![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by jonhed on June 29, 2016, at 15:46:13
Now i am so worried about getting rejected treatment with memantine on monday meeting, even as it was her idea.
I always get this and therefore now i'm not going to ask for more medicines.
If i get this i'm going to say "i don't want to change, if you consider changing on no grounds, then i don't want your medicines. I have to have consistency and certainty in my life, everyone does."This is because i don't want to spend 5 more years worrying about medicines, if it works it works, then leave it be for Christ sake!
I'm getting myself worked up, it's always the same thing everytime.
Cross your fingers for me please?
I want an nmda-antagonist, it is the most important decision i've ever made.
This gotta work, i've done so much research on this for over a year.
It's now or never.
I'm going to work extra at my job every day til monday just to keep myself bussy.
I see things in colors and shapes, and the regimen i hopefully have on monday is and octagon with red and glancy surface. And that's perfect.
Posted by SLS on June 30, 2016, at 6:21:50
In reply to The usual psych meeting anxiety., posted by jonhed on June 29, 2016, at 15:46:13
Have you looked at N-acetylcystein (NAC)? It helps to modulate glutamatergic neurotransmission via NMDA antagonism. Also, Lamictal (lamotrigine) reduces glutamate release and seems to block NMDA receptors as well.
I am simply brainstorming based upon some of the things you say. NAC is probably a long-shot. I am just trying to throw things out at you. I am not challenging your diagnosis of DPD. I hope you didn't think I was doing this in my questions regarding symptom or psysiological overlap with BPD. I certainly believe that DPD exists, especially after performing some research as a follow-up to better understand your condition.
- Scott
Posted by SLS on June 30, 2016, at 8:44:06
In reply to The usual psych meeting anxiety., posted by jonhed on June 29, 2016, at 15:46:13
Have you already considered using DBT instead of CBT? I imagine you have.
- Scott
Posted by jonhed on June 30, 2016, at 13:53:26
In reply to Re: The usual psych meeting anxiety. » jonhed, posted by SLS on June 30, 2016, at 8:44:06
Thanks you for reading up on it! I really appreciate it :-)
I think that the reason that people haven't heard of it´, even when it's estimated that 1% have it, and like 20% that goes to the psych ward, is that people with DPD are very scared to talk in public because of the embarrassment it causes if you feel like people don't understand.
I got my script for memantine today :-D (we have free medicines in sweden. that's the only positive thing lol.. no but you know what i mean), so if i need i have a lifetime supply, as i have with every other medicines that i need.
I will start tomorrow.
Lamotrigine was good, but i got anxious because of the side effects. Memantine have VERY little side effects, and i like that.
I love my psychologist so i wouldn't change it, sorry, that's just how i am. And cbt is working, but yes i have consider it.
(Love is not equal to romance, you can love a person to, and i have easy to do that. She's my savior and best friend and the best person i know.)
Posted by jonhed on June 30, 2016, at 13:55:25
In reply to Re: The usual psych meeting anxiety., posted by jonhed on June 30, 2016, at 13:53:26
If NAC was more available to cross BBB, then i had tried it, but no i think it's a long shot as you say.
Can i ask what you are on and for what? :-)
Posted by SLS on June 30, 2016, at 15:42:36
In reply to Re: The usual psych meeting anxiety., posted by jonhed on June 30, 2016, at 13:55:25
> If NAC was more available to cross BBB, then i had tried it, but no i think it's a long shot as you say.
>
> Can i ask what you are on and for what? :-)I have the type of bipolar I disorder (depression) that presents with mania (severe / psychotic) only in association with taking certain antidepressants. Generally speaking, I have been suffering from severe unremitting depression since 1977. I was first diagnosed and treated in 1982. Lots of drugs. Lots of doctors. Lots of research.
Currently:
tranylcypromine (Parnate) 80 mg/day
* nortriptyline (Pamelor) 150 mg/day
lamotrigine (Lamictal) 300 mg/day
lithium (lithium carbonate) 300 mg/day
aripiprazole (Abilify) 10 mg/day
prazosin (Minipress) 30 mg/day* I crossed-over from desipramine to nortriptyline this week in order to compare my responses to them. I had been taking 300 mg/day of desipramine.
Prazosin may have some utility in treating:
"Developmental PTSD"
"Complex PTSD"
"Complex Trauma Disorder"My doctor says that my case is complicated by the chronic childhood traumas that would indicate developmental PTSD. Prazosin has been a critical component of my treatment. It feels like a very clean antidepressant. People with PTSD report sleeping better and without nightmares while taking relatively small dosages of prazosin. However, when dosages are increased, daytime anxiety and depression improve. I take 30 mg/day. The maximum recommended is 40 mg/day.
There is one side effect of prazosin that has emerged that I am very unhappy about. It has lowered my sex-drive substantially. Oh, well. The cost is still worth the benefit.
- Scott
Posted by jonhed on June 30, 2016, at 16:14:06
In reply to Re: The usual psych meeting anxiety. » jonhed, posted by SLS on June 30, 2016, at 15:42:36
I understand that you are very good at medicines from so much experience!
I'm pretty good to if you take in count that i'm just 26.
And i very much like to discuss with you, it's developing in many ways i think for both of us!Okey, so no mania if certain AD's isn't present.
Yeah i've read a lot about prazosin and you can get it pretty easy on license here in sweden as a first line treatment for ocd. I currently have clonidine as needed, but it's just for the hyperarousal, i don't think it has any antidepressant effect at all, closer to the opposite actually.
And i get semi-priapism from it.
Yeah, 30mg of prazosin is high but i know you can take that dose.
The imidazoline(?)-receptor and ligands is interesting indeed.
How are parnate and desipramine/nortryptiline working together? It seems to be very stimulating.
But i'm very interesting in the effects of the high dose-antidepressant effect of prazosin.
Can you tell me how it feels, something to compare maybe or just what receptors do you feel is activated from it?
Cause i assume some would be activated rather than deactivated when higher doses are taken. Or am i wrong?
It has to be more than just a1 a2 receptor-antagonizing effects?
(i don't remember everything i read about it, it was a long time ago, so tell me if i'm out in the blue.)
My ptsd is, as i said before, an attachment trauma from my father who was a very psychopatic person.
But i'm also diagnosed with PTSD, so it's clinical.
Next week i'm going to get a "heavy quilt". They're expensive as F. But (now i'm bragging, sorry) i'm living in sweden, socialist means that most of the things is free or for a small fixed fee.
We have this thing with medicines (ignore if you think it's not interesting) that when you reach 2200kr (180 dollars), you get the rest of the 12 month of medications for free, and the same thing with health care.
Now i'm of topic. But it can be good for everyone to know why i can take so many substances without thinking so much, as it doesn't cost anything.
Where do you live? (you don't have to answer). I have a feeling that it is in the US, but something tells me it's europe anyway.
Posted by jonhed on June 30, 2016, at 16:16:56
In reply to Re: The usual psych meeting anxiety., posted by jonhed on June 30, 2016, at 16:14:06
Heavy quilts/chain quilts/ball quilts are very good for ptsd, adhd, autism, night terrors and so on.
They stimulate the nerve system at night and makes you feel more safe in general i think.I like things that work and not are medicines to. It's needed sometimes.
Posted by Horse on June 30, 2016, at 22:27:46
In reply to Re: The usual psych meeting anxiety., posted by jonhed on June 30, 2016, at 16:16:56
> Heavy quilts/chain quilts/ball quilts are very good for ptsd, adhd, autism, night terrors and so on.
> They stimulate the nerve system at night and makes you feel more safe in general i think.
>
> I like things that work and not are medicines to. It's needed sometimes.Hey, I know what these are, sort of. Update us on how you like it.
And if metamine is at all like NAC, well, NAC made me nauseous. I was instructed to taper up. Good luck :)
Posted by jonhed on July 1, 2016, at 14:46:25
In reply to Re: The usual psych meeting anxiety. » jonhed, posted by Horse on June 30, 2016, at 22:27:46
It's not at all as NAC, and i will update you. took the first 2 hours ago and feel great.
But to soon to say anything yet :-)Yes, i will update you on the quilt to, i really want it as soon as possible!
Posted by jonhed on July 1, 2016, at 17:07:34
In reply to Re: The usual psych meeting anxiety., posted by jonhed on July 1, 2016, at 14:46:25
Most people say that they feel some sort of brain fog and worsening of anxiety the first day of memantine. I must say that i feel crystal clear, i hope that this was the right choice for me, i will see tomorrow after i've slept.
If this feels as good as it does now, tomorrow, then that will prove my thesis that i have overactive glutamate-receptors.
Oh, i really hope this is it!
(I am very cautious if this turns out to some mania or psychosis, i have people near me who are observant that i have told that i'm starting this medicine so i feel safe that nothing is going over board.)
As i said, i will make a little dairy over my experience if someone wants that?
Goodnight my friends.
Posted by jonhed on July 1, 2016, at 17:09:59
In reply to Re: The usual psych meeting anxiety., posted by jonhed on July 1, 2016, at 17:07:34
And as you all know and have certainly gone through sometime, if i feel very bad for some days, i may not write a journal then, but i'll try to do it for other people to learn something, even if it turns out to be a bad experience, which i don't hope.
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.