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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Bob12 on June 17, 2009, at 7:51:28
As someone else in this group mentioned, I seem to have internal tourette's. I have to constantly battle against intrusive negative thoughts as well as OCD. I take zyprexa and valium.
Does anyone know of any other medications that might help the paranioa and intrusive negative thinking?
I do not take an SSRI or SNRI. I had bad experiences with them in the early 90's. I am waiting for agomelatine to come out and hope this will help my OCD, anxiety, and intrusive negative thoughts.
thanks
Bob
Posted by Phillipa on June 17, 2009, at 10:35:13
In reply to intrusive negative thinking and anxiety, posted by Bob12 on June 17, 2009, at 7:51:28
Assuming then that you tried luvox? Phillipa
Posted by Bob12 on June 17, 2009, at 11:23:40
In reply to Re: intrusive negative thinking and anxiety » Bob12, posted by Phillipa on June 17, 2009, at 10:35:13
> Assuming then that you tried luvox? Phillipa
Phillipa,
I do not want to try luvox because of the side effects. Can anyone think of any other meds I should try to help alleviate my anxiety and OCD? Or should I just wait for agomelatine?thanks
Bob
Posted by Amelia_in_StPaul on June 17, 2009, at 14:56:47
In reply to Re: intrusive negative thinking and anxiety, posted by Bob12 on June 17, 2009, at 11:23:40
Try posting at neurotransmitters?
I am waiting to see if anyone responds. Would like to know too. The thoughts are out of control recently.
> > Assuming then that you tried luvox? Phillipa
>
> Phillipa,
> I do not want to try luvox because of the side effects. Can anyone think of any other meds I should try to help alleviate my anxiety and OCD? Or should I just wait for agomelatine?
>
> thanks
> Bob
Posted by bleauberry on June 17, 2009, at 18:43:04
In reply to intrusive negative thinking and anxiety, posted by Bob12 on June 17, 2009, at 7:51:28
> As someone else in this group mentioned, I seem to have internal tourette's. I have to constantly battle against intrusive negative thoughts as well as OCD. I take zyprexa and valium.
> Does anyone know of any other medications that might help the paranioa and intrusive negative thinking?
> I do not take an SSRI or SNRI. I had bad experiences with them in the early 90's. I am waiting for agomelatine to come out and hope this will help my OCD, anxiety, and intrusive negative thoughts.
> thanks
> Bob
>
>I feel a serotonin med is the missing link. I understand you had a bad experience with them. But was that with Zypexa on board? Zypexa changes the whole picture ya know.
Another thing to keep in mind is the dose. Did you take so-called therapeutic doses? If you had bad reactions, those doses were too high. Just because those doses were decided upon by academia and pharmacists doesn't mean they are the doses for you.
Examples...a girl I know does very well on 3mg Lexapro...less doesn't work, more causes problems. She requires the liquid version so as to easily measure 3mg. My doc has a patient doing well on 1mg liquid Lexapro. Another on 3mg liquid Zoloft. These people are sensitive and respond poorly to SSRIs when given at normal doses, but respond very well at very low doses. Don't try to explain it. It just happens. Another person here a few months ago was doing sand-grain particles of an ssri.
A final note. For all people having difficulty with meds, I firmly believe it is crucial to insist on brand name drugs. Generics not allowed. The stakes are too high. My doctor won't even prescribe generics. If you want one, you gotta go see a different doctor. He even writes and calls insurance companies when they deny patients his prescriptions, and he gets them to cooperate. The issue is that important or he wouldn't be doing it. I don't know if you had generics in the past or now, but just something to respect going forward. You want every advantage you can get.
I don't know you or your history. My gut intuition tells me you need some help in the serotonin department, but that you are sensitive enough that you do not need much. Get the liquid brand stuff of a chosen brand so you can do tiny doses and control them.
I've been in your shoes. Anticonvulsants, mood stabilizers, benzos, and antipsychotics...these things all in their own way sort of smoothed out the edges of that intrusive negative craziness for brief amounts of time after dosing, but none ever worked to completely shut it down. SSRIs or Savella did every single time, and always in tiny doses that others would laugh at as saying were not therapeutic enough to work. Well, they did, and they do for others too.
Posted by jrbecker76 on June 17, 2009, at 19:22:31
In reply to Re: intrusive negative thinking and anxiety » Bob12, posted by Amelia_in_StPaul on June 17, 2009, at 14:56:47
> Try posting at neurotransmitters?
>
> I am waiting to see if anyone responds. Would like to know too. The thoughts are out of control recently.
>
> > > Assuming then that you tried luvox? Phillipa
> >
> > Phillipa,
> > I do not want to try luvox because of the side effects. Can anyone think of any other meds I should try to help alleviate my anxiety and OCD? Or should I just wait for agomelatine?
> >
> > thanks
> > Bob
>
>Hi, if we're talking OCD symptoms in particular, unfortunately, SSRIs (as you already know), specifically Luvox and Citalopram are the best drugs to look at. Beyond that, I would also add Nefazodone, Riluzole, Anafranil and Seroquel to the list. I have tried agomelatine, and although I would describe as mildly calming, I wouldn't venture to say that it would be very impactful for moderate OCD. Lastly, have you considered a swtich to klonopin from valium? I remember that when I did have some OCD issues going on, klonopin was a lot more effective against them than valium.
JB
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