![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by B2chica on August 11, 2008, at 8:59:13
i know you all said its a patent extender for Effexor XR, but i was wondering if you could tell me the "properties" of this med, since i know its been a while since you updated your website.
i have heard that it's less effective than effexor, and that might be a good thing for me.
when i was on effexor (my first drug administered) i rapid cycled about every other day.
what i'm thinking now is that if pristiq is not as strong i wont get as dramatic effect AND now i'm also on a mood stabilizer and AP(zyprexa), so that may hinder any cycling.
my next option is to try TCA's but i'm concerned about them due to their OD risk. having that temptation, knowing there is a stronger risk is knawing at me already, and its kinda scaring me. so i want to try something else.
nothing thats going to make me uber tired like cymbalta, the zyprexa does that enough.but i was wondering which nuerotransmitters and such were effected.
if you know could you respond?GREATLY APPRECIATED.
b2c.
Posted by oceancat on August 15, 2008, at 2:45:06
In reply to Question to SLS on Pristiq, posted by B2chica on August 11, 2008, at 8:59:13
Hi,
Pristiq affects the same neutrotransmitters as Effexor, serotonin and norepinephrine, and at high doses, dopamine, but its metabolism and formulation is different from and "cleaner" than Effexor's, so theoretically there should be less side effects. I don't think this new formulation would reduce the rapid cycling tendencies, but I do think that being on the mood stabilizer and zyprexa definitely will.oceancat (SLS's friend)
Posted by SLS on August 15, 2008, at 4:16:52
In reply to Re: Question to SLS on Pristiq, posted by oceancat on August 15, 2008, at 2:45:06
> Hi,
> Pristiq affects the same neutrotransmitters as Effexor, serotonin and norepinephrine, and at high doses, dopamine, but its metabolism and formulation is different from and "cleaner" than Effexor's, so theoretically there should be less side effects. I don't think this new formulation would reduce the rapid cycling tendencies, but I do think that being on the mood stabilizer and zyprexa definitely will.
>
> oceancat (SLS's friend)
I agree with Oceancat. If weight gain becomes an issue, you could, at that point, try switching over to Abilify or Geodon. However, I do think it is a good idea to start with Zyprexa and establish some mood stabilization first. Otherwise, you won't have anything to use as a comparison as you try other drugs.For rapid cycling Bipolar I, a combination of lithium and Lamictal helps. For rapid cycling Bipolar II, Depokote can be helpful. There is a trend towards using Lamictal to treat rapid cyclicity. However, if you end up needing Depakote, you must reduce your dosage of Lamictal by 50%. Depokote will slow down the elimination of Lamictal. 100mg is probably a good number to shoot for.
* Oceancat: Are you sure you want to admit being friends with me? It's not much of a club. Besides, I would never want to join a club that would have me as a member.
Be well!
- Scott
Posted by B2chica on August 15, 2008, at 8:06:01
In reply to Re: Question to SLS on Pristiq, posted by SLS on August 15, 2008, at 4:16:52
thanks for both your responses.
i dont' normally rapid cycle, it seems only on certain meds ESPECIALLY on effexor. but i'm sick of meds making me so f-ing tired all the time and i thought someone mentioned that pristiq wont make you tired but is more energizing.its between pristiq and celexa.
i think now its a matter of what my pdoc may carry in samples. although i heard celexa is uber cheap (generic).anyway,
Scott, i'd say it's quite the club.thanks.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
[email protected]
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.