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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by ccass on July 28, 2001, at 13:41:17
Hi
I am just wondering what ads are of the stimulating type, I think that is the type I need to get my self motivated instead of sleepying all the time. I am on 20mg of Celexa, which helps with the depression somewhat but makes me tired and I just feel that I need a little bit more of something, I got even more tired when we uped the dose to 40mgs. Also I tried Wellbutrin 150 with the celexa but got the crazy itching side effect (weirdest thing ever to experience!) So now my psychiatrist is going to suggest something else but I want something that will give me some get up and go plus not let me gain any weight or better yet lose weight, I gained 50+ lbs with the celexa.
Any suggestions would be greatly appreciated
thanks
Cassandra
Posted by SalArmy4me on July 28, 2001, at 13:49:06
In reply to antidepressant stimulants, posted by ccass on July 28, 2001, at 13:41:17
Maybe venlafaxine, selegiline, or tranylcypromine. I found documented evidence of venlafaxine being not that bad as far as weight gain, and some people find it stimulating:
Journal of Clinical Pharmacology Volume 21(2) April 2001 pp 185-189. Sustained Response to Open-Label Venlafaxine in Drug-Resistant Major Depression." Schweitzer, Isaac MB BS, MD:
"...In only 32 patients (12%), study events resulted in cessation of venlafaxine... The most common study events were somnolence (21%), headache (18%), insomnia (16%), sweating (16%), constipation (14%), dry mouth (11%), nausea (10%), and dizziness (10%). There were no statistically significant changes in mean systolic or diastolic blood pressure or pulse during the extension phase. However, a slight but significant decrease (1.4 kg in weight) was noted in weight at month 4 (p = 0.007)..."
Posted by sl on July 28, 2001, at 20:42:40
In reply to Re: antidepressant stimulants » ccass, posted by SalArmy4me on July 28, 2001, at 13:49:06
> Maybe venlafaxine, selegiline, or tranylcypromine. I found documented evidence of venlafaxine being not that bad as far as weight gain, and some people find it stimulating:
Yes, and venlafaxine certainly reduced MY appetite. Just make sure you try it at larger doses, it affects different neurotransmitters at higher doses.
sl
Posted by jojo on July 28, 2001, at 22:49:00
In reply to antidepressant stimulants, posted by ccass on July 28, 2001, at 13:41:17
> Hi
>
> I am just wondering what ads are of the stimulating type, I think that is the type I need to get my self motivated instead of sleepying all the time. I am on 20mg of Celexa, which helps with the depression somewhat but makes me tired and I just feel that I need a little bit more of something, I got even more tired when we uped the dose to 40mgs. Also I tried Wellbutrin 150 with the celexa but got the crazy itching side effect (weirdest thing ever to experience!) So now my psychiatrist is going to suggest something else but I want something that will give me some get up and go plus not let me gain any weight or better yet lose weight, I gained 50+ lbs with the celexa.
>
> Any suggestions would be greatly appreciated
> thanks
> CassandraGarison Keilor highly recommends "Powder Milk Biscuits", but adding a stimulant
(Listed in order of ease of obtaining, not necessarily in order of efficacy) such as
Ritalin, Adderall, Dexedrine spansules, Dexedrine tablets, might "give you the
strength to get up and do the things that need to be
done", and limit your weight.
jojo
Posted by JohnL on July 31, 2001, at 4:19:18
In reply to antidepressant stimulants, posted by ccass on July 28, 2001, at 13:41:17
> Hi
>
> I am just wondering what ads are of the stimulating type, I think that is the type I need to get my self motivated instead of sleepying all the time. I am on 20mg of Celexa, which helps with the depression somewhat but makes me tired and I just feel that I need a little bit more of something, I got even more tired when we uped the dose to 40mgs. Also I tried Wellbutrin 150 with the celexa but got the crazy itching side effect (weirdest thing ever to experience!) So now my psychiatrist is going to suggest something else but I want something that will give me some get up and go plus not let me gain any weight or better yet lose weight, I gained 50+ lbs with the celexa.
>
> Any suggestions would be greatly appreciated
> thanks
> CassandraProzac. After all these years, none of the copycat SSRIs offer anything better than the original Prozac. Prozac is generally stimulating. If it is too stimulating, or not completely effective, or causes insomnia, then Zyprexa in my opinion is the gold standard drug to combine with it.
John
Posted by Else on July 31, 2001, at 6:52:37
In reply to Re: antidepressant stimulants, posted by JohnL on July 31, 2001, at 4:19:18
Excuse me but you're repeating yourself. You use the expression gold standard very often. That might sound paranoid but do you work for Eli Lilly or something?
> > Hi
> >
> > I am just wondering what ads are of the stimulating type, I think that is the type I need to get my self motivated instead of sleepying all the time. I am on 20mg of Celexa, which helps with the depression somewhat but makes me tired and I just feel that I need a little bit more of something, I got even more tired when we uped the dose to 40mgs. Also I tried Wellbutrin 150 with the celexa but got the crazy itching side effect (weirdest thing ever to experience!) So now my psychiatrist is going to suggest something else but I want something that will give me some get up and go plus not let me gain any weight or better yet lose weight, I gained 50+ lbs with the celexa.
> >
> > Any suggestions would be greatly appreciated
> > thanks
> > Cassandra
>
> Prozac. After all these years, none of the copycat SSRIs offer anything better than the original Prozac. Prozac is generally stimulating. If it is too stimulating, or not completely effective, or causes insomnia, then Zyprexa in my opinion is the gold standard drug to combine with it.
> John
Posted by paxvox on July 31, 2001, at 10:20:58
In reply to Re: antidepressant stimulants » JohnL, posted by Else on July 31, 2001, at 6:52:37
Hate to sound the contrite here, but I personally disagree that Zyprexa is the "gold standard" for anything unless one is bipolar. Prozac may well have been the first SSRI on the market, but it has been supplanted by the second and third generation meds. It worked well for a while, and God knows it was exponentially better for me than the tricyclics, but it pooped out after a few years. Increasing dosing only resulted in sexual disfunction. There is a med called Provigil that is a stimulating AD, but I don't think docs like using it as it shares qualities associated with amphetameines (hey, but they have no trouble srtinging kids out on Ritalin and Adderal!!!). Wellbutrin does work,but if the side effects were that troubling ,I guess it doesn't work for YOU. You could give it another shot at 100mg SR x 2.
Posted by JohnL on July 31, 2001, at 18:08:06
In reply to Re: antidepressant stimulants » JohnL, posted by Else on July 31, 2001, at 6:52:37
> Excuse me but you're repeating yourself. You use the expression gold standard very often. That might sound paranoid but do you work for Eli Lilly or something?
You're right, I do repeat a lot. But I only stick to repeating the things that have worked well for a lot of people. That's all. I narrow the universe down to the best odds for success. No guarantees of course, but good odds. Repetition is not such a bad thing, because not everyone looks at every post. And there are new people coming and going all the time. I wish I did work for Eli Lilly, I would probably make more money than my current job. :-)
>
>
> > > Hi
> > >
> > > I am just wondering what ads are of the stimulating type, I think that is the type I need to get my self motivated instead of sleepying all the time. I am on 20mg of Celexa, which helps with the depression somewhat but makes me tired and I just feel that I need a little bit more of something, I got even more tired when we uped the dose to 40mgs. Also I tried Wellbutrin 150 with the celexa but got the crazy itching side effect (weirdest thing ever to experience!) So now my psychiatrist is going to suggest something else but I want something that will give me some get up and go plus not let me gain any weight or better yet lose weight, I gained 50+ lbs with the celexa.
> > >
> > > Any suggestions would be greatly appreciated
> > > thanks
> > > Cassandra
> >
> > Prozac. After all these years, none of the copycat SSRIs offer anything better than the original Prozac. Prozac is generally stimulating. If it is too stimulating, or not completely effective, or causes insomnia, then Zyprexa in my opinion is the gold standard drug to combine with it.
> > John
Posted by Bill L on August 1, 2001, at 9:53:49
In reply to Re: antidepressant stimulants Else, posted by JohnL on July 31, 2001, at 18:08:06
I've never heard before that Prozac is a gold standard. It is more activating than Celexa but it makes some people too anxious or jittery.
When I took Prozac, it worked well for 10 months but then became less effective. I didn't want to increase the dose because I had sexual dysfunction, sleeping problems and jitteriness and was afraid that these side effects would increase with an increased dosage.
I have now been on 20 mg Celexa (along with a low dose of SAM-e) for almost 2 years and it works better for me with less side effects.
Although it's true that Prozac works very well for a lot of people, I think that it's an exaggeration to call it the "gold standard".
This is the end of the thread.
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