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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by cybercafe on February 12, 2003, at 20:12:52
just wondering ... this stimulant rebound depression is killing me!
Posted by jumpy on February 12, 2003, at 20:20:00
In reply to what is the best antipsychotic for depression?, posted by cybercafe on February 12, 2003, at 20:12:52
none ... most increase depression/apathy/sedation
J
Posted by cybercafe on February 12, 2003, at 20:23:40
In reply to Re: what is the best antipsychotic for depression? » cybercafe, posted by jumpy on February 12, 2003, at 20:20:00
> none ... most increase depression/apathy/sedation
>
> Jhmmm... i heard geodon was stimulating
Posted by SLS on February 12, 2003, at 23:29:23
In reply to Re: what is the best antipsychotic for depression?, posted by cybercafe on February 12, 2003, at 20:23:40
It is not such a new idea that neuroleptic antipsychotics can produce antidepressant effects in some people - even the older ones like Stelazine and Moban. For me, Risperdal, Zyprexa, and Geodon all demonstrated mild to moderate (although transient) antidepressant properties. As such, I found myself having increased mental energy, even during the periods of sedation and somnolence that occurred early in treatment. By the end of the first week, I was without these two side-effects, and just enjoyed the energizing effect that the improvement in depression afforded me. So, I guess I would avoid generalizing neuroleptic antipsychotics as sedating and depressogenic.
Yes, Geodon can be activating. It can also produce insomnia. However, neither of these are necessarily indicators of antidepressant effect.
Some people have used S-AMe successfully as a "bridge" between antidepressants or stimulants. I think it's worth a shot at relieving you of stimulant-withdrawal rebound-depression. This idea is probably whacked-out, but I wonder if amantadine (Symmetrel) might not mitigate the depression. Although it might not affect dopaminergic neurons directly, it does increase dopaminergic activity in certain areas of the brain secondary to its inhibition of NMDA receptors. Just a thought...
Let us know what you come up with!
- Scott
Posted by Jack Smith on February 13, 2003, at 12:11:22
In reply to Re: what is the best antipsychotic for depression?, posted by SLS on February 12, 2003, at 23:29:23
cybercafe,
Since you found Parnate such an effective AD, why don't you just go back to it. Isn't a little ADD worth being free from depression and anxiety? Just a question, not meant to be condescending.
Jack
Posted by Jack Smith on February 13, 2003, at 13:11:25
In reply to Question » SLS, posted by Jack Smith on February 13, 2003, at 12:11:22
This was meant for cybercafe, not SLS. Sorry.
> cybercafe,
>
> Since you found Parnate such an effective AD, why don't you just go back to it. Isn't a little ADD worth being free from depression and anxiety? Just a question, not meant to be condescending.
>
> Jack
Posted by cybercafe on February 14, 2003, at 1:12:32
In reply to Question » SLS, posted by Jack Smith on February 13, 2003, at 12:11:22
> cybercafe,
>
> Since you found Parnate such an effective AD, why don't you just go back to it. Isn't a little ADD worth being free from depression and anxiety? Just a question, not meant to be condescending.
>
> Jackyes i was much happier on parnate... but i can't hold down a job, live a normal life, without addressing my ADD
This is the end of the thread.
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