![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 10 to 34 of 34. Go back in thread:
Posted by brynb on December 26, 2012, at 15:17:14
In reply to Re: What to do?? » brynb, posted by Phil on December 26, 2012, at 14:50:34
> Saturated is right! I couldn't believe how many when I started searching.
>
> This guy was talked about quite a bit in the past but you might have to sell your soul to pay for an appointment. May be worth a phone call but the first guy looks pretty good to me.
>
> http://www.psycom.net/ikg.htmlThanks, Phil! I feel like I've heard of him or at least know of him. And he's in my part of town, which makes it even better. I really appreciate your help!
-b
Posted by brynb on December 26, 2012, at 15:39:45
In reply to What to do??, posted by brynb on December 26, 2012, at 12:26:00
I'd love some input on MAOIs. I've tried emsam (way too stimulating for me) and Moclobemide (did nothing). It seems a lot of people on this forum do well with Nardil and Parnate. Perhaps I need to reassess and try one of these.
Thoughts?
Posted by SLS on December 26, 2012, at 15:46:43
In reply to Re: Maybe an MAOI?, posted by brynb on December 26, 2012, at 15:39:45
> I'd love some input on MAOIs. I've tried emsam (way too stimulating for me) and Moclobemide (did nothing). It seems a lot of people on this forum do well with Nardil and Parnate. Perhaps I need to reassess and try one of these.
>
> Thoughts?
Moclobemide made me feel worse than anything I have ever taken. Emsam had no positive effect on me. It made me somewhat irritable. Nardil and Parnate have worked magic for me at one time or another.The following are the dosage ranges that most people respond to:
Parnate 40-80 mg/day
Nardil 60-90 mg/day
- Scott
Posted by brynb on December 26, 2012, at 16:01:37
In reply to Re: Maybe an MAOI? » brynb, posted by SLS on December 26, 2012, at 15:46:43
> Moclobemide made me feel worse than anything I have ever taken. Emsam had no positive effect on me. It made me somewhat irritable. Nardil and Parnate have worked magic for me at one time or another.
>
> The following are the dosage ranges that most people respond to:
>
> Parnate 40-80 mg/day
> Nardil 60-90 mg/day
>
>
> - ScottThanks, Scott. I appreciate your knowledge and experience.
Which (in your opinion) is better for depression that is a hybrid of melancholic and atypical with anxiety and dysphoria? It's not clear whether I'm MDD or bipolar, if it matters.
Thanks,
b
Posted by jono_in_adelaide on December 26, 2012, at 17:43:21
In reply to Re: Maybe an MAOI? » SLS, posted by brynb on December 26, 2012, at 16:01:37
Given that you have anxiety, I'd probably try Nardil first, and then Parnate second.
Either of these can be combined with nortriptyline to encance their effect if needed.
As you possibly have bipolar, I'd definatly add a mood stabaliser to the mix less these potent antidepressants switch you to mania
Adding a low dose atypicl can help the mix as well, by their actions at the various seretonin receptors
Posted by Phillipa on December 26, 2012, at 20:12:41
In reply to Re: Maybe an MAOI?, posted by brynb on December 26, 2012, at 15:39:45
Bryn in my opinion if emsam was too stimulating I'd pass on the Maoi's at least for now. Phillipa
Posted by jono_in_adelaide on December 26, 2012, at 23:01:59
In reply to Re: Maybe an MAOI?, posted by jono_in_adelaide on December 26, 2012, at 17:43:21
Oh, DO NOT under any circumstances take tramadol with an MAOI or for 2 weeks after stopping an MAOI
After re reasing your story, I'd definatly try Nardil witl maybe lamactil as a mood stabaliser.
You say that you're med sensetive, and I accept that, but you may beed to accept that in order to relive a condition that is ruining your life, you miht need to suck it up on some annoying side effects
Posted by brynb on December 27, 2012, at 13:50:35
In reply to Re: Maybe an MAOI?, posted by jono_in_adelaide on December 26, 2012, at 23:01:59
Thanks, Jono. I'll ask my pdoc about Nardil (even though he hasn't gotten back to me yet). I'm aware of the dangerous interaction with Tramadol, thanks for the head's up. I'm just nervous about all of the interactions that occur w/ Nardil (being an MAOI). Also, I know I'd have to do a washout, and that alone is frightening. It's tough enough already.
I have a lot to think about. Thanks again.
Posted by brynb on December 27, 2012, at 22:54:11
In reply to What to do??, posted by brynb on December 26, 2012, at 12:26:00
Anyone do well on either of these?
Posted by SLS on December 27, 2012, at 23:12:18
In reply to Pristiq or Viibryd anyone??, posted by brynb on December 27, 2012, at 22:54:11
> Anyone do well on either of these?
A friend of mine is in remission as a result of combining Pristiq with Wellbutrin.
Others have described doing better on Pristiq than they had on Effexor.
No one here seems to take Viibryd. I experienced a transient improvement on it. Someone else reported it as being effective for depression and OCD. He has not posted in several months. Perhaps this is a sign that he is continuing to do well. I hope so.
- Scott
Posted by brynb on December 27, 2012, at 23:43:07
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by SLS on December 27, 2012, at 23:12:18
> > Anyone do well on either of these?
>
> A friend of mine is in remission as a result of combining Pristiq with Wellbutrin.
>
A friend of mine is on Pristiq; she takes it every other night, and not for depression.> Others have described doing better on Pristiq than they had on Effexor.
>
If Effexor wasn't good for me, is it safe to say Pristq won't be either?> No one here seems to take Viibryd. I experienced a transient improvement on it. Someone else reported it as being effective for depression and OCD. He has not posted in several months. Perhaps this is a sign that he is continuing to do well. I hope so.
>
I remember--Eric/Phiddipus (sp?). Haven't seen him here in awhile, but I remember he liked it. I don't know anything about Viibryd.
>
Thanks, Scott.
Posted by SLS on December 28, 2012, at 5:17:20
In reply to Re: Pristiq or Viibryd anyone?? » SLS, posted by brynb on December 27, 2012, at 23:43:07
> If Effexor wasn't good for me, is it safe to say Pristq won't be either?
In what ways was Effexor not good for you?
What was your highest dosage of Effexor?
There are a few people reporting their responding better to Pristiq than they did to Effexor. However, if you didn't feel even the slightest bit of improvement with Effexor, I wouldn't put Pristiq at the top of the list.
> > No one here seems to take Viibryd. I experienced a transient improvement on it. Someone else reported it as being effective for depression and OCD. He has not posted in several months. Perhaps this is a sign that he is continuing to do well. I hope so.
> I remember--Eric/Phiddipus (sp?).Yes. That is who I was referring to.
> Haven't seen him here in awhile, but I remember he liked it. I don't know anything about Viibryd.
Phiddipus was convinced that Viibryd was an effective treatment for his OCD. I don't know what to make of the drug. Like I mentioned, it did help me for a little while for treating my bipolar depression. I guess Viibryd can be considered to be a clean SSRI with anxiolytic properties. However, I question how frequently people respond to it. I just don't see others here taking it. I haven't spoken to my doctor about his experiences with it. Viibryd (vilazodone) is in someways similar to gepirone, which was rejected by the FDA for depression. Still, Viibryd might be worth a try if you have few remaining options. If you try it and it doesn't work, be sure to taper it gradually so as to prevent a withdrawal rebound depression.
- Scott
Posted by brynb on December 28, 2012, at 12:12:21
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by SLS on December 28, 2012, at 5:17:20
> In what ways was Effexor not good for you?It was a long time ago, but I believe it made my anxiety worse and made me very nauseas.
> What was your highest dosage of Effexor?I think it the lowest dose. (Does 3 mg sound right?)
> There are a few people reporting their responding better to Pristiq than they did to Effexor. However, if you didn't feel even the slightest bit of improvement with Effexor, I wouldn't put Pristiq at the top of the list.
>
That makes sense.> > > No one here seems to take Viibryd. I experienced a transient improvement on it. Someone else reported it as being effective for depression and OCD. He has not posted in several months. Perhaps this is a sign that he is continuing to do well. I hope so.
>
> > I remember--Eric/Phiddipus (sp?).
>
> Yes. That is who I was referring to.
>
> > Haven't seen him here in awhile, but I remember he liked it. I don't know anything about Viibryd.
>
> Phiddipus was convinced that Viibryd was an effective treatment for his OCD. I don't know what to make of the drug. Like I mentioned, it did help me for a little while for treating my bipolar depression. I guess Viibryd can be considered to be a clean SSRI with anxiolytic properties. However, I question how frequently people respond to it. I just don't see others here taking it. I haven't spoken to my doctor about his experiences with it. Viibryd (vilazodone) is in someways similar to gepirone, which was rejected by the FDA for depression. Still, Viibryd might be worth a try if you have few remaining options. If you try it and it doesn't work, be sure to taper it gradually so as to prevent a withdrawal rebound depression.
>
I wonder why there aren't many reports on Viibryd. I think I respond best to mild, "clean" meds (ie Lexapro) and certainly those that very effectively nail depression and anxiety. I have a bottle of 10 mg Nortriptyline here, and I'm thinking of adding it to my Lexapro at night (my pdoc originally wanted this for me, but I didn't feel well from the Nortriptyline, so that plan was aborted). As he hasn't returned my most recent call, I'm taking matters into my own hands. I'm off Lithium (with his approval) and only on Lexapro and Librium.I'm calling him again but also placing some calls in to other pdocs as I might need to make a change. It's just such a pain and an arduous task, going over my history, and all the meds, and the same story again and again and again. I just can't accept this way of functioning anymore. I'm not "living." I'm barely getting by. It kills me to see how sad and upset my parents are due to my suffering.
I want a Dx. I don't know if I'm MDD w/OCD and GAD or Bipolar or what. I don't know that it matters but perhaps it could help point me in the right direction. I want some semblance of a "normal" life. Meaning, I want to get up and function and not wonder whether I'll be able to get out of bed in the morning or not. I'm a 38-year old woman and I always thought I'd find the right partner, have a child. I try to think positively and believe in the power of positive thought and creating our own realities, but that only takes me so far. I also need help from the right med(s). It's been going on too long. I'm unemployed, have no more unemployment pay left, and wouldn't consider for a minute taking a regular job. I'm unreliable. The last 10 years I've had a problem with absenteeism. You can't call in "crazy" to work. I'm rambling, I'm sorry, I just still feel young enough to achieve some of my goals and desires, and at the same time, I feel old and defeated and as if I missed out on so much.
Anyway, thanks Scott. You always give helpful feedback.
-b
Posted by SLS on December 28, 2012, at 14:10:08
In reply to Re: Pristiq or Viibryd anyone?? » SLS, posted by brynb on December 28, 2012, at 12:12:21
> > In what ways was Effexor not good for you?
> It was a long time ago, but I believe it made my anxiety worse and made me very nauseas.
Hmm. Did you abort the trial in the first week? I became profoundly nauseous after my very first dose. I don't remember anxiety, but that is a possible startup side effect of many SRI drugs that can disappear within the first week.
Do you recall experiencing anxiety with Lexapro? It would have appeared briefly between days 14 and 21 of treatment.
> > What was your highest dosage of Effexor?
> I think it the lowest dose. (Does 3 mg sound right?)
Possibly 37.5 mg/day, which would have been a starting dose using the IR (Not the XR). The lowest dose of XR is 75 mg. I don't like to give up on Effexor until 300 mg/day is reached.
> > There are a few people reporting their responding better to Pristiq than they did to Effexor. However, if you didn't feel even the slightest bit of improvement with Effexor, I wouldn't put Pristiq at the top of the list.
> That makes sense.
Perhaps. However, you really cannot make a determination on the efficacy of Effexor because you didn't take it for long enough or at a therapeutic dosage. If you have the option of taking Pristiq, I would consider it. People report that it can be smoother than Effexor with respect to side effects. You could then add several other drugs to it, including nortriptyline, Wellbutrin, Abilify, Lamictal, Remeron, lithium, etc. I maintained a partial response to Effexor + nortriptyline a few years ago. Pristiq + nortriptyline might work for you, but you would have to use nortriptyline at either a low dosage of 75 mg/day or a high dosage of 150 mg/day. It depends upon your metabolism, and this can be determined using blood tests. I don't know about Wellbutrin. It makes anxiety worse and can aggravate OCD for some people.
- Do you ruminate?
- Do you have melancholic thoughts throughout the day, everyday?
- Is morning your worst time of day?
- Do you have early morning awakenings / insomnia?
- Are you either agitated or profoundly slowed-down?
- Do you have reduced appetite?> I wonder why there aren't many reports on Viibryd. I think I respond best to mild, "clean" meds (ie Lexapro) and certainly those that very effectively nail depression and anxiety. I have a bottle of 10 mg Nortriptyline here, and I'm thinking of adding it to my Lexapro at night (my pdoc originally wanted this for me, but I didn't feel well from the Nortriptyline, so that plan was aborted). As he hasn't returned my most recent call, I'm taking matters into my own hands. I'm off Lithium (with his approval) and only on Lexapro and Librium.
Why did you take lithium? Why did you discontinue lithium? How much were you taking?
I can empathize and commiserate with your thoughts and feelings regarding how your life has unfolded. 38 is still young. I can honestly say that from the perspective of a 52-year young person. It may be that your biology will be less than cooperative in achieving a pregnancy without some medical intervention. You can always adopt children. I had always wanted to have 2 biological and 1 adopted children. Apparently, it was not to be. I may yet meet someone who already has children. At this point, I really don't know what will be right for me. I still cannot help but to smile whenever I watch children operate. They are a true joy.
Take things one step at a time. Gather more information. Bring in literature for your doctor to evaluate. Find out the limits of what your doctor is willing to do for you. How willing he is to utilize MAO inhibitors makes for a good litmus test. Consult with more doctors if necessary. And try, try, try to have patience with drug trials. I have a great deal of trouble with this myself.
I understand how tiring it is to constantly be reciting your medical history to a new doctor. I type up my medical history and send a copy in advance to any doctor whom I am to consult with. Of course, I bring in a another copy just in case the first one gets lost or remains unread.
It is actual very probable that you will find a treatment that works for you. It sounds as if there are many things that you have yet to try. Polypharmacy works. The permutations of drug combinations is virtually limitless. I doubt that you have come close to exhausting them.
It is okay to feel depressed about being so chronically and severely ill. This will pass. It is understandable that you should feel demoralized, helpless, and hopeless. However, the facts indicate that you are far from being defeated. Hope exists in the uncertainty to be found in those treatments you have yet to try and those that have yet to be discovered. Know that some of those undiscovered treatments will include the use of old drugs in new ways. I respond to prazosin (an old anthypertensive) and minocycline (an old antibiotic). These two drugs operate in the brain in ways that are unrelated to their original indications.
Uncertainty. It is a fact that you cannot be certain that you are doomed. There are far too many paths that you have yet to explore.
I don't have the energy to proofread this.
:-)
You'll get there.
- Scott
Posted by brynb on December 28, 2012, at 15:02:06
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by SLS on December 28, 2012, at 14:10:08
> Hmm. Did you abort the trial in the first week? I became profoundly nauseous after my very first dose. I don't remember anxiety, but that is a possible startup side effect of many SRI drugs that can disappear within the first week.I did abort the trial relatively quickly. I have a low threshold for discomfort. I'm also only 5'4 and about 110 lbs, so I feel like meds really affect me (for better or worse).
>Do you recall experiencing anxiety with Lexapro? It would have appeared briefly between days 14 and 21 of treatment.
I don't think I had anxiety with Lexapro (or, prior to it, Celexa).
> - Do you ruminate?
Yes, often if not always.
> - Do you have melancholic thoughts throughout the day, everyday?
Yes, pretty much all of the time.
> - Is morning your worst time of day?
Sometimes it is. It used to be the worst time for me; I would awake around 5-6 am with a sense of impending doom and in a panic. It's less like that now; I seem to fluctuate throughout the day. I'm extremely sensitive to the change of light to dark and vice versa, as well as daylight savings time.
> - Do you have early morning awakenings / insomnia?
I used to have horrible early morning awakenings. I've always had insomnia. My insomnia now takes on various forms (I'll sleep for two hours then be up the rest of the night, or I can't fall asleep, and the sometimes I just don't go to sleep at all).
> - Are you either agitated or profoundly slowed-down?
I am agitated often. Very often. At times, I am very lethargic--I feel like I move as slow as molasses.
> - Do you have reduced appetite?
In the past (really several years ago), I didn't eat at all due to anxiety. This is when my depression was more melancholic. I don't pay much attention to food in general--I eat to survive, and I don't eat much.
I feel like my depression has morphed into a cross between melancholic and atypical. (If I truly understand each one.)
>
> Why did you take lithium? Why did you discontinue lithium? How much were you taking?My pdoc put me on lithium to augment the AD effect of Lexapro and address the frequency and severity of my depressive episodes (about 3-5 per year varying in length and severity). In between them I'm still just so-so. The highest dose I took (of lithium) was 450, but we landed at 300. I stopped because I realized I gained about 15 pounds on it within 6 months without any dietary changes and I didn't feel I was benefiting much from it. I also became ill about a month ago--I developed a serious case of acute full-body edema and cellulitis. I'm still getting over it.
>
> I can empathize and commiserate with your thoughts and feelings regarding how your life has unfolded. 38 is still young. I can honestly say that from the perspective of a 52-year young person. It may be that your biology will be less than cooperative in achieving a pregnancy without some medical intervention. You can always adopt children. I had always wanted to have 2 biological and 1 adopted children. Apparently, it was not to be. I may yet meet someone who already has children. At this point, I really don't know what will be right for me. I still cannot help but to smile whenever I watch children operate. They are a true joy.Thank you. I agree. Like I said, I believe getting well is a combo of things (be it therapy, meds, etc.) but especially positive thinking and finding joy in life. I intend to try my hardest to do this. As a woman, naturally, biologically I worry about how much time I have left. I suppose in a way I've put my wishes and desires into the universe, and what's meant to be will be.
>
> Take things one step at a time. Gather more information. Bring in literature for your doctor to evaluate. Find out the limits of what your doctor is willing to do for you. How willing he is to utilize MAO inhibitors makes for a good litmus test. Consult with more doctors if necessary. And try, try, try to have patience with drug trials. I have a great deal of trouble with this myself.
>
> I understand how tiring it is to constantly be reciting your medical history to a new doctor. I type up my medical history and send a copy in advance to any doctor whom I am to consult with. Of course, I bring in a another copy just in case the first one gets lost or remains unread.
>
That's a great idea--thanks!!> It is actual very probable that you will find a treatment that works for you. It sounds as if there are many things that you have yet to try. Polypharmacy works. The permutations of drug combinations is virtually limitless. I doubt that you have come close to exhausting them.
Very true.
>
> It is okay to feel depressed about being so chronically and severely ill. This will pass. It is understandable that you should feel demoralized, helpless, and hopeless. However, the facts indicate that you are far from being defeated. Hope exists in the uncertainty to be found in those treatments you have yet to try and those that have yet to be discovered. Know that some of those undiscovered treatments will include the use of old drugs in new ways. I respond to prazosin (an old anthypertensive) and minocycline (an old antibiotic). These two drugs operate in the brain in ways that are unrelated to their original indications.
>
> Uncertainty. It is a fact that you cannot be certain that you are doomed. There are far too many paths that you have yet to explore.Well said =)!
> I don't have the energy to proofread this.
>
> :-)
>
> You'll get there.
>
>
> - ScottThanks again,
b
Posted by Phillipa on December 28, 2012, at 18:08:45
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by SLS on December 27, 2012, at 23:12:18
Yes he is I talk to him on facebook if referring to Eric Phiddipus? I think he added something though? Phillipa
Posted by herpills on December 29, 2012, at 14:23:37
In reply to Pristiq or Viibryd anyone??, posted by brynb on December 27, 2012, at 22:54:11
I did well on a combination of Pristiq+Saphris. I had a long episode of depression that was only seeing partial remission with Lexapro+Abilify but the Pristiq+Saphris helped a lot. I do not take these medications anymore, except very occasional Saphris prn for a few days. Discontinuing Pristiq was not difficult for me, which I found strange with all the horror stories about Effexor withdrawal.
I don't have any experience with Viibryd. I don't personally know anyone who takes it. My view is unless it's better than Lexapro no reason to spend the extra $$ for another SSRI, regardless of its unique properties. herpills
Posted by SLS on December 29, 2012, at 14:34:45
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by herpills on December 29, 2012, at 14:23:37
Hi.
If you don't mind my asking, what condition(s) are you being treated for?
> I did well on a combination of Pristiq+Saphris.
Did you find Saphris to be energizing?
Are there any side effects with Saphris?
> I do not take these medications anymore, except very occasional Saphris prn for a few days.
What are the symptoms that appear that require you to take Saphris? How does the Saprhis help? Aside from these episodes, do you feel that you are in remission?
Thanks.
- Scott
Posted by brynb on December 29, 2012, at 16:02:09
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by herpills on December 29, 2012, at 14:23:37
> I did well on a combination of Pristiq+Saphris. I had a long episode of depression that was only seeing partial remission with Lexapro+Abilify but the Pristiq+Saphris helped a lot. I do not take these medications anymore, except very occasional Saphris prn for a few days. Discontinuing Pristiq was not difficult for me, which I found strange with all the horror stories about Effexor withdrawal.
Hi herpills,
Thanks for your input. I was on Abilify with Lexapro a few years back but it wasn't successful. I really might need to change over from Lexapro once and for all.
> I don't have any experience with Viibryd. I don't personally know anyone who takes it. My view is unless it's better than Lexapro no reason to spend the extra $$ for another SSRI, regardless of its unique properties. herpills
Yeah, I kinda agree, unless said unique properties really make a difference. I don't have insurance and generic Lexapro already costs me $100/month.Thanks again,
bryn
Posted by Phillipa on December 29, 2012, at 20:38:05
In reply to Re: Pristiq or Viibryd anyone?? » herpills, posted by brynb on December 29, 2012, at 16:02:09
Bryn I pay $44 a month on brand lexapro with my SSRI medicaire plan D. So if get the Disability I think would be same not sure though? Phillipa
Posted by brynb on December 29, 2012, at 21:02:03
In reply to Re: Pristiq or Viibryd anyone?? » brynb, posted by Phillipa on December 29, 2012, at 20:38:05
> Bryn I pay $44 a month on brand lexapro with my SSRI medicaire plan D. So if get the Disability I think would be same not sure though? Phillipa
P-
Wow--that's a big difference. One of the reasons I'm seeking disability now is that I have no insurance and my meds (not to mention doctors visits) are so expensive. I need time to trial some different meds/combos and it's not only expensive, but timely (washouts/the time it takes for ADs to work/etc.). I think my meds would certainly be a lot less than they are now!
-b
Posted by Phillipa on December 29, 2012, at 23:28:59
In reply to Re: Pristiq or Viibryd anyone?? » Phillipa, posted by brynb on December 29, 2012, at 21:02:03
Bryn have you googled docs in your area that accept medicaire as the list narrows. I think they have to be or send you to one that does for assessment? Someone correct me if wrong. I'm betting your own pdoc now can direct you Phillipa
Posted by herpills on December 31, 2012, at 16:36:24
In reply to Re: Pristiq or Viibryd anyone?? » herpills, posted by SLS on December 29, 2012, at 14:34:45
> Hi.
>
> If you don't mind my asking, what condition(s) are you being treated for?
>Hi Scott,
Thanks for asking. I have GAD and bipolar something disorder.
> Did you find Saphris to be energizing?
I wouldn't use that term to describe it...but it's worth noting that the entire time I was on Saphris, I NEVER took or needed a daytime nap. I always attributed that to the fact that my sleep was very good on Saphris, but maybe it also helped my mood, which contributes to me not feeling like I want to sleep during the day. I call them "depression naps"> Are there any side effects with Saphris?
I didn't like the heart pounding out of my chest feeling every morning. Some weight gain. I put up with the less than pleasant sublingual tablet, but I didn't like how it seemed I could still feel something different about the inside of my mouth the next morning. I used to just take it literally right before I got into bed because it is so sedating. I realized later it is better to take it, wait the 10 minutes, THEN brush your teeth if you don't want to feel like your mouth is still numb or something from the night before.
>
> What are the symptoms that appear that require you to take Saphris?Sudden, extreme mood swings on both ends. Elevated anxiety. Usually no trigger, its more like it simply makes already existing situations unbearable. Racing thoughts so fast I can't concentration enough to go to work, even if that is the only symptom, but there's always several. I usually get my 8 hours/night but then it will creep up to 6 hours for a couple nights, then 4 hours/night, the need for sleep just disappears. Otherwise sleep is really good right now even without Saphris. I've found diphenhydramine to be very useful!
How does the Saprhis help?
Calms me down, like any atypical I have tried. Seems to help regulate sleep. Reins in extreme mood swings. Used longer term probably helps depression. Helps mania/mixed very fast, I think similar to what people say about Zyprexa.
Aside from these episodes, do you feel that you are in remission?
>
Right now, yes! herpillsmypills
Lamictal 150mg; lorazepam 1mg; Lovaza 2g; b vitamins
Posted by herpills on December 31, 2012, at 16:43:14
In reply to Re: Pristiq or Viibryd anyone?? » herpills, posted by brynb on December 29, 2012, at 16:02:09
> Hi herpills,
>
> Thanks for your input. I was on Abilify with Lexapro a few years back but it wasn't successful. I really might need to change over from Lexapro once and for all.
>>
> Yeah, I kinda agree, unless said unique properties really make a difference. I don't have insurance and generic Lexapro already costs me $100/month.
>
>
>What dosages of Lexapro and Abilify were you on?
I don't know what your income situation is, or if you even live in America, but if you make less than %200 of the united states federal poverty level, you can get free Pristiq very easily. Go to www.needymeds.org for details. This is how I got my Pristiq when I took it. Good luck. herpills
Posted by brynb on January 4, 2013, at 16:40:04
In reply to What to do??, posted by brynb on December 26, 2012, at 12:26:00
After speaking to my Tx yesterday, she reminded me that Paxil is great for anxiety. It was the first psych med I ever took (I was 21) and at the time, it worked wonders. I eventually stopped it, was in remission for a few years, and when my depression came back I tried it again in my early 30s. The second time I tried it I had a negative reaction to it (it made me very irritable and angry). Is that common?
Does anyone still take it? I don't suffer from social anxiety, it's GAD.
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