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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 tensor on July 29, 2022, at 6:48:48
I tried bupropion about 15 years ago and I remember it having a positive effect within an hour, like I literally started a new hobby project and did it for hours. The medication lost its effect within 1 or 2 weeks and iirc I stopped it not long after.
Not sure how I will respond to it today though, but I just talked to my doc and I now have a prescription for 150mg xr. You guys have any ideas around this? PRN or should I just take it daily? Didn't lift the PRN idea with my doc because I know he wouldn't approve.
Other major meds: fluoxetine 40mg, mirtazapine 7.5mg, nortrip 25mg (now pausing), clonazepam 2mg and seroquel 50-100mg for sleep.
/tensor
Posted by Christ_empowered on July 29, 2022, at 8:06:32
In reply to Wellbutrin/bupropion as needed, posted by tensor on July 29, 2022, at 6:48:48
hi. if I recall correctly, wellbutrin is closely related to Tenuate, one of milder (read: less potentially addictive, supposedly less crazy making) diet pills. Tenuate enjoyed some popularity, back when diet pills were (somewhat) socially acceptable.
Perhaps ask your doctor about Tenuate? I read somewhere (I read a lot...full of fun information, lol) that some shrinks prescribe it (or did, anyway) for the lethargic, over eating depressives. My best guess? Tenuate is Schedule IV, so its probably quicker and easier, not to mention I hope reduced liability issues...
to prescribe a relatively mild, Schedule IV upper for depressives vs the Schedule II pills which are now "medication for ADD/ADHD," blah blah blah.
Just a random thought. Not that taking as needed isn't an option -- it is your body, after all -- just that uppers were, once upon a time, used PRN in various forms of melancholy and straight up depression. Plus, I don't think Tenuate carries the same seizure risks and I don't think there are as many drug-drug interactions.
Other than that...
the obvious possibility of a more standard (but still "off label") upper for depression stands out. Ritalin, Focalin were (are?) usually more popular in mood disorders than the amphetamines. Provigil is used sometimes, too, but...drug-drug interactions, exorbitant costs, insurance coverage can be a huge issue.
Not to go all hippy on you, but mega-vitamin treatment has helped me. The protocols for "the Schizophrenias" (note the plural) are very similar to the line ups for bipolar I and II...and the ones for depression...stress...cancer...on and on.
I didn't get the best results until I actually followed directions (imagine that...). I was taking time release B complex tablets, also time release C for too long, that kind of thing. and now...
its straightforward, but requires 3-4 doses per day. each time I eat a snack or meal with sufficient..density (especially important for b-complex; the nausea one experiences with a b-100 without sufficient food to buffer it is...wow...not fun, at all...), I take:
1-2 b-100 capsules; 2-3 grams vitamin C; 1 gram niacinamide (my personal favorite version of B3).
I have other supplements (nothing fancy) in the mix, but...that's the core of the mood-improving and anxiety-reducing and concentration-enhancing protocol. I take my mega-vitamins with standard treatment, to good effect. just a thought :-)
ok. other than that...would your insurance cover the emsam patches? they seem to still be ridiculou$ly over priced, but...energizing, some antioxidant effects, etc. again: random thought.
Posted by tensor on July 29, 2022, at 9:09:12
In reply to Re: Wellbutrin/bupropion as needed, posted by Christ_empowered on July 29, 2022, at 8:06:32
> hi. if I recall correctly, wellbutrin is closely related to Tenuate, one of milder (read: less potentially addictive, supposedly less crazy making) diet pills. Tenuate enjoyed some popularity, back when diet pills were (somewhat) socially acceptable.
>
> Perhaps ask your doctor about Tenuate? I read somewhere (I read a lot...full of fun information, lol) that some shrinks prescribe it (or did, anyway) for the lethargic, over eating depressives. My best guess? Tenuate is Schedule IV, so its probably quicker and easier, not to mention I hope reduced liability issues...
>
> to prescribe a relatively mild, Schedule IV upper for depressives vs the Schedule II pills which are now "medication for ADD/ADHD," blah blah blah.
>
> Just a random thought. Not that taking as needed isn't an option -- it is your body, after all -- just that uppers were, once upon a time, used PRN in various forms of melancholy and straight up depression. Plus, I don't think Tenuate carries the same seizure risks and I don't think there are as many drug-drug interactions.
>
> Other than that...
>
> the obvious possibility of a more standard (but still "off label") upper for depression stands out. Ritalin, Focalin were (are?) usually more popular in mood disorders than the amphetamines. Provigil is used sometimes, too, but...drug-drug interactions, exorbitant costs, insurance coverage can be a huge issue.
>
> Not to go all hippy on you, but mega-vitamin treatment has helped me. The protocols for "the Schizophrenias" (note the plural) are very similar to the line ups for bipolar I and II...and the ones for depression...stress...cancer...on and on.
>
> I didn't get the best results until I actually followed directions (imagine that...). I was taking time release B complex tablets, also time release C for too long, that kind of thing. and now...
>
> its straightforward, but requires 3-4 doses per day. each time I eat a snack or meal with sufficient..density (especially important for b-complex; the nausea one experiences with a b-100 without sufficient food to buffer it is...wow...not fun, at all...), I take:
>
> 1-2 b-100 capsules; 2-3 grams vitamin C; 1 gram niacinamide (my personal favorite version of B3).
>
> I have other supplements (nothing fancy) in the mix, but...that's the core of the mood-improving and anxiety-reducing and concentration-enhancing protocol. I take my mega-vitamins with standard treatment, to good effect. just a thought :-)
>
> ok. other than that...would your insurance cover the emsam patches? they seem to still be ridiculou$ly over priced, but...energizing, some antioxidant effects, etc. again: random thought.
>
>There's no way of getting hold of Tenuate here in Finland.
I have tried Concerta but only elevated heart rate slightly, modafinil worked great for a year and never again. I do take supps like the "brain" vitamins like the B complex and fish oil with D3 and so on.
I'm gonna wait till tomorrow morning to take my first 150mg xr pill of bupropion, it's quite possible it won't have that mood and energy boost it once had, but it's worth a try.
Don't want to try Emsam, I took Parnate years ago and the efficacy starts to decrease rather quickly on every dose increase.
Posted by undopaminergic on July 29, 2022, at 12:54:53
In reply to Re: Wellbutrin/bupropion as needed » Christ_empowered, posted by tensor on July 29, 2022, at 9:09:12
>
> There's no way of getting hold of Tenuate here in Finland.
...
> Don't want to try Emsam, I took Parnate years ago and the efficacy starts to decrease rather quickly on every dose increase.
>I thought Parnate (tranylcypromine) wasn't available in the Nordic countries?
-undopaminergic
Posted by tensor on July 29, 2022, at 13:03:17
In reply to Re: Wellbutrin/bupropion as needed, posted by undopaminergic on July 29, 2022, at 12:54:53
> I thought Parnate (tranylcypromine) wasn't available in the Nordic countries?
>
> -undopaminergic
>Your doc needs to apply for a license to import it, when and if approved, the pharmacy will handle the import.
Posted by undopaminergic on July 30, 2022, at 10:25:49
In reply to Re: Wellbutrin/bupropion as needed » undopaminergic, posted by tensor on July 29, 2022, at 13:03:17
>
> > I thought Parnate (tranylcypromine) wasn't available in the Nordic countries?
> >
> > -undopaminergic
> >
>
> Your doc needs to apply for a license to import it, when and if approved, the pharmacy will handle the import.
>What did that cost you? Did you get any reimbursement from the state like you do for many regular medications?
-undopaminergic
Posted by tensor on July 30, 2022, at 10:32:39
In reply to Re: Wellbutrin/bupropion as needed, posted by undopaminergic on July 30, 2022, at 10:25:49
> What did that cost you? Did you get any reimbursement from the state like you do for many regular medications?
>
> -undopaminergic
>It was really expensive since there's no reimbursement for these medications, fortunately I have a private health insurance that cover all costs, otherwise it wouldn't be economically possible for me.
This is the end of the thread.
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