004, at 16:43:18
Strattera would be the best choice for a first stab at ADD/depression. I find it to have a powerful antidepressant effect. Nortriptyline is also a good AD but its efficacy in ADD is weakened by its sedative properties.
Posted by btnd on April 28, 2004, at 11:19:14
In reply to Re: Ultram, posted by utopizen on April 27, 2004, at 13:11:07
Tramadol HCl in combo with pendopin may soon be on the market for treating ADD/ADHD. Just another drug in our arsenal to help us/abuse.
Here's some more info on it that i mostly copy and pasted due to my laziness.ULTRAPAN (tramadol/pendopin)
• Seizures have been reported as a rare side effect of treatment with tramadol. The risk of seizures may be increased in patients who take more than the prescribed dose, have a history of seizures or epilepsy, have head trauma, have a metabolic disorder, have a central nervous system infection, are experiencing alcohol or drug withdrawal, or are taking certain medications. Talk to your doctor about factors that may increase the risk of seizures during treatment.
• Do not drink alcohol while taking tramadol. Alcohol may cause a dangerous decrease in breathing and/or liver problems when used during treatment with tramadol.
• Use caution when driving, operating machinery, or performing other hazardous activities. Tramadol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Tramadol is not approved by the FDA for use by children younger than 16 years of age.•[!!!!] Tramadol is habit forming. Physical and/or psychological dependence can occur, and withdrawal effects are possible if the medication is stopped suddenly after prolonged or high-dose treatment
---------------------
ULTRAPAN -- white, circle tablet
ULTRAPAN XR -- blue and purble, capsule5, 10, 15, 50, 100 mg avail
(currently not FDA approved for use of ADHD)
(FDA approve slated - 2004/2005)The usual dose seems to be 15 to 20mg. Since pendopin is in the mix with tramadol, it can be taken once MONDAY, WEDNESDAY, AND FRIDAY. You will still feel the effects on the days you don't take it due to the pendopin.
SIDE EFFECTS OF PENDOPINAND TRAMADOL IN COMBO
-dizziness
-chapped lips (chap-stick can alleviate this effect)
-drowsiness
-exaggerated feelings of elation (well-being)
-change in heart rate
-vasodialation
-fall in blood pressure
-blurry visionTramadol alone would not be effective if taken on Mon. Wed. and Fri. But, pendopin can help keep the tramadol flowing the chemicals you lack on Tuesday and Thursday while taking it on Mon. Wed. and Fri. That is the main reason why pendopin is added. Pendopin might be added in other medicines for other conditions to help boost them. Such as Zoloft. With pendopin, it might be possible to only take Zoloft on Mon. Wed. and Fri, including Sun. It depends on what your doctor recommends. BUT - pendopin might not be safe with other meds besides tramadol, so furthur studies must be completed on pendopin.
Posted by utopizen on April 28, 2004, at 15:21:40
In reply to Re: Ultram » utopizen, posted by btnd on April 28, 2004, at 11:19:14
> Tramadol alone would not be effective if taken on Mon. Wed. and Fri. But, pendopin can help keep the tramadol flowing the chemicals you lack on Tuesday and Thursday while taking it on Mon. Wed. and Fri.
>Um, I'm not sure where this is coming from, or what it means? Days of weak, opiate antagonists, and ADD? These seem like pretty loose connections-- what company is telling its investors that it's trying to get this approved, and what doctor is claiming ADD symptoms differ by certain days in the week?
I think you're thinking of bipolar, not ADD...
This is the end of the thread.
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