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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Meri-Tuuli on August 8, 2005, at 9:17:39
Im down to 1/16 (!) of a tab of celexa/cipramil and 4mg at day total reboxetine.
Firstly I dont know how Im getting on with this medication I find it hard to be objective in myself. I guess Ill just have to go on what my instinct and my feelings are.
So ..
I definitely have no/little anxiety and no panic attacks. I also have a feeling that I respond better to stress, although Im not very stressed at the moment.
I think that it definitely ameliorates the symptoms of my depression in general. I also thought that it improved my negative thoughts and self esteem; however, Im feeling pretty bad about myself at the moment which may be temporary and due to PMS (Im due any time now). I think it has improved my concentration and motivation because I was pretty hopeless before and now at least Im doing abit more stuff and things like that.
More importantly it has definitely improved my sociability and also I am a lot less apathic and tired than I used to be on celexa/cipramil.So ..overall? Its doing its job its very good for anxiety and panic attacks. For depression, I guess its doing quite well too and it has increased my motivation and concentration.
Side effects that I am experiencing increased heartbeat at times, and some more sweating that usual. I am less hungry than on celexa/cipramil and rather bizarrely, I have an aversion to savoury food preferring cereal and muffins and things like that instead. Could this be to try and improve my serotonin levels after I was celexa/cipramil?
Some weight loss too, not to great. I just feel satisfied for longer after Ive eaten.
BUT I now have acne!!!!!!!!!!!!!! I have serious breakout problems, and my hair is more greasy too.
There is also some disrupted sleep patterns. I find it harder to fall into a deep sleep.Well see how its going week four .sorry to bore all you babble folks, its just that I wanted there to be something in the archives for other people searching for experiences on this med!
:o)
Posted by ed_uk on August 8, 2005, at 14:33:08
In reply to Reboxetine/edronax Three weeks on ., posted by Meri-Tuuli on August 8, 2005, at 9:17:39
Hi!
I'm glad to hear you're doing well :-)
>I now have acne!!!!!!!!!!!!!!
Try PanOxyl. You can buy it at the pharmacy.
Kind regards
~Ed
Posted by Meri-Tuuli on August 9, 2005, at 3:52:42
In reply to Re: Reboxetine/edronax Three weeks on . » Meri-Tuuli, posted by ed_uk on August 8, 2005, at 14:33:08
Hi Ed
I got some of that actually the other day although I only got the 2.5% benzol peroxide. I think I might need the 5% stuff - how do you tell? The acne hasn't cleared up and they're really nasty big bumps under my skin which hurt. Ah well. I will get the 5% stuff today. I remember when I was a teenager I used 5% strength, and my skin could take it.
Meri-Tuuli
Posted by ed_uk on August 9, 2005, at 13:47:45
In reply to Re: Reboxetine/edronax Three weeks on ., posted by Meri-Tuuli on August 9, 2005, at 3:52:42
Hi!
>I think I might need the 5% stuff - how do you tell?
Trial and error. Most people use 2.5% or 5%. 10% is more irritant and less popular. You could try the 5% if the 2.5% doesn't work.
>The acne hasn't cleared up and they're really nasty big bumps under my skin which hurt.
You could get something from your GP. Tetracycline 500mg twice a day might help.
~ed
Posted by Tom Twilight on August 10, 2005, at 5:10:57
In reply to Reboxetine/edronax Three weeks on ., posted by Meri-Tuuli on August 8, 2005, at 9:17:39
Hey Meri
Thanks for keeping us informed
I'm glad to hear its going reasonably well, hope the PMS resolves soon!I don't know much about acni, but apparently there's a link between wheat products and Acne
I could be completely wrong about thisPerhaps something like the Attkins diet would help?
Its difficult to give up carbs though, I love them, even though there probably not good for me
Posted by Meri-Tuuli on August 10, 2005, at 10:24:31
In reply to Re: Reboxetine/edronax Three weeks on ., posted by Tom Twilight on August 10, 2005, at 5:10:57
I would probably DIE if I went on the Atkins diet - I mostly eat cereals, fruit and veg and some yoghurt/eggs/fish. I don't eat meat really, and I never have done! I suppose I am sort of veggie. Ah well.
I'm trying the PanOxyl or whatever its called that Ed suggested. Its working quite well!
Thanks for the suggestion though!
Hope you're doing alright
Take care
Meri
Posted by Sarah T. on August 10, 2005, at 18:26:23
In reply to Re: Reboxetine/edronax Three weeks on . » Tom Twilight, posted by Meri-Tuuli on August 10, 2005, at 10:24:31
Hi Meri,
I'm so glad that Reboxetine is going pretty well for you! I think you are approaching the transition very wisely. Reboxetine isn't approved for use here in the U.S., and I'm convinced that one reason patients here don't like it very much is that U.S. doctors and their patients just don't know enough about it or have enough experience with it to approach it properly (i.e. start low and go slow(ly). Nearly everyone I know in the U.S. who tried Reboxetine started at either 4 or 8 mg because that's what the package insert says to do. That's too high. If doctors had more patients on the drug, they'd know that most patients just can't take that much noradrenergic stimulation, especially when starting the drug. In fact, if I ever try it again, I will probably never go back up to that high dose. I'll start at 1 mg or less and possibly stay well below 4 mg and try to supplement it with something else, if necessary. When I tried it, the antidepressant response occurred very quickly, faster than any other AD I've taken. Unfortunately at the higher dose, I had unbearable insomnia, twitching and sweating, etc.
I had a similar problem with Strattera. The manufacturer of Strattera advises starting at 40 mg and working up to 80. I would have died or ended up in the ER if I'd done that. I started at 10 mg and worked up very slowly to 50 mg. Up to 50 mg, it was OK. Above 50, I was unable to sleep at all and experienced twitching and sweating, just as I had on Reboxetine. Although Strattera's side effects were similar to Reboxetine's for me, I think Reboxetine is far superior as far as antidepressant efficacy.
I agree with you about the Atkins diet. I could never, and would never, go on it. First, I think it's unhealthy. Secondly, I need to eat carbohydrates. I feel better when I eat them, and I also sleep better when I have carbohydrates at night. Since you're on a stimulating medication now, I think carbohydrates would be even more important, especially later in the day. If you still have trouble sleeping, maybe you can take your last Reboxetine dose earlier.
Please continue to let us know how you're doing.
Sarah
Posted by Meri-Tuuli on August 11, 2005, at 3:59:09
In reply to Re: Reboxetine/edronax Three weeks on . » Meri-Tuuli, posted by Sarah T. on August 10, 2005, at 18:26:23
Hi Sarah
Thank you for your kind post! I'm glad you think I'm approaching this wisely - you'll have to thank Ed as its mostly down to him. I'm currently nearly weaned off cipramil/celexa now, and I'm on half a tab of rebox twice daily which is 4mg in total.
However, since Monday I have been feeling rather gloomy and down and I don't know if this is because of the rebox not working (or is it pooping out already?) or because I am stopping the celexa and my body is getting used to having a drop in sertonin levels. I don't know. I might increase the dose of rebox. I don't suffer from any of the insomnia - in fact last night I come home from work, had a long nap, had something to eat then went back to sleep again! Wanting to sleep all the time is a big problem of mine which is one of the reasons why I wanted to try reboxetine.
Anyway I'm going on holiday tomorrow to Finland to visit my family - hopefully a weeks rest at my mom's will do some good! Although she thinks 'depression' is a phase and can be cured by abit of Buddist philosophy - if only it were that simple!!!
Warm regards
Meri-Tuuli
Posted by ed_uk on August 11, 2005, at 15:13:41
In reply to Re: Reboxetine/edronax Three weeks on ., posted by Meri-Tuuli on August 11, 2005, at 3:59:09
Hi!
>Anyway I'm going on holiday tomorrow to Finland to visit my family.....
I hope your mum has a computer. You can babble from Finland. Have a good time!
>However, since Monday I have been feeling rather gloomy and down and I don't know if this is because of the rebox not working (or is it pooping out already?) or because I am stopping the celexa and my body is getting used to having a drop in sertonin levels.
Perhaps you could encourge your GP to let you take a mini-dose of citalopram in combination with the reboxetine. You could tell him that you've safely combined them so far :-) 5mg citalopram might be enough.
~Ed
Posted by Meri-Tuuli on August 12, 2005, at 14:40:49
In reply to Re: Reboxetine/edronax Three weeks on . » Meri-Tuuli, posted by ed_uk on August 11, 2005, at 15:13:41
Hi!
> I hope your mum has a computer. You can babble from Finland.
She sure does! And I intend to keep babbling!! Unfortunately, I'm still stuck in the UK - my flight was one of those cancelled due to the ground staff stikes at Heathrow, which is just my luck. I should be (fingers crossed!) flying out tomorrow (Saturday).
> Perhaps you could encourge your GP to let you take a mini-dose of citalopram in combination with the reboxetine. You could tell him that you've safely combined them so far :-) 5mg citalopram might be enough.
Yeah I'm going to mention this to him. I think it would be good idea.
Take care babblers,
Meri-Tuuli
Posted by ed_uk on August 12, 2005, at 15:04:57
In reply to Re: Reboxetine/edronax Three weeks on ., posted by Meri-Tuuli on August 12, 2005, at 14:40:49
Hi!
I hope you fly soon :-)
~Ed
This is the end of the thread.
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