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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by thinkfast on February 3, 2005, at 6:20:26
feeling high most of the time now...just not used to my brain being calm. I guess luvox is working for me. This is a whole new world without the usual relentless obsessing. Will this "high" wear off when I get used to no obsessions(or not as many at least)? This is the first med that has done this for me, so there is hope! Gabitril is playing a roll in this too. Cross ur fingers for me that this is my perfect combo.....
Posted by celticmom on February 3, 2005, at 6:55:10
In reply to luvox working, posted by thinkfast on February 3, 2005, at 6:20:26
I'm happy the Luvox is working for you. I can only say that Luvox is the only drug so far that has completely resolved my son's obsessive behavior.
He's only on a very small dose - 25 mg - because he is SSRI sensitive and when we increased it too much, he became manic. Seems a little goes a long way for him though.
Good luck and I hope it continues to work as well for you as it does for my son.
Posted by SLS on February 3, 2005, at 6:58:42
In reply to luvox working, posted by thinkfast on February 3, 2005, at 6:20:26
> feeling high most of the time now...just not used to my brain being calm. I guess luvox is working for me. This is a whole new world without the usual relentless obsessing. Will this "high" wear off when I get used to no obsessions(or not as many at least)? This is the first med that has done this for me, so there is hope! Gabitril is playing a roll in this too. Cross ur fingers for me that this is my perfect combo.....
Will do!:-)
- Scott
Posted by SLS on February 3, 2005, at 7:20:21
In reply to Re: luvox working, posted by celticmom on February 3, 2005, at 6:55:10
Hi.
> I'm happy the Luvox is working for you. I can only say that Luvox is the only drug so far that has completely resolved my son's obsessive behavior.
It's wonderful when a drug delivers on its promise. Luvox was approved by the FDA specifically for OCD, not as an antidepressant. I am happy for you and your son.
> He's only on a very small dose - 25 mg - because he is SSRI sensitive and when we increased it too much, he became manic.How old is your son? Has he ever been manic while not taking medication? It is not impossible to have both bipolar disorder and OCD at the same time. In children, it is the mania that tends to develop first, and not the depression. I don't want for you to add another diagnosis to your son, but because this comorbidity does occur, it would be a good idea to watch for it. Like OCD, bipolar disorder is a result of brain dysfunction. With bipolar disorder, the longer it is left untreated, the greater is its biochemical grip on the brain, and the more difficult it is to treat. This phenomenon is known as the "kindling" of the brain.
I just wanted to express my concern. If I were in your position, I know I would not want to have my child take any more medication than is absolutely necessary. Knowledge is power.
- Scott
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J Affect Disord. 2002 Feb;68(1):1-23. Related Articles, Links
The comorbidity of bipolar and anxiety disorders: prevalence, psychobiology, and treatment issues.Freeman MP, Freeman SA, McElroy SL.
"A growing number of epidemiological studies have found that bipolar disorder significantly co-occurs with anxiety disorders at rates that are higher than those in the general population. Clinical studies have also demonstrated high comorbidity between bipolar disorder and panic disorder, OCD, social phobia, and post-traumatic stress disorder."
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Vertex. 2003;14 Suppl Spec:5-6. Related Articles, Links
[The course of bipolar illness][Article in Spanish]
Lagomarsino A.
"Although Kraepelin submitted that manic depressive disease is a good-prognosis illness, further data showed that it follows an aggravating course as new episodes emerge. The Kindling model, introduced by epileptologist Goddard and adapted by Robert Post to bipolar disorder, is a possible explanation of the neurobiologic mechanism that underlies the worsening course of the illness. The presentation highlights relations between Kindling, mechanisms governing apoptosis, and the need of continuous treatment for an adequate control of the disease."
Posted by celticmom on February 3, 2005, at 8:04:42
In reply to Re: luvox working » celticmom, posted by SLS on February 3, 2005, at 7:20:21
No - DS never has had a manic episode while off meds. He is just extremely anxious and obsessive. His pdoc isn't concerned at all about bipolar - he said he is just sensitive to meds. I am too, so I can believe it. I am keeping an eye out for future developments, ya never know. Thanks for you concern though!
Posted by banga on February 3, 2005, at 8:09:55
In reply to Re: luvox working, posted by celticmom on February 3, 2005, at 8:04:42
That is great news! Even though I swore off SSRIs, at least I have a backup plan i all else fails for anxiety.
Anyone know what the potential for weight gain is, say compared to Paxil?
Posted by theo on February 3, 2005, at 9:43:37
In reply to luvox working, posted by thinkfast on February 3, 2005, at 6:20:26
Do you take it in the morning or at night?
Posted by Phillipa on February 3, 2005, at 16:45:32
In reply to Re: luvox working » thinkfast, posted by theo on February 3, 2005, at 9:43:37
I took Luvox and did not gain wt with it. I would like to try it again, but none of the pdoc's are using it. I know the name brand was taken off the market but why will the rx all the new ones and not luvox? How did you manage to get it rx'd for you? Fondly, Phillipa
Posted by celticmom on February 3, 2005, at 17:30:00
In reply to Re: luvox working, posted by Phillipa on February 3, 2005, at 16:45:32
My DS gets the generic Fluvoxamine. My pdoc recommended it specifically for the OCD, so I don't know why you would have a hard time getting it. He did try a couple of other SSRIs first.
As for weight gain, DS has never had a problem - then again, he's only 7 and a sting bean to begin with.
Posted by Iansf on February 3, 2005, at 18:53:48
In reply to luvox working, posted by thinkfast on February 3, 2005, at 6:20:26
> feeling high most of the time now...just not used to my brain being calm. I guess luvox is working for me. This is a whole new world without the usual relentless obsessing. Will this "high" wear off when I get used to no obsessions(or not as many at least)? This is the first med that has done this for me, so there is hope! Gabitril is playing a roll in this too. Cross ur fingers for me that this is my perfect combo.....
>I took Luvox for about three years and the positive effect never disappeared. Unfortunately, in my case the extreme sexual dysfunction also never went away - I had no libido, couldn't get an erection and had no genital sensation whatsoever.
Posted by thinkfast on February 3, 2005, at 19:01:55
In reply to Re: luvox working, posted by banga on February 3, 2005, at 8:09:55
I lost faith in SSRI's also, but decided to give one more a try...paxil was the first I was on and it did nothing
Posted by thinkfast on February 3, 2005, at 19:03:15
In reply to Re: luvox working » thinkfast, posted by theo on February 3, 2005, at 9:43:37
50mg in the morning...50 half way through the day...and I just addes 50 before bed on my own accord. Don't know why the doc split up the doses...
Posted by thinkfast on February 3, 2005, at 19:05:51
In reply to Re: luvox working, posted by Phillipa on February 3, 2005, at 16:45:32
the pharmacy had both the name brand and the generic...I got the generic. This new pdoc is partial to the old school meds and off-label stuff which is cool. I'm also on gabitril which is an anti-convulsant used sometimes for BP which I don't have either of. I don't see why they wouldn't Rx luvox..
Posted by thinkfast on February 3, 2005, at 19:07:37
In reply to Re: luvox working » thinkfast, posted by Iansf on February 3, 2005, at 18:53:48
sexual side effects are no worry of mine now..being free of obsession is my top proirity...later on it may become a concern
Posted by celticmom on February 4, 2005, at 14:03:13
In reply to Re: luvox working » theo, posted by thinkfast on February 3, 2005, at 19:03:15
I think that is one reason it might not be used more often - it has a short half life, so you have to take it more often. Since my DS is so sensitive, it doesn't seem to matter that he only takes it once a day.
Posted by medhed on February 5, 2005, at 10:00:39
In reply to Re: luvox working, posted by celticmom on February 4, 2005, at 14:03:13
I took Luvox for years, it was very good for my OCD. Stopped taking it due to sexual side effects and my OCD didn't return. Luvox shouldn't be making you feel high. Gabatril made me feel slightly drunk and forgetful.
This is the end of the thread.
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