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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 28. This is the beginning of the thread.
Posted by ace on May 15, 2004, at 23:55:58
I'm losing faith and getting annoyed with this Remeron....
Thus far I have tried (as augmentation for OCD)
1)Nardil + Lithium - no clear effect
2)Nardil + DLPA- made depression worse
3)Nardil + Reboxetine- after 2 doses, made 4)depression worse
5)Nardil + Gabapentin- No effect (but only used for a week or two)
6)Nardil + Amisulpride- helped anxiety but not OCD
7)Nardil + Pindolol- induced depression
8)Nardil + L-Tryptophan- may have helped depression, slightly helped OCD (but too expensive for long-term!)
9)Nardil + Folic Acid- no real effect...10) Nardil + Zyprexa- definately helps OCD up to 60-70%
Ofcourse I want to rub away the last 30-40% of OCD....This is my options...
1. Nardil + Zyprexa + Lamictal
2. Nardil + Zyprexa + Carbamazepine
3. Nardil + Zyprexa + TCA
4. Nardil 105-120mg + Zyprexa + XanaxQSTNS:
1. Is it safe to add Carbamazepine to Nardil?
2. Which TCA is safest with Nardil??
3. Any other thoughts, guys?????!!!!
Ace
Nardil 75
Zyprexa 2.5
Remeron 15
Posted by poppi on May 16, 2004, at 1:25:24
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
Meethinks
You have become obsessed with meds. You didn't state what your problem is. If it is depression you didn't mention effexor. Has worked wonders for me along with xanax occassionally when needed!!
Posted by ace on May 16, 2004, at 1:52:02
In reply to Re: Guys: Here is my position- help advice please!!, posted by poppi on May 16, 2004, at 1:25:24
> Meethinks
>
> You have become obsessed with meds.To a certain degree, yes. But it is not an ego-dystonic obsession, so therefore not a manifestation of OCD, but only OCPD (if anything).
But, on the other hand, becoming a little obsessed with finding the right treatment is a good thing. It motivates one to seek, try new approaches, and if seen through the obsession will yeild an obsession-less person- so THEN i wont be obsessing over meds so much!!! Get my drift!??
You didn't state what your problem is.
Yes I did, OCD.
If it is depression you didn't mention effexor. Has worked wonders for me
That's good, but I don't think much of Effecxor at all. But I'm glad it works for you.
along with xanax occassionally when needed!!
Xanax is a brilliant medicine, best taken regularly, as opposed to PRN.
Ace.
Posted by SLS on May 16, 2004, at 8:26:32
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
> 3. Any other thoughts, guys?????!!!!
I had asked you a question awhile back that you didn't respond to.
Is there any history in your family of tics, Tourettes, or ADD?
- Scott
Posted by Sad Panda on May 16, 2004, at 12:14:06
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
> 2. Which TCA is safest with Nardil??
>Trimipramine, it's not a 5-HT or NE reuptake inhibitor. Desipramine, Nortriptyline & Doxepin would likely be safe candidates too, they are all NRI's with insignificant SRI abilities.
> 3. Any other thoughts, guys?????!!!!
>Other AED's?. Other AP's? Can we get Abilify or Geodon? They aren't on the PBS so they would cost huge money I guess.
Cheers,
Panda.
Posted by linkadge on May 16, 2004, at 16:49:59
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
Have you done a trial of Inositol. This is probably the best researched supplement to be used in OCD. According to some researchers, the serotogenic medications work because they activate the phosphatidl-inositol cycle.
It's worth a try. It certainly made me less obsessed, although it may have made me slightly manic.
Linkadge
Posted by ace on May 16, 2004, at 21:46:24
In reply to Re: Guys: Here is my position- help advice please!!, posted by SLS on May 16, 2004, at 8:26:32
> > 3. Any other thoughts, guys?????!!!!
>
> I had asked you a question awhile back that you didn't respond to.Sorry mate.
>
> Is there any history in your family of tics, Tourettes, or ADD?
>My father probably had mild ADD, but apart from that, no. My sister has depression and OCD.
I'm sure I have a little ADHD. I have thought about Clonidine- I have heard it is useful for Depersonalisation syndrome (which i suffer), OCD, and depression.
It might be worth a try!
>
> - ScottThanks,
Ace.
Posted by ace on May 16, 2004, at 21:47:21
In reply to Re: Guys: Here is my position- help advice please!!, posted by linkadge on May 16, 2004, at 16:49:59
> Have you done a trial of Inositol.
Yes, but briefly. The stuff is too expensive!!
This is probably the best researched supplement to be used in OCD. According to some researchers, the serotogenic medications work because they activate the phosphatidl-inositol cycle.
>
> It's worth a try. It certainly made me less obsessed, although it may have made me slightly manic.
>
>
> LinkadgeI'm glad it helped you mate,
Ace./
Posted by ace on May 16, 2004, at 21:49:42
In reply to Re: Guys: Here is my position- help advice please!! » ace, posted by Sad Panda on May 16, 2004, at 12:14:06
> > 2. Which TCA is safest with Nardil??
> >
>
> Trimipramine,Not in Australia I think.
it's not a 5-HT or NE reuptake inhibitor. Desipramine, Nortriptyline & Doxepin would likely be safe candidates too, they are all NRI's with insignificant SRI abilities.
>
> > 3. Any other thoughts, guys?????!!!!
> >
>
> Other AED's?. Other AP's? Can we get Abilify or Geodon? They aren't on the PBS so they would cost huge money I guess.Geodon not in Australia yet. Abilify is on the PBS so it would be cheap. But abilify doesn't really strike me as being abloe to do much more than Zyprexa.
What do you think, about Lamictal, Carbamazepine or Clonidine? These are my new ideas...
>
> Cheers,
> Panda.
>
>
> Thanks as always Panda,
Ace.
Posted by chemist on May 16, 2004, at 22:43:16
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
hey ace, pardon if i overlooked the suggestion in another post, but how about oxcarbazepine in lieu of carbamazepine, should you go that route? it's pretty much all i can suggest from personal experience......all the best, chemist
> I'm losing faith and getting annoyed with this Remeron....
>
> Thus far I have tried (as augmentation for OCD)
>
> 1)Nardil + Lithium - no clear effect
> 2)Nardil + DLPA- made depression worse
> 3)Nardil + Reboxetine- after 2 doses, made 4)depression worse
> 5)Nardil + Gabapentin- No effect (but only used for a week or two)
> 6)Nardil + Amisulpride- helped anxiety but not OCD
> 7)Nardil + Pindolol- induced depression
> 8)Nardil + L-Tryptophan- may have helped depression, slightly helped OCD (but too expensive for long-term!)
> 9)Nardil + Folic Acid- no real effect...
>
> 10) Nardil + Zyprexa- definately helps OCD up to 60-70%
>
>
> Ofcourse I want to rub away the last 30-40% of OCD....
>
> This is my options...
>
> 1. Nardil + Zyprexa + Lamictal
> 2. Nardil + Zyprexa + Carbamazepine
> 3. Nardil + Zyprexa + TCA
> 4. Nardil 105-120mg + Zyprexa + Xanax
>
>
>
> QSTNS:
>
> 1. Is it safe to add Carbamazepine to Nardil?
>
> 2. Which TCA is safest with Nardil??
>
> 3. Any other thoughts, guys?????!!!!
>
>
> Ace
> Nardil 75
> Zyprexa 2.5
> Remeron 15
Posted by snapper on May 17, 2004, at 0:05:47
In reply to Re: Guys: Here is my position- help advice please!! » ace, posted by chemist on May 16, 2004, at 22:43:16
Ace, fwiw, drop the remeron. I take it now, but only 15mg hs. for help w/sleep. It seemed to either make me more obsessive or I realized how much my long standing
friend/foe-FXR was actually helping my obsessiveness and 'thoughts'--also my trial with Lamictal seemed to help my clarity of thinking, it did zero for my ocd. I wish I had more to tell you I just don't see how a MS would help OCD.Have you ever had a trial with FXR - it is a good med despite its very frequent tounge lashings that it gets here on PB. I know how much you love your Nardil and you can't mix too many other meds with it..... is your ocd mainly obsessiveness or rituals as well.. just grasping here for ideas. :)
I have to be honest with you also having been on over 50 different meds in 14 yrs- I have come to realize that these drugs can only do so much....wish I had more to offer :{
snapper
Posted by chemist on May 17, 2004, at 1:43:40
In reply to Re: Guys: Here is my position- help advice please!!, posted by snapper on May 17, 2004, at 0:05:47
snapper, stupid question: what in heck is ``fwiw''? your stone-age friend, chemist
> Ace, fwiw, drop the remeron. I take it now, but only 15mg hs. for help w/sleep. It seemed to either make me more obsessive or I realized how much my long standing
> friend/foe-FXR was actually helping my obsessiveness and 'thoughts'--also my trial with Lamictal seemed to help my clarity of thinking, it did zero for my ocd. I wish I had more to tell you I just don't see how a MS would help OCD.Have you ever had a trial with FXR - it is a good med despite its very frequent tounge lashings that it gets here on PB. I know how much you love your Nardil and you can't mix too many other meds with it..... is your ocd mainly obsessiveness or rituals as well.. just grasping here for ideas. :)
> I have to be honest with you also having been on over 50 different meds in 14 yrs- I have come to realize that these drugs can only do so much....wish I had more to offer :{
> snapper
Posted by snapper on May 17, 2004, at 1:55:29
In reply to Re: Guys: Here is my position- help advice please!! » snapper, posted by chemist on May 17, 2004, at 1:43:40
Chemist ____ fwiw____ is short for "what its' worth" unless i am completely dumb and it means something like" "four - wild/wooly- indonesian - women !" lol--- no that first is what it means ..quite sure!
Your cognitively demented friend
snapper
Posted by chemist on May 17, 2004, at 2:00:11
In reply to Re: Guys: Here is my position- help advice please!!, posted by snapper on May 17, 2004, at 1:55:29
> Chemist ____ fwiw____ is short for "what its' worth" unless i am completely dumb and it means something like" "four - wild/wooly- indonesian - women !" lol--- no that first is what it means ..quite sure!
> Your cognitively demented friend
> snappermerci beaucoup, mon (ma) ami(e).....all the best, chemist
Posted by snapper on May 17, 2004, at 2:09:22
In reply to Re: Guys: Here is my position- help advice please!! » snapper, posted by chemist on May 17, 2004, at 2:00:11
Posted by Sad Panda on May 17, 2004, at 3:36:51
In reply to Re: Guys: Here is my position- help advice please!! » Sad Panda, posted by ace on May 16, 2004, at 21:49:42
> Geodon not in Australia yet. Abilify is on the PBS so it would be cheap. But abilify doesn't really strike me as being abloe to do much more than Zyprexa.
>Hi Ace,
Looks like Abilify got on the PBS this month, I thought it looked interesting because it was actually a lot different to Zyprexa.....
Cheers,
Panda.
Posted by RobertPalsing on May 17, 2004, at 5:57:45
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
Ace
Have you ever been on Wellbutrin? For OCD I have a friend who took it monotherapy and it worked well. I may be way offline here though :)-"Bob"
Posted by SLS on May 17, 2004, at 7:54:37
In reply to Re: Guys: Here is my position- help advice please!! » SLS, posted by ace on May 16, 2004, at 21:46:24
> > Is there any history in your family of tics, Tourettes, or ADD?
> My father probably had mild ADD, but apart from that, no. My sister has depression and OCD.
> I'm sure I have a little ADHD. I have thought about Clonidine- I have heard it is useful for Depersonalisation syndrome (which i suffer), OCD, and depression.That was my thought as well.
One day you'll humor me and take Risperdal 1-3mg for a few weeks.
I'm sorry that Remeron is not working out the way you hoped it would.
- Scott
Posted by Sad Panda on May 17, 2004, at 10:49:55
In reply to Re: Guys: Here is my position- help advice please!! » ace, posted by SLS on May 17, 2004, at 7:54:37
> One day you'll humor me and take Risperdal 1-3mg for a few weeks.
>That would be good too, it would certainly be worth trying all the 'atypical' AP's. Each one is very different to the next one.
Cheers,
Panda.
Posted by ace on May 18, 2004, at 0:00:28
In reply to Re: Guys: Here is my position- help advice please!! ?ace, posted by RobertPalsing on May 17, 2004, at 5:57:45
> Ace
> Have you ever been on Wellbutrin? For OCD I have a friend who took it monotherapy and it worked well. I may be way offline here though :)
>Thanks for the tip friend! Unfortunately Wellbutrin can only be prescribed here for smoking cessation (authority script).
Its safe to use with an MAOI. If i need more options me and my doc might have to pretend that we need it for smoking cessation!!!! (i do smoke but!)
Thanks again buddy!
Ace.
> -"Bob"
Posted by shadows721 on May 18, 2004, at 0:33:05
In reply to Guys: Here is my position- help advice please!!, posted by ace on May 15, 2004, at 23:55:58
Nardil +
Zyprexa(or)Seroquel +
Lamictal(or)Topamax +
Xanax (PRN)I think this formula might work. What do you think ace?
p.s. Personally, I like seroquel instead of zyprexa. I take a half of a 25 mg pill. That's why I put it as an or for you. It really helps me sleeps nicely. Also, I added and or for the mood stabilizer. I take Topamax too.
Posted by RobertPalsing on May 18, 2004, at 3:06:24
In reply to Re: Guys: Here is my position- help advice please!!, posted by shadows721 on May 18, 2004, at 0:33:05
I've been on Seroquel and Zyprexa and Geodon. Geodon was the newest and the least sedating at the time, and it worked the best of those three at least for me. Abilify has since come out with supposedly a lower side effect profile than Geodon.
I think you should try Abilify if it's available. I have heard good things about it. I am far down the med line like you and it's Nardil or Abilify for me. Good luck.
-"Bob"
Posted by Sebastian on May 18, 2004, at 18:52:55
In reply to Re: Guys: Here is my position (...) Abilify??, posted by RobertPalsing on May 18, 2004, at 3:06:24
Have you tried Abilify?
Posted by RobertPalsing on May 19, 2004, at 1:21:31
In reply to Re: Guys: Here is my position (...) Abilify?? » RobertPalsing, posted by Sebastian on May 18, 2004, at 18:52:55
No I haven't tried Abilify. Was that message for me??
If Nardil/MAOI-land doesn't pan out I have to try it. TCAs were a mixed bag for me.
Take care,
"Bob"
Posted by Sebastian on May 19, 2004, at 11:38:51
In reply to Re: Guys: Here is my position (...) Abilify?? » Sebastian, posted by RobertPalsing on May 19, 2004, at 1:21:31
Yes, it was for you, Rob. I think you should try Abilify befor the MAIO. Might be more what you need. It acts on Dopamine, and is a strong stimulant. Quite a rush if you dose in the morning with 2-5 mg. 5 hours after you take it you are jacked up. Give it a try you will know imediatly if its for you.
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