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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by idolamine on January 17, 2006, at 22:51:18
Hi,
I'm a one-year abstient abuser of "illicit" stimulants. Amphetamine with an extra CH3. Here's my current situation: I'm on lamictal, titrating down from 1mg bid xanax, and trying out serzone. I take clonidine at night to keep from having nightmares and to improve my sleep. I also take vitamins including centrum, calicum, zinc, vitamin C, and Coenzyme Q-10(?). I've read that vitamins can interfere with nefazadone.
My problem is, while the lamictal is working very well for me, I am not liking the serzone very much. I've heard that it takes a couple of weeks for people to adjust to it. While it helps me sleep, I feel extremely anxious and affectualy flat during the day, not like on the prozac. My diagnoses are OCD and ADHD or Bipolar type II. (the latter more likely). I had hopes for serzone because the prozac makes it difficult for me to focus and I finds leaves me at a deficit of motivation. Also, my nipples hurt.
I know that serzone is a norepi reuptake inhibitor as well. Based on the board's general knowledge, should I: A.) Be patient with the serzone, or B.) be patient with the prozac and titrate upwards more slowly. The prozac *does* work for me, but my focus is almost as important as my mood. Propranolol 10mg helps with my akathasia, phsyically, but not so much cognitively.
thanks,
-idolamine
P.S.- I also feel slight chest pressure, and it sometimes seems breathing is difficult. And abdominal pain.
Posted by idolamine on January 17, 2006, at 22:53:30
In reply to General questions on serzone, dopamine norepi, posted by idolamine on January 17, 2006, at 22:51:18
P.S. 50mg serzone, 125mg lamictal, 0.15mg clonidine, 0.5-1.0 mg xanax.
Posted by yxibow on January 18, 2006, at 0:34:31
In reply to Re: General questions on serzone, dopamine norepi, posted by idolamine on January 17, 2006, at 22:53:30
> P.S. 50mg serzone, 125mg lamictal, 0.15mg clonidine, 0.5-1.0 mg xanax.
And how much of the prozac ? Something is being left out because there shouldn't be akathisia on those doses of medicine under normal circumstances unless once is also taking an AP ? Perhaps agitation from the clonidine. Also, I assume your doctor has discussed the FDA directive of Serzone and liver disease and is monitoring your ALT functions. Though 50mg is a fairly low dose of Serzone so that may not be necessary.
Posted by idolamine on January 18, 2006, at 8:51:37
In reply to Re: General questions on serzone, dopamine norepi, posted by yxibow on January 18, 2006, at 0:34:31
no akathisia on those dosages of those medicines, but on prozac- yes. 10mg prozac. Much worse at 20mg.
> > P.S. 50mg serzone, 125mg lamictal, 0.15mg clonidine, 0.5-1.0 mg xanax.
>
> And how much of the prozac ? Something is being left out because there shouldn't be akathisia on those doses of medicine under normal circumstances unless once is also taking an AP ? Perhaps agitation from the clonidine. Also, I assume your doctor has discussed the FDA directive of Serzone and liver disease and is monitoring your ALT functions. Though 50mg is a fairly low dose of Serzone so that may not be necessary.
>
>
Posted by Phillipa on January 18, 2006, at 18:15:13
In reply to Re: General questions on serzone, dopamine norepi, posted by idolamine on January 18, 2006, at 8:51:37
I thought serzone had been withdrawn? Fondly, Phillipa
Posted by yxibow on January 18, 2006, at 20:30:29
In reply to Re: General questions on serzone, dopamine norepi, posted by Phillipa on January 18, 2006, at 18:15:13
> I thought serzone had been withdrawn? Fondly, Phillipa
Bristol-Meyers withdrew the patented formulation in 2003.
There appear to be a half dozen generic companies which still market in the US post 2003, from looking at the FDA list.
I believe they are all required to carry a black box warning about liver disease and transplation incidents.
It doesn't appear to be completely discontinued since you can still see it on the list (generic) at Wallgreens.com
Posted by idolamine on January 19, 2006, at 1:19:47
In reply to Re: General questions on serzone, dopamine norepi, posted by Phillipa on January 18, 2006, at 18:15:13
That's affirmative- from everywhere but the US. Mine is supplied from Tevau. I'm adding it to my substantial private collection of psychotropics, as it made me extremely jumpy. James.
> I thought serzone had been withdrawn? Fondly, Phillipa
This is the end of the thread.
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