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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 Zonked on July 29, 2011, at 9:20:09
Where is that relief I had a few weeks ago? Sometimes I wish I could cry, but all ADs prevent me from doing it. I am not going off Nardil, and I look at my posts where I was feeling better and wonder what it is about me that I can't get the effect consistent this time. So many pills, so little time. What to add or change, and to compress all my ideas and research into a 15 to 30 minute appointment? I'd like nothing more than to replace Klonopin with Xanax, but it seems a dicey proposition. When Nardil put me in remission last time, I was already on Xanax. SLS, you've mentioned it took you several months this time. If you see this, did you get several fading blips before the effect was consistent? What are you using for sleep? How are you feeling these days? Sorry to be like this, all. The days I've felt well have been a bit of a tease.
Posted by floatingbridge on July 29, 2011, at 14:57:45
In reply to Would a cry be good? I can't.SLS?, posted by Zonked on July 29, 2011, at 9:20:09
>I'd like nothing more than to replace Klonopin with Xanax, but it seems a dicey proposition.
What seems dicey about switching to an appropriate dose of Xanax xr to you? Would your provider not give you a high enough dose converting over from klonopin?
When Nardil put me in remission last time, I was already on Xanax. SLS, you've mentioned it took you several months this time. If you see this, did you get several fading blips before the effect was consistent? What are you using for sleep? How are you feeling these days? Sorry to be like this, all. The days I've felt well have been a bit of a tease.
Posted by SLS on July 29, 2011, at 20:17:32
In reply to Would a cry be good? I can't.SLS?, posted by Zonked on July 29, 2011, at 9:20:09
> Where is that relief I had a few weeks ago?
I wish I knew. After my initial brief response to Nardil, it took another three months before it returned.
> Sometimes I wish I could cry, but all ADs prevent me from doing it.
Depression itself can prevent one from crying, especially if anergia and psychomotor retardation are evident. There is a genuine lack of energy to be able to cry. I could see how SSRIs could worsen this inability to cry by inducing amotivation and the numbing of emotions.
> I am not going off Nardil, and I look at my posts where I was feeling better and wonder what it is about me that I can't get the effect consistent this time.
If doctors were capable of testing for responsivity to specific drugs, things would be much easier for the patient as there would be fewer drug failures and a reduction in the side effects to be tolerated.
> So many pills, so little time.
Yes. It is a race to be won through patience.
My response to treatment has been more and more variable recently, with more worsenings than impovements. I would not use my case as a model for your mood illness, however. Each case represents a conglomeration of biology and psychology with a unique resulting phenotype. You and I might respond very differently to the same drug.
- Scott
Posted by zonked on August 3, 2011, at 9:58:21
In reply to Re: Would a cry be good? I can't.SLS? » Zonked, posted by SLS on July 29, 2011, at 20:17:32
> > So many pills, so little time.
>
> Yes. It is a race to be won through patience.
>
> My response to treatment has been more and more variable recently, with more worsenings than impovements. I would not use my case as a model for your mood illness, however. Each case represents a conglomeration of biology and psychology with a unique resulting phenotype. You and I might respond very differently to the same drug.
>I know. And it's probably too late (my pdoc appointment is today) to pick your brain about this, but I did want to ask if you could remember how brief your initial blip was. I mean, mine was REAL.. you know how you can tell you've drank caffeine? It was totally the "Nardil" feeling from before. 1 week, 2?
Pdoc appointments make me frustrated and nervous, even with ones I know. I know it's not my fault, but I also know I respond better to Xanax than Klonopin or Ativan, which dull things but make depression worse; I want new thyroid and testosterone labs run. I am not a typical patient that says "Here's X Y and Z, can you adjust my scripts? Thanks."
Instead I go in with a list of notes and my ideas often get dismissed. I want my thyroid tested, I want my testosterone tested as well (last test circa 1 year ago was in the low 400s, that's all I remember.)
I can't help but wonder if some unconventional treatment would help me. But I am stuck with the doctor as a broker.
We all are.
Morning dread is back, and Ann Hedonia and her twin sister Ann Ziety are creeping their way back.
I..just..want..my..life..back.. I want to have the capacity to enjoy life, not go through the motions.
Deplin isn't covered by my insurance, which rules that out. Too expensive.
Wish me luck. I will be asking to replace Klonopin with Xanax which is NOT something I want to have to do. And I don't want to be labeled for it either.
-z
Posted by SLS on August 3, 2011, at 12:52:59
In reply to Re: Would a cry be good? I can't.SLS? » SLS, posted by zonked on August 3, 2011, at 9:58:21
My initial "blip" improvement usually occurs some time during week 2. It is a pretty potent effect. It usually lasts for 3 days.
You'll be okay. Keep thinking.
- Scott
Posted by Lamdage on August 14, 2011, at 15:53:19
In reply to Re: Would a cry be good? I can't.SLS? » SLS, posted by zonked on August 3, 2011, at 9:58:21
Zonked, the first thing nardil did to me back then was giving me massive crying jags for about 10 days! It was both the most painful and relieving experience.
This is the end of the thread.
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