Posted by karaS on October 17, 2004, at 20:47:30
In reply to Re: propityline- new AD? - yes, a miracle cure!!, posted by zeugma on October 17, 2004, at 18:30:08
> > Ok, so you're skipping my long response and only answering my corrections here? You just couldn't wait to make fun of me, could you? :-)
> >
> no comment :)
> >
> > > > I'm having a rare moment of clarity
>
> and I'm waiting for a rare moment of clarity AND energy!
Some people just want it all, I guess...
> > > O.K. But thanks for making me break out my dictionary :)
> >
> > Well, considering how many times you've made me do that, I feel that payback is warranted.
>
> revel in it then. i will have to think of a suitable way to address this.>
I am! <big grin!>
> > Yes, when I said that I wanted to try that but then later said I was afraid of Abilify and the APs in general.
> >
> <Serious now> I'm terrified of the AP's too. Movement disorders.
Seriously now, me too.
> > > > - Thanks for recognizing that I meant protriptyline when I typed propityline.
> > > >
> > > "Propityline" might make me more self-pitying. But I would REALLY pity myself if I even noticed that's what you typed :)
> >
> > That's funny because when I saw it later, I read it that way too: "pro-pity-line" Actually I think this one is a better name for an AD.
> >
> hmmm. would it cause its taker to attract pity, or casue its taker to pity him/herself?
Since it's a dual reuptake inhibitor, I'd say both!
> > > > - After looking at Scott's chart, I can see now why you compared Cymbalta with imipramine. I hadn't realized earlier that imipramine has significant 5-HT reuptake inhibition as well.
> > > >
> > > Yes, but it's an open question as to whether Cymbalta will actually turn out to be useful in conditions that imipramine isn't. I wonder, since the tachycardia you experienced on NOR was like the tachycardia on DMI, which latter doesn't have much in the way of anticholinergic properties, if the speeded heart wasn't due to what Stahl calls 'pseudo-anticholinergic' properties, i.e. indirect anticholinergic effects mediated by NE potentiation. I think you mentioned that Effexor IR gave you tachycardia, but not XR. Did you go high enough on Effexor XR to get a significant noradrenergic effect?
> > >
> > > -z
> >
> > Does DMI stand for desipramine? I got up to 225 mg on Effexor XR. That's about when the NE starts to really kick in for Effexor, right? - but I don't know if that was enough NE to judge. Based on my history, I will be very surprised if I am able to tolerate the Cymbalta. I hope I'm wrong. Who knows, maybe some day I'll even try it and find out! :-)
> >
> >
> DMI= desipramine. Did 225 mg Effexor help you? Why did you discontinue the Effexor?
>
> -z
>The Effexor helped me very little. It prevented me from having panic attacks and, by numbing out my emotions, it prevented me from crying at the drop of a hat (which is what I'm doing now. It doesn't take much - a sappy commercial on TV or a movie like "Lassie, Come Home". Yes, I do mean Lassie the dog! It's kind of like really bad PMS - not that that would mean anything to you.) Ok, I know it's time to take the Cymbalta. I think I'll try 10 mgs. after dinner. (Cluck, cluck).
But what if the serotonin activity from the Cymbalta makes my DA autoreceptors even more sensitive? I could be making the situation worse... Then I get off of it and try something else, right?
How are YOU doing? When are you starting the dexedrine or is that not definite yet?
K
poster:karaS
thread:397388
URL: http://www.dr-bob.org/babble/20041012/msgs/404269.html