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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by SheilaC on August 3, 2009, at 7:52:18
I've gone back to my old stand-by -- Seroquel and Klonopin. But I still feel like I need a "boost" for motivation and depression.
I was thinking of adding an antidepressant, but one that doesn't hit serotonin tooooooo strongly. What do you think that would be?
Posted by SLS on August 3, 2009, at 8:28:40
In reply to Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 3, 2009, at 7:52:18
> I've gone back to my old stand-by -- Seroquel and Klonopin. But I still feel like I need a "boost" for motivation and depression.
>
> I was thinking of adding an antidepressant, but one that doesn't hit serotonin tooooooo strongly. What do you think that would be?
What kind of anxiety disorder do you have?I would try Pristiq if you have a choice. Many people find Cymbalta fatiguing. All three drugs are potent serotonin reuptake inhibitors. However, I wouldn't want to get too "smart" and try to figure out in advance with certainty how a drug will affect you at this point. You might even consider low-dose Prozac or nortripyline if you feel that strongly about staying away from potent serotonin reuptake inhibition. I happen to like Effexor. It is good for anxiety disorders. Pristiq, the metabolite of Effexor, might work just as well, but with fewer side effects. I can't be certain about that, though. Different is different. Perhaps Effexor has therapeutic properties that Pristiq does not.
- Scott
Posted by Phillipa on August 3, 2009, at 11:35:04
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SLS on August 3, 2009, at 8:28:40
Boy we're all different as effexor and cymbalta were stimulating for me. Scott I thought the three had norepenprine hence Snri? Phillipa
Posted by SheilaC on August 3, 2009, at 15:16:55
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SLS on August 3, 2009, at 8:28:40
> > I've gone back to my old stand-by -- Seroquel and Klonopin. But I still feel like I need a "boost" for motivation and depression.
> >
> > I was thinking of adding an antidepressant, but one that doesn't hit serotonin tooooooo strongly. What do you think that would be?
>
>
> What kind of anxiety disorder do you have?
>
> I would try Pristiq if you have a choice. Many people find Cymbalta fatiguing. All three drugs are potent serotonin reuptake inhibitors. However, I wouldn't want to get too "smart" and try to figure out in advance with certainty how a drug will affect you at this point. You might even consider low-dose Prozac or nortripyline if you feel that strongly about staying away from potent serotonin reuptake inhibition. I happen to like Effexor. It is good for anxiety disorders. Pristiq, the metabolite of Effexor, might work just as well, but with fewer side effects. I can't be certain about that, though. Different is different. Perhaps Effexor has therapeutic properties that Pristiq does not.
>
>
> - Scott
>
>Since I did well with Effexor in the past, my doc is willing to let me try 50mg of Pristiq in the AM. I am going to stick with my Seroquel and Klonopin in the PM. He also mentioned adding Wellbutrin SR later if I needed a boost or had sexual problems from the Pristiq.
Seems like Pristiq, Seroquel, Klonpin and Wellbutrin pretty much hit everything right?
Posted by SLS on August 3, 2009, at 15:51:52
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 3, 2009, at 15:16:55
> Seems like Pristiq, Seroquel, Klonpin and Wellbutrin pretty much hit everything right?
That's one hell of a smart combination. Kudos to you and your doctor.Good luck with it.
- Scott
Posted by SheilaC on August 3, 2009, at 15:57:18
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SLS on August 3, 2009, at 15:51:52
> > Seems like Pristiq, Seroquel, Klonpin and Wellbutrin pretty much hit everything right?
>
>
> That's one hell of a smart combination. Kudos to you and your doctor.
>
> Good luck with it.
>
>
> - ScottYikes! Are you sure? For now I will just add the Pristiq 50mg in the AM and keep taking my Seroquel and Klon at night.
If I feel I need Wellbutrin, he will add that later.
Do you think I will gain weight with Pristiq? Someone said that they experienced weight loss with Effexor and Seroquel combo?
Who knows. We'll see how this combo works.
Posted by SLS on August 3, 2009, at 17:24:08
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 3, 2009, at 15:57:18
> Are you sure?
Almost never.
:-)
- Scott
Posted by floatingbridge on August 3, 2009, at 19:15:07
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 3, 2009, at 15:57:18
Sheila,
Good work getting a regime together--I find pristiq to be weight nuetral or maybe a bit of a loss.
best of luck,
fb
Posted by Phillipa on August 3, 2009, at 20:36:14
In reply to Re: Effexor, Cymbalta, Pristiq? » SheilaC, posted by floatingbridge on August 3, 2009, at 19:15:07
Seriously? Pristiq is starting to sound like a good med no weight gain helps anxiety? Love Phillipa
Posted by floatingbridge on August 3, 2009, at 21:55:26
In reply to Re: Effexor, Cymbalta, Pristiq? » floatingbridge, posted by Phillipa on August 3, 2009, at 20:36:14
Hi Phillipa,
Unfortunately for me, it doesn't really take care of my anxiety....
fb
Posted by SheilaC on August 4, 2009, at 6:54:28
In reply to Re: Effexor, Cymbalta, Pristiq? » SheilaC, posted by floatingbridge on August 3, 2009, at 19:15:07
> Sheila,
>
> Good work getting a regime together--I find pristiq to be weight nuetral or maybe a bit of a loss.
>
> best of luck,
>
> fbFB-- How much Pristiq do you take? How long have you been taking it and do you take any other meds with it?
I did take .25mg of Klonopin with it. I used to take Effexor years ago and they say Pristiq is similar. Did you ever take Effexor?
Posted by floatingbridge on August 4, 2009, at 11:24:01
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 4, 2009, at 6:54:28
Hi Sheila,
I currently take 100 pristiq, just upped it last week. I had been taking 50 since Feb. I think 50 is a great dose--I didn't feel side effects (really) other than the libido thing. It felt transparent, which is nice. I would think for you, that would be all you'd need. (I forget if you mentioned how you did on effexor.)
Current meds;
pristiq 100
klonopin .5
dexedrine 35-45
emergency xanax as needed (not often)
sleep aides as needed--not at all since I upped my dose, which I take at nightbest!
fb
(feel free to babble me, if you like)
Posted by Phillipa on August 4, 2009, at 19:34:06
In reply to Re: Effexor, Cymbalta, Pristiq? » SheilaC, posted by floatingbridge on August 4, 2009, at 11:24:01
FB sounds like a very doable med. Love Phillipa
Posted by SheilaC on August 5, 2009, at 8:32:25
In reply to Re: Effexor, Cymbalta, Pristiq? » SheilaC, posted by floatingbridge on August 4, 2009, at 11:24:01
> Hi Sheila,
>
> I currently take 100 pristiq, just upped it last week. I had been taking 50 since Feb. I think 50 is a great dose--I didn't feel side effects (really) other than the libido thing. It felt transparent, which is nice. I would think for you, that would be all you'd need. (I forget if you mentioned how you did on effexor.)
>
> Current meds;
>
> pristiq 100
> klonopin .5
> dexedrine 35-45
> emergency xanax as needed (not often)
> sleep aides as needed--not at all since I upped my dose, which I take at night
>
> best!
>
> fb
>
> (feel free to babble me, if you like)FB - I am still taking 50mg of Seroquel at night and .5mg of Klonopin at night. I am taking the 50mg of Pristiq during the day.
Its only been 3 days, so I don't really feel too different. I'm wondering how long it will take to really kick in. I don't really want to add Wellbutrin to it if I don't have to. But I need to kick this depression.
Posted by floatingbridge on August 5, 2009, at 11:22:33
In reply to Re: Effexor, Cymbalta, Pristiq?, posted by SheilaC on August 5, 2009, at 8:32:25
Hi Sheila,
I did find it took me some time to feel the full effects of the pristiq--at least a month. Other babblers have reported a quicker response time, though, like within the first week or so. Could you add a small dose of wellbutrin and then withdraw it when you feel better? (I don't know....)
best wishes for this to work for you,
fb
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