![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by crazyjoe on September 6, 2011, at 21:16:39
going off celexa next week the sweating is unbelievable....any suggestions on what worked as a calming ssri or trycyclic...as i have mood disorder along with ocd ..also on lamictal/tegretol/klonopin....i'm beginning to think all these ssri's only rev you up...never tried paxil would also consider low dose prozac or maybe anafrinal
Posted by Lepus on September 6, 2011, at 21:22:32
In reply to ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 21:16:39
I had many good years on imipramine/Tofranil.
Posted by Phillipa on September 6, 2011, at 22:13:10
In reply to Re: ssri's or trycyclic, posted by Lepus on September 6, 2011, at 21:22:32
First ever took l0mg of paxil worked fine after first three month benzos also. Phillipa
Posted by jono_in_adelaide on September 6, 2011, at 22:28:52
In reply to ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 21:16:39
Nortriptyline is a good one, because its side efects are somewhat less than the others.
Clomipramine is a very good drug, though has somewhat more side effects.
Posted by crazyjoe on September 6, 2011, at 23:03:47
In reply to Re: ssri's or trycyclic, posted by jono_in_adelaide on September 6, 2011, at 22:28:52
CAN THE BOTH WORK FOR OCD
Posted by jono_in_adelaide on September 6, 2011, at 23:06:28
In reply to Re: ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 23:03:47
I think clomipramine is the only tricyclic that has been shown to work in OCD, usualy at doses of 150mg per day or so
Posted by jono_in_adelaide on September 6, 2011, at 23:33:40
In reply to Re: ssri's or trycyclic, posted by jono_in_adelaide on September 6, 2011, at 23:06:28
If you do try clomipramine, start low and go slow....25mg at night for 2 nights, 50mg at night for 2 nights, 75mg at night for 2 nights etc, until you hit your target dose.
BTW, have you considered Effexor?
Posted by crazyjoe on September 7, 2011, at 6:07:23
In reply to Re: ssri's or trycyclic, posted by jono_in_adelaide on September 6, 2011, at 23:33:40
yes raised blood pressure and sweating
Posted by morgan miller on September 7, 2011, at 10:20:04
In reply to ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 21:16:39
What dose of Celexa were you on? I suggest trying a 2.5 mg dose of Lexapro. You can just go online and get it on the cheap.l
Are you going to try Depakote???
4 or 5 medications is far too much for most people. Maybe you are not most people. Still, I would be curious to see what would happen over a 6 month period if you cleaned up your regimen, moved towards a paleo diet, and engaged in proper exercise and stretching.
Sorry man, but I think the polypharmacy is destabilizing you-especially the use of drugs like Klonopin. Try to get off the sh*t that has a shorter effect and stick with long acting mood stabilizers and antidepressants.
You may also want to consider a low dose of Zoloft, like 25 mg.
All SSRIs have the potential to rev anyone up in the beginning. Sometimes you have to take the pain, be patient, and find the right dose before you have success with an SSRI. Patience and tolerance for discomfort with take you far in improving mental health. Be strong.
Morgan
Posted by crazyjoe on September 7, 2011, at 15:11:53
In reply to Re: ssri's or trycyclic, posted by morgan miller on September 7, 2011, at 10:20:04
thanx morgan you pose some interesting thoughts ---it is difficult to treat both bipolar and ocd though --and in my docs defense the 4 i take are not high doses...20 celexa -100lamictal---600 tegretol and 1mmg of klonopin anxious sleep and .5 day---watch diet and excercise...your thoughts
Posted by jono_in_adelaide on September 7, 2011, at 19:52:42
In reply to Re: ssri's or trycyclic, posted by crazyjoe on September 7, 2011, at 15:11:53
Taking small doses of antidepressants is extremely unlikely to help OCD symptoms, they generaly need doses at the higher end of the spectrum
Posted by crazyjoe on September 7, 2011, at 20:25:06
In reply to Re: ssri's or trycyclic, posted by jono_in_adelaide on September 7, 2011, at 19:52:42
you are very true...however i'm starting to think these ssri's can make a person with a mood condition even worse...morgan think klonpin can destabilizei'm starting to think these darn ssri's can do it also...thinking of trying anafrinal or panelor
Posted by bleauberry on September 8, 2011, at 18:56:20
In reply to ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 21:16:39
Well, you mentioned anafranil. Yeah, if you can handle the side effects, definitely. For a bit milder approach to accomplishing similar, combine zoloft/nortriptyline. I think it is wrong to think in terms of TCA versus SSRI...except in the case of amitriptyline and anafranil, I think most prescriptions should be for combinations of the two together. It's just my opinion I think it is a mistake to prescribe just one or the other (TCA or SSRI). Both norepinephrine and serotonin need to be boosted equally at the same time and the only way to do that is with anafranil, or ssri+tca combo. If you've never tried prozac, then I would put prozac/nortriptyline or prozac/desipramine on your list.
IMO
Posted by jono_in_adelaide on September 8, 2011, at 19:58:44
In reply to Re: ssri's or trycyclic, posted by bleauberry on September 8, 2011, at 18:56:20
Prozac inhibits the metabolism of TCA's, and can be dangerous..... Celexa or Zoloft are safe
Posted by morgan miller on September 9, 2011, at 18:39:55
In reply to Re: ssri's or trycyclic, posted by bleauberry on September 8, 2011, at 18:56:20
I think eventually the brain may adjust and there may not be such an imbalance with SSRI monotherapy. Also, I think if you exercise regularly you may be able to maintain more of a balance. I just don't see any reason to take a tricyclic on top of an SSRI if you feel o.k. on the SSRI alone. Why add to the potential of side effects and make your liver work any harder than it has to?
Posted by Zyprexa on September 11, 2011, at 23:00:12
In reply to ssri's or trycyclic, posted by crazyjoe on September 6, 2011, at 21:16:39
zoloft is more calming than celexa. But I've heard that paxil is very calming.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.