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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 16 to 40 of 40. Go back in thread:
Posted by manic666 on May 22, 2010, at 13:14:46
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 22, 2010, at 12:46:16
thanks my friend ,glad to help //a week on 50mg should be ok// then 100mg if you stablise on that cool stay there//if not 150 mg you can always lower as you feel better in time//you no the score, dont forget i have 4mg of ativan to //but dont go down that road if possible//i am addicted
Posted by bulldog2 on May 22, 2010, at 14:53:00
In reply to Psychiatry in U.S., posted by Brainstorm on May 21, 2010, at 13:05:31
There is another one out there waiting to help you. Just look and you will find this person.
Posted by Brainstorm on May 22, 2010, at 15:45:48
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by bulldog2 on May 22, 2010, at 14:53:00
> There is another one out there waiting to help you. Just look and you will find this person.
Oh yes, I know that to be true and find no small comfort there. Thanks, bulldog.
Posted by bulldog2 on May 22, 2010, at 17:13:34
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 22, 2010, at 15:45:48
> > There is another one out there waiting to help you. Just look and you will find this person.
>
> Oh yes, I know that to be true and find no small comfort there. Thanks, bulldog.Sometimes you have to be assertive with these GPs. They may only have a basic knowledge of these meds as taught to them by a pharm. rep. Until you find a new p-doc you may be the one who has the best knowledge of what works. Sometimes you have to be assertive in a diplomatic way and tell them what you need. I agree with manic that you should start out with 50 mg of sertraline. But if you find yourself still falling you may have to move up to 100 mg for awhile until you stabilize. If you have a history of depression you may consider staying on at least 50 mg of sertraline for a long time.
If effexor xr works the best could you keep blood pressure in check with a blood pressure med?
Posted by Brainstorm on May 22, 2010, at 18:18:25
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by bulldog2 on May 22, 2010, at 17:13:34
> > > There is another one out there waiting to help you. Just look and you will find this person.
> >
> > Oh yes, I know that to be true and find no small comfort there. Thanks, bulldog.
>
> Sometimes you have to be assertive with these GPs. They may only have a basic knowledge of these meds as taught to them by a pharm. rep. Until you find a new p-doc you may be the one who has the best knowledge of what works. Sometimes you have to be assertive in a diplomatic way and tell them what you need. I agree with manic that you should start out with 50 mg of sertraline. But if you find yourself still falling you may have to move up to 100 mg for awhile until you stabilize. If you have a history of depression you may consider staying on at least 50 mg of sertraline for a long time.
>
> If effexor xr works the best could you keep blood pressure in check with a blood pressure med?A series of blood pressure meds failed to do much about it, but since January I've been running and watching salt intake better. But Effexor XR was definitely my most effective medication, so maybe the question to next p-doc, as you say, is what comes closest to that but without the side effect of raising blood pressure.
Posted by manic666 on May 23, 2010, at 3:28:52
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 22, 2010, at 18:18:25
yes GP,s are a special breed///i said i need a med change because of fast weight gain an i eat f all//he said these meds dont alter your weight///ooooooooooooooo f*ck// hear i have to say it again????doc look on the leaflet an the main prob on most meds is weight an no sex////oooooooo i will have to check that out///see what i mean,i talked mine into tapper meds only srri to srri simple enough ,but not in the british guild book//he has never done it//that why i save meds i have left over //if a doc says no i do it myself//nothing dangerouse just common sence//the hospital zoo wont tapper an wave the rule book in your face like a flag//thats why im a security risk at hospital //i tell the new qualifide p docs//they are sh*t//they say may be but im the sh*th**d giveing you a script// time to cool it?????????
Posted by Brainstorm on May 23, 2010, at 8:36:15
In reply to Re: Psychiatry in U.S., posted by manic666 on May 23, 2010, at 3:28:52
> yes GP,s are a special breed///i said i need a med change because of fast weight gain an i eat f all//he said these meds dont alter your weight///ooooooooooooooo f*ck// hear i have to say it again????doc look on the leaflet an the main prob on most meds is weight an no sex////oooooooo i will have to check that out///see what i mean,i talked mine into tapper meds only srri to srri simple enough ,but not in the british guild book//he has never done it//that why i save meds i have left over //if a doc says no i do it myself//nothing dangerouse just common sence//the hospital zoo wont tapper an wave the rule book in your face like a flag//thats why im a security risk at hospital //i tell the new qualifide p docs//they are sh*t//they say may be but im the sh*th**d giveing you a script// time to cool it?????????
There's that manic thing kicking in I guess. Hope you were able to chill it down my friend.
Posted by manic666 on May 23, 2010, at 11:01:02
In reply to Re: Psychiatry in U.S., posted by manic666 on May 23, 2010, at 3:28:52
i only see the hospital shrinks once every 6 months now///but im on an open apointment//that mean.s if the family think i may flip is just a phone call///this is how it goes ,i changed my own meds at the gp,he said ok //never tells the hospital//so now i have changed back ,an as far as the hospital think //i never changed in the first place//do you get that ,it kinda does your head in
Posted by Brainstorm on May 23, 2010, at 11:11:50
In reply to Re: Psychiatry in U.S., posted by manic666 on May 23, 2010, at 11:01:02
> i only see the hospital shrinks once every 6 months now///but im on an open apointment//that mean.s if the family think i may flip is just a phone call///this is how it goes ,i changed my own meds at the gp,he said ok //never tells the hospital//so now i have changed back ,an as far as the hospital think //i never changed in the first place//do you get that ,it kinda does your head in
Very weird...... but whatever gets you to where you need to be with that system.
Posted by floatingbridge on May 23, 2010, at 14:19:00
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 23, 2010, at 11:11:50
Good luck for speedily finding that good doctor. Bulldog is right--he or she is out there. And lucky you that you'll know based on positive experience what to look for.
Right on!
Posted by Brainstorm on May 23, 2010, at 15:58:36
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by floatingbridge on May 23, 2010, at 14:19:00
> Good luck for speedily finding that good doctor. Bulldog is right--he or she is out there. And lucky you that you'll know based on positive experience what to look for.
>
> Right on!Thank you for that encouragement, I'm going to try!
Posted by Brainstorm on May 25, 2010, at 11:26:38
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by floatingbridge on May 23, 2010, at 14:19:00
This is my fourth day back on Sertreline (Zoloft) 50mg, and its worst day by far so far. The recommendations for a new psychiatrist in this area had no openings for another month, so I'm on my own through this dreadful pain. Found some out of date (12/09) Effexor XR 75mg, the med that originally dragged me out of the muck 10 years ago, and am sorely tempted to jump over to those. Any perspective for me on this dilemma brought to me by our broken down health care system?
Posted by floatingbridge on May 25, 2010, at 11:35:08
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 25, 2010, at 11:26:38
Brainstorm, a month wait? Do 'they' really know how you feel?
On effexor, my thought is that if it is not the class of med you think you'll be sticking with, after a month of use there could be an intense discontinuation....
Is there a med you want?
fb
Posted by manic666 on May 25, 2010, at 12:16:52
In reply to Re: Psychiatry in U.S., posted by manic666 on May 23, 2010, at 11:01:02
dont just stick any med in your mouth //thats i think im famouse for//for all the wrong reasons //besides effexor is a snri an your on zoloft ssri //you will be in all sort as of sh*t///bump up your zoloft to 100mg now you are 4 days in// you asked for zoloft an its one of the best track records there is//switching from one to another as well as a different class of med //you wont get a shrink to take you on///worse before better thats how they all work //your brain dont just let a med in without a fight its call START UP EFFECTS..bail an you lose stick with the pain an you may win //i had 12 weeks of it with zoloft// ie setraline before the barrier,s brokehavnt you got any benzo,s for a week to get you past the worst,
Posted by Brainstorm on May 25, 2010, at 13:58:11
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by floatingbridge on May 25, 2010, at 11:35:08
There is an acute shortage of psychiatrists in this area and my original one folded shop without a trace. At his direction , I took Effexor XR and stayed with it almost nine years without problems or relapses -- except for high blood pressure as suspected side effect. So last year my GP changed me to Sertraline, and then in November took me off that completely because I "probably didn't need it." So these are the only two meds I've had experience with, both good, though I'm wondering if I should go back to what was prescribed by the psychiatrist because I trusted him so very much.
Posted by Brainstorm on May 25, 2010, at 14:14:08
In reply to Re: Psychiatry in U.S., posted by manic666 on May 25, 2010, at 12:16:52
Hello, manic, good to hear from you. I hear what you're saying 'bout changing class of drugs, and that makes good sense. I've been taking the Sertraline 50mg's first thing in the morning, and mornings have been TERRIBLE. By PM things are getting more "manageable". So if I bump it up to 100mg, would it be best to take 50mg at bedtime then 50mg next day to achieve that? Or is there some kind of rule about all at one time?
P.S. No interest in benzo's -- have read too much about all the baggage they bring when they check into your room.
> dont just stick any med in your mouth //thats i think im famouse for//for all the wrong reasons //besides effexor is a snri an your on zoloft ssri //you will be in all sort as of sh*t///bump up your zoloft to 100mg now you are 4 days in// you asked for zoloft an its one of the best track records there is//switching from one to another as well as a different class of med //you wont get a shrink to take you on///worse before better thats how they all work //your brain dont just let a med in without a fight its call START UP EFFECTS..bail an you lose stick with the pain an you may win //i had 12 weeks of it with zoloft// ie setraline before the barrier,s brokehavnt you got any benzo,s for a week to get you past the worst,
Posted by chujoe on May 25, 2010, at 14:55:15
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 25, 2010, at 14:17:02
When I was taking sertraline I took 100 mg all at the same time, in the morning. The first time I took it it worked great, then after a couple of years I did a slow taper to nothing and went for several years w/o an AD. Last year when I freaked out I tried sertraline again but it didn't really work; I'm on cymbalta now, an SNRI -- I titrated over ten days, decreasing sert and increasing cym until I was at 90 mg cym. Doing it this way, I didn't have any particular problems going from an SSRI to an SNRI, but your mileage may vary of course. But if sertraline is working for you, I agree with manic, up your dosage.
Posted by Brainstorm on May 25, 2010, at 15:03:31
In reply to Re: Psychiatry in U.S. » Brainstorm, posted by chujoe on May 25, 2010, at 14:55:15
Thanks, chujoe. Appreciate your experience.
> When I was taking sertraline I took 100 mg all at the same time, in the morning. The first time I took it it worked great, then after a couple of years I did a slow taper to nothing and went for several years w/o an AD. Last year when I freaked out I tried sertraline again but it didn't really work; I'm on cymbalta now, an SNRI -- I titrated over ten days, decreasing sert and increasing cym until I was at 90 mg cym. Doing it this way, I didn't have any particular problems going from an SSRI to an SNRI, but your mileage may vary of course. But if sertraline is working for you, I agree with manic, up your dosage.
Posted by manic666 on May 26, 2010, at 3:51:24
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 25, 2010, at 15:03:31
i tend to take it in the morning//for max effect//when on high doses say 100 to 2oo//i tend to take it about 6 am //go back to bed so the sedation bit gives you a rest//without walking under a car if you work an go straight out//i dont work now do to damage from benzo,s ,so i can time my meds to suit myself///i never understand a doctor who stop,s meds when a patient is doing well//cut them down by all means// but take them away an 9 out of 10 times you relasp//but a trickle of meds is like a car ticking over//not on full reves just purring //why dont the leave well alone
Posted by Brainstorm on May 26, 2010, at 7:21:39
In reply to Re: Psychiatry in U.S., posted by manic666 on May 26, 2010, at 3:51:24
> i tend to take it in the morning//for max effect//when on high doses say 100 to 2oo//i tend to take it about 6 am //go back to bed so the sedation bit gives you a rest//without walking under a car if you work an go straight out//i dont work now do to damage from benzo,s ,so i can time my meds to suit myself///i never understand a doctor who stop,s meds when a patient is doing well//cut them down by all means// but take them away an 9 out of 10 times you relasp//but a trickle of meds is like a car ticking over//not on full reves just purring //why dont the leave well aloneThank you, manic, more good insight from the core of experience - not theory. Sorry 'bout your damage from benzo's, they are indeed nasty, nasty meds given their wide spread usage.
Posted by manic666 on May 26, 2010, at 12:21:37
In reply to Re: Psychiatry in U.S., posted by Brainstorm on May 26, 2010, at 7:21:39
they are damageing meds benzo,s ///they are also life saver,s its fair to say//year,s ago when i first took them // my generation thought nothing of popping a benzo/ an the docs were quick to give them to get you off there back//as they new nothing of mental illness// there are still old people in there 80,s getting there temazapam an the like //who know,s how many they saved an how many they killed//they gave me a charmed life in my 20,s an 30is //pop an ativan an no fear //have fight an no pain//they blocked a lot of mental pain ,still do even in addiction//i have no hatred of the blue cobra//only the way i was detoxed without thought//as i say i still rely on 4 mg a day,a far cry from the amount i used to take///but before addiction i took as needed //an found them a godsend when i started ad,s//useing 2mg daily for the first 2 weeks of start up an then dropping them when ajusted to a med//the problem then is if a med failed you were in a catch 22//no i think i could have died without ativan when young,as i was in so much pain mentally//as i say she is a cool friend to me but??????????cross her an she dont half bite you on the *rs*
Posted by Brainstorm on May 26, 2010, at 18:31:05
In reply to Re: Psychiatry in U.S., posted by manic666 on May 26, 2010, at 12:21:37
That's a sad story but ends well to see you've learned to at least temper the beast through so much trial and error. Good luck to you, manic.
Posted by Phillipa on May 26, 2010, at 19:59:01
In reply to Re: Psychiatry in U.S., posted by manic666 on May 26, 2010, at 12:21:37
Just don't abuse them and they work fine. I only use for sleep now. Phillipa
Posted by manic666 on May 27, 2010, at 3:02:12
In reply to Re: Psychiatry in U.S. » manic666, posted by Phillipa on May 26, 2010, at 19:59:01
define abuse,?????? to someone in mental pain
Posted by Phillipa on May 27, 2010, at 19:51:04
In reply to Re: Psychiatry in U.S., posted by manic666 on May 27, 2010, at 3:02:12
Continuously up the doseage without the docs approval. See here I used to take a much higher dose and the docs wrote the scripts. I'm sorry your country is so strict I truly am and understand the pain high anxiety cause. Phillipa
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