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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by porkpiehat on March 7, 2011, at 10:29:12
Hey all:
I am stuck in a rut both with my medication and my doctor, so I'm hoping to get some suggestions here...
6 months ago I increased my celexa from 20 to 25 mgs. I was having significant problems with concentration and social anxiety. It worked well, but I found as a side effect I became very indulgent.
I could not make myself do anything that wasn't immediately gratifying. I was constantly late for work because I couldn't get out of bed. I wasn't tired, there just wasn't any urgency to get up. After work I would most likely meet friends at the bar even though I had stuff to do at home. The same goes for indulgent foods.
Even dropping back to 22.5 mgs (about two weeks ago) helped this. There's less drive to drink overindulge and more drive to complete the mundane things we all need to do.
But of course my concentration is slipping, I'm fearful and flatfooted around people, forgetful, etc.
It seems to me that there would be some other way of looking at this instead of always having to make this choice.
I am very sensitive to meds (a result of early trauma says pdoc) and the slightest changes make huge differences for me. I also take 5mgs of buspar at night and 100 mgs lamictal bid.
Can someone help me (and my doctor) think outside of the box?
Cheers and thanks
Posted by Lou Pilder on March 7, 2011, at 17:44:21
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
> Hey all:
>
> I am stuck in a rut both with my medication and my doctor, so I'm hoping to get some suggestions here...
>
> 6 months ago I increased my celexa from 20 to 25 mgs. I was having significant problems with concentration and social anxiety. It worked well, but I found as a side effect I became very indulgent.
>
> I could not make myself do anything that wasn't immediately gratifying. I was constantly late for work because I couldn't get out of bed. I wasn't tired, there just wasn't any urgency to get up. After work I would most likely meet friends at the bar even though I had stuff to do at home. The same goes for indulgent foods.
>
> Even dropping back to 22.5 mgs (about two weeks ago) helped this. There's less drive to drink overindulge and more drive to complete the mundane things we all need to do.
>
> But of course my concentration is slipping, I'm fearful and flatfooted around people, forgetful, etc.
>
> It seems to me that there would be some other way of looking at this instead of always having to make this choice.
>
> I am very sensitive to meds (a result of early trauma says pdoc) and the slightest changes make huge differences for me. I also take 5mgs of buspar at night and 100 mgs lamictal bid.
>
> Can someone help me (and my doctor) think outside of the box?
>
> Cheers and thankspph,
You wrote,[...hoping to get..suggestions...increased my Celexa...became very indulgent...meet friends at the bar...less drive to drink...having to make this choice...take buspar and lamictal...can someone help me..?].
I am unsure as to if or if not all the drugs
Posted by porkpiehat on March 7, 2011, at 19:40:08
In reply to Lou's response- » porkpiehat, posted by Lou Pilder on March 7, 2011, at 17:44:21
I'm not sure what you're asking Lou...There was no change in the other medications I was taking...just the Celexa/
Posted by Lou Pilder on March 7, 2011, at 20:08:59
In reply to Re: Lou's response- » Lou Pilder, posted by porkpiehat on March 7, 2011, at 19:40:08
> I'm not sure what you're asking Lou...There was no change in the other medications I was taking...just the Celexa/
pph,
I was forming the post and got called away and did not complete it.
To go on, in looking at the drugs that you take, I see a danger in combining CNS depressants and the SRI and others.
My concern here is that there is in the liturature the potential for one to have a mind-alterd state induced by the drugs to have the one taking them to want to kill themselves and/or others. I am wondering if these drugs are prescribed to you:
A. did the prescriber alert to you of this potential?
B. does the prescriber know of the drinking?
C. have you ever had {inner restlessness}?
Lou
Posted by Lou Pilder on March 8, 2011, at 5:37:32
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
> Hey all:
>
> I am stuck in a rut both with my medication and my doctor, so I'm hoping to get some suggestions here...
>
> 6 months ago I increased my celexa from 20 to 25 mgs. I was having significant problems with concentration and social anxiety. It worked well, but I found as a side effect I became very indulgent.
>
> I could not make myself do anything that wasn't immediately gratifying. I was constantly late for work because I couldn't get out of bed. I wasn't tired, there just wasn't any urgency to get up. After work I would most likely meet friends at the bar even though I had stuff to do at home. The same goes for indulgent foods.
>
> Even dropping back to 22.5 mgs (about two weeks ago) helped this. There's less drive to drink overindulge and more drive to complete the mundane things we all need to do.
>
> But of course my concentration is slipping, I'm fearful and flatfooted around people, forgetful, etc.
>
> It seems to me that there would be some other way of looking at this instead of always having to make this choice.
>
> I am very sensitive to meds (a result of early trauma says pdoc) and the slightest changes make huge differences for me. I also take 5mgs of buspar at night and 100 mgs lamictal bid.
>
> Can someone help me (and my doctor) think outside of the box?
>
> Cheers and thankspph,
You wrote,[...can someone help me...?].
There is a growing amount of evidence that psychotropic drugs can induce a mind-alterd state in the one taking the drug(s) to compel them to want to kill themselves and/or others.
Then there is also evidence that if hate toward groups of people is planted in the minds of those that are taking these drugs, that they could target a member of that group. The hate is planted in the minds of people by propaganda demeaning the people in the group, to be allowed to be fosterd in a group. The historical record shows the tactics used to foster such hate including state-sponsored hate which is when the leaders of the state, or community, allow hate-based propaganda to be considerd to be OK by them, or allow members of the communty to defame a group in the community.
When one's mind is under the influence of a psychotropic drug, or drugs, the following video could offer an explanation as to how the drug could cause the taker of the drug to want to kill themselves and/or others. I think that watching the video could have the potential to save your life and/or other's lives.
Lou
to see this video,
A.pull up Google
B. type in,
[youtube, can antidepressants cause violence?]
There wil be many and the one that I would like for you to see is by Dr. Moria Dolan and her picture is usually the first video in the series presented. There are others that could also offer life-saving information. Also, could you and your prescriber watch the video together?
Posted by maya4 on March 8, 2011, at 8:24:23
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
Hi,
Have you tried other SSRIs?
Perhaps you can try to add a very small amount of another SSRI or some other kind of antidepressant, or maybe slightly increase the dosage of the buspar or lamictal.
It's funny, I am also very sensitive to meds and take 25 mg celexa. Tiny changes have significant effects on me but pdocs seem to think that isn't possible.
How did your pdoc explain the connection between early trauma and sensitivity to meds?
Take care,
Maya
Posted by Lou Pilder on March 8, 2011, at 17:04:49
In reply to Re: choosing between self control and anxiety/concentr » porkpiehat, posted by maya4 on March 8, 2011, at 8:24:23
> Hi,
>
> Have you tried other SSRIs?
>
> Perhaps you can try to add a very small amount of another SSRI or some other kind of antidepressant, or maybe slightly increase the dosage of the buspar or lamictal.
>
> It's funny, I am also very sensitive to meds and take 25 mg celexa. Tiny changes have significant effects on me but pdocs seem to think that isn't possible.
>
> How did your pdoc explain the connection between early trauma and sensitivity to meds?
>
> Take care,
> MayaMaya,
You wrote,[...add..another SSRI or some other kind of antidepressant...increase buspar..lamictal...pdocs..think that isn't possible...].
I am unsure as to the following. If you could post answers here to my concerns, then I could have the opportunity to respond ccordingly.
A. Are you aware that combinning SRIs could cause death?
B. If so, what could be your rationale for posting here to the member to add another SRI?
C. Are you aware of the potential consequences to someone taking Lamictal? If so, what could be your rationale for the advice to increase the member's dosage of it?
D. Could you do a drug interaction assessment with the drugs listed by the member to see what the consequences could be if they add your suggested SRI or other antidepressant or increase Lamictal and then post here any contraindications of any combination of the drugs listed along with adding another SRI?
Lou
Posted by Lou Pilder on March 8, 2011, at 17:37:00
In reply to Lou's request-kmuntyovdhth » maya4, posted by Lou Pilder on March 8, 2011, at 17:04:49
> > Hi,
> >
> > Have you tried other SSRIs?
> >
> > Perhaps you can try to add a very small amount of another SSRI or some other kind of antidepressant, or maybe slightly increase the dosage of the buspar or lamictal.
> >
> > It's funny, I am also very sensitive to meds and take 25 mg celexa. Tiny changes have significant effects on me but pdocs seem to think that isn't possible.
> >
> > How did your pdoc explain the connection between early trauma and sensitivity to meds?
> >
> > Take care,
> > Maya
>
> Maya,
> You wrote,[...add..another SSRI or some other kind of antidepressant...increase buspar..lamictal...pdocs..think that isn't possible...].
> I am unsure as to the following. If you could post answers here to my concerns, then I could have the opportunity to respond ccordingly.
> A. Are you aware that combinning SRIs could cause death?
> B. If so, what could be your rationale for posting here to the member to add another SRI?
> C. Are you aware of the potential consequences to someone taking Lamictal? If so, what could be your rationale for the advice to increase the member's dosage of it?
> D. Could you do a drug interaction assessment with the drugs listed by the member to see what the consequences could be if they add your suggested SRI or other antidepressant or increase Lamictal and then post here any contraindications of any combination of the drugs listed along with adding another SRI?
> LouFriends,
If you are considering being a discussant in this thread or parallel threads, I am requesting that you view the follwing video. If you could, I think that there is the potential for the facts depicted in the video to save lives.
Lou
To see this video;
A. Pull up Google
B. Type in;
[youtube, every month drugs 911]
You will see a picture of a woman and tthe posting is 11 min on Feb 9, 2009
Posted by maya4 on March 9, 2011, at 7:35:00
In reply to Lou's request-kmuntyovdhth » maya4, posted by Lou Pilder on March 8, 2011, at 17:04:49
You wrote,[...add..another SSRI or some other kind of antidepressant...increase buspar..lamictal...pdocs..think that isn't possible...].
> I am unsure as to the following. If you could post answers here to my concerns, then I could have the opportunity to respond ccordingly> A. Are you aware that combinning SRIs could cause death?
No. I didn't know that adding a symbolic amount of a drug from the same family was dangerous and I apologize to porkpiehat if that is indeed the case. He/she would have not, however, been in any danger due to the mere suggestion, since antidepressants are not items one can pick up at the supermarket.
> B. If so, what could be your rationale for posting here to the member to add another SRI?
B. The suggestion to porkpiehat was to consult with his/her pdoc as to whether adding a small amount of another med might help. My assumption was that the pdoc is aware of dangerous combinations and would not prescribe anything that can cause harm in general or to a specific individual about whose medical history he is aware.
> C. Are you aware of the potential consequences to someone taking Lamictal? If so, what could be your rationale for the advice to increase the member's dosage of it?
I am aware of the fact that all drugs have side effects but assumed that the pdoc would be able to determine whether a tiny addition might help porkpiehat.
> D. Could you do a drug interaction assessment with the drugs listed by the member to see what the consequences could be if they add your suggested SRI or other antidepressant or increase Lamictal and then post here any contraindications of any combination of the drugs listed along with adding another SRI?
I lack the knowledge necessary to do such an assessment but am aware of the fact that pdocs are well trained in this field.
> Lou
Posted by Bob on March 12, 2011, at 16:48:19
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
Hey porkpiehat:
Your dilemma resonates quite strongly with me. Over my many year struggle I have basically been forced to make similar choices. I have serious problems without medication with depression, and crippling anxiety.
On meds I have dealt with apathy and indifference (not being able to get up in the morning) as well as the indulgent impulses you mention such as the food. Off of meds I get very sick very quickly and end up even more dysfunctional. Quite a choice.
Bob
Posted by Zyprexa on March 13, 2011, at 4:00:38
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
I think you should try a different AD. I took celexa for a while and yes I ate more and was probably more indulgent. I didn't find that it did anything for anxiety. Zoloft worked better for that, which I'm taking now. The indulgence might go away after a while with the 25mg dose of celexa. I found that I had to keep increasing the dose of celexa. I went as high as 80mg, but found 60mg worked well for some time. After a number of years taking celexa I found it seemed to do nothing. So I stoped it and went on 150mg zoloft, which is the dose I've been taking for a while not. I didn't miss the celexa at all. Which is weird because it worked so well for my depression in the beginning.
Posted by Porkpiehat on March 13, 2011, at 12:29:11
In reply to Re: choosing between self control and anxiety/concentr » porkpiehat, posted by Bob on March 12, 2011, at 16:48:19
I started on Prozac and I consider zoloft to be in that first class. It was more numbing than celexa.
I guess what I'm down to is the following question: is there something outside of SSRI dosing that will address the concentration and anxiety? My pdoc isn't big on the idea of a benzo or amphetamines (I do like my drink on occassion). But I will say I feel closest to "normal" the day after drinking when my frontal lobe is under control and I have a cup of coffee.
Posted by Elanor Roosevelt on March 23, 2011, at 21:29:19
In reply to choosing between self control and anxiety/concentr, posted by porkpiehat on March 7, 2011, at 10:29:12
I found that when I took Buspar that as my stress decreased the Buspar made me lackadaisical to the extent that it took me a while to notice
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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