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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 Edgefield on February 16, 2004, at 22:02:18
I've never taking this ad, but I'm looking for options to replace Wellbutrin.
I need any info. you are willing to share.
Thanks!
Edgefield
Posted by Flipsactown on February 16, 2004, at 23:54:44
In reply to Anyone Please with Desipramine?, posted by Edgefield on February 16, 2004, at 22:02:18
I have taken both of the medications. Desipramine worked excellently to enhance the Prozac I was also taking. I did gain weight with desipramine and is the reason for stopping after 2 years. Desipramine also made me sleepy and made me sweat a lot as my body felt hot all the time.
Flipsactown
> I've never taking this ad, but I'm looking for options to replace Wellbutrin.
>
> I need any info. you are willing to share.
>
> Thanks!
>
> Edgefield
Posted by Chairman_MAO on February 17, 2004, at 10:31:35
In reply to Anyone Please with Desipramine?, posted by Edgefield on February 16, 2004, at 22:02:18
Replace Wellbutrin with a stimulant! If you cannot get that, I recommend trying Strattera first, as it doesn't have the cardiac+anticholinergic effects that desipramine does. If you cannot afford it or cannot tolerate it, desipramine will get the job done; it's a great drug if you can tolerate the side effects.
The other option is Parnate, if you and your doctor want to make that commitment. MAOIs elevate mood like no other "antidepressants" (that is in quotes because stimulants and opioids are fine antidepressants) do. If I had a doctor willing to prescribe it, I would take Parnate (or Nardil if Parnate was too stimulating) in a heartbeat.
Posted by Edgefield on February 17, 2004, at 13:59:37
In reply to Re: Anyone Please with Desipramine? » Edgefield, posted by Chairman_MAO on February 17, 2004, at 10:31:35
Thanks for the information. I don't know for sure, but I don't think my doctor will prescribe Parnate or Nardil at this time.
Could you please explain to me which ADs are classified as stimulants? The reason I'm asking is because all of pdocs said that Wellbutrin was too stimulating for someone like myself with panic disorder. They all told me that it would make my symptoms worst. Well... Wellbutrin makes me sleepy. I take it around noon everyday, and then take a nap within the hour. I can not honestly say that it didn't make me anxious when I first began, because I was sooooo jittery and having multiple daily panic attacks that I really couldn't tell what was existing symptoms and what might have been the results of the Wellbutrin.
After dismissing my two previous pdocs I was able to convince my third pdoc to allow me to try Wellbutrin at a very low dose. It has been a God send. I think my pdoc is still amazed at how well I've done on Wellbutrin an especially the fact that it make me sleepy.
Thanks for your time!
Edgefield
> Replace Wellbutrin with a stimulant! If you cannot get that, I recommend trying Strattera first, as it doesn't have the cardiac+anticholinergic effects that desipramine does. If you cannot afford it or cannot tolerate it, desipramine will get the job done; it's a great drug if you can tolerate the side effects.
>
> The other option is Parnate, if you and your doctor want to make that commitment. MAOIs elevate mood like no other "antidepressants" (that is in quotes because stimulants and opioids are fine antidepressants) do. If I had a doctor willing to prescribe it, I would take Parnate (or Nardil if Parnate was too stimulating) in a heartbeat.
Posted by Edgefield on February 17, 2004, at 14:05:03
In reply to Re: Anyone Please with Desipramine? » Edgefield, posted by Flipsactown on February 16, 2004, at 23:54:44
Thanks for answering. Does desipramine always cause weight gain or can it also cause weight loss? I know that Wellbutrin can go either way. Wellbutrin curbs my appetite, but I haven't noticed any significant weight loss because I'm taking this med.
What is this cardic issue that some mentioned in regards to taking desipramine???
Edgefield
> I have taken both of the medications. Desipramine worked excellently to enhance the Prozac I was also taking. I did gain weight with desipramine and is the reason for stopping after 2 years. Desipramine also made me sleepy and made me sweat a lot as my body felt hot all the time.
>
> Flipsactown
>
> > I've never taking this ad, but I'm looking for options to replace Wellbutrin.
> >
> > I need any info. you are willing to share.
> >
> > Thanks!
> >
> > Edgefield
>
>
Posted by Flipsactown on February 17, 2004, at 21:02:53
In reply to Re: Anyone Please with Desipramine? » Flipsactown, posted by Edgefield on February 17, 2004, at 14:05:03
My understanding is that desipramine is a histamine and therefore has a drying effect in the nasal area causing sleepiness and weight gain. Wellbutrin by itself curved my appetite but did not give me the AD effect. As far as the cardiac issue, it is probably that in some people desipramine may cause heart palpation. Also, my pdoc had me take blood tests every so often to make sure that the desipramine level in my blood was below a maximum amount and not toxic. Good luck to you in what ever you decide. There are so many ADs to choose from. The trick is to find the right one or more often the right ones (combo).
Flipsactown
Thanks for answering. Does desipramine always cause weight gain or can it also cause weight loss? I know that Wellbutrin can go either way. Wellbutrin curbs my appetite, but I haven't noticed any significant weight loss because I'm taking this med.
>
> What is this cardic issue that some mentioned in regards to taking desipramine???
>
> Edgefield
>
>
> > I have taken both of the medications. Desipramine worked excellently to enhance the Prozac I was also taking. I did gain weight with desipramine and is the reason for stopping after 2 years. Desipramine also made me sleepy and made me sweat a lot as my body felt hot all the time.
> >
> > Flipsactown
> >
> > > I've never taking this ad, but I'm looking for options to replace Wellbutrin.
> > >
> > > I need any info. you are willing to share.
> > >
> > > Thanks!
> > >
> > > Edgefield
> >
> >
>
>
Posted by jaby on February 18, 2004, at 9:58:58
In reply to Re: Anyone Please with Desipramine? » Edgefield, posted by Chairman_MAO on February 17, 2004, at 10:31:35
I did well on desipramine from an Ad standpoint but it made me too dumb at higher dose and the dry mouth and sweating were too much for me. Dry mouth sounds pretty petty, but believe me it gets old in hurry.
Posted by micro on February 20, 2004, at 0:26:16
In reply to Re: Anyone Please with Desipramine? » Chairman_MAO, posted by Edgefield on February 17, 2004, at 13:59:37
> Thanks for the information. I don't know for sure, but I don't think my doctor will prescribe Parnate or Nardil at this time.
>
> Could you please explain to me which ADs are classified as stimulants? The reason I'm asking is because all of pdocs said that Wellbutrin was too stimulating for someone like myself with panic disorder. They all told me that it would make my symptoms worst. Well... Wellbutrin makes me sleepy. I take it around noon everyday, and then take a nap within the hour. I can not honestly say that it didn't make me anxious when I first began, because I was sooooo jittery and having multiple daily panic attacks that I really couldn't tell what was existing symptoms and what might have been the results of the Wellbutrin.
>
> After dismissing my two previous pdocs I was able to convince my third pdoc to allow me to try Wellbutrin at a very low dose. It has been a God send. I think my pdoc is still amazed at how well I've done on Wellbutrin an especially the fact that it make me sleepy.
>
> Thanks for your time!
>
> Edgefield
>
> > Replace Wellbutrin with a stimulant! If you cannot get that, I recommend trying Strattera first, as it doesn't have the cardiac+anticholinergic effects that desipramine does. If you cannot afford it or cannot tolerate it, desipramine will get the job done; it's a great drug if you can tolerate the side effects.
> >
> > The other option is Parnate, if you and your doctor want to make that commitment. MAOIs elevate mood like no other "antidepressants" (that is in quotes because stimulants and opioids are fine antidepressants) do. If I had a doctor willing to prescribe it, I would take Parnate (or Nardil if Parnate was too stimulating) in a heartbeat.
>
> Edgefield, I found your comment regarding sedation or sleepiness and Wellbutrin classic in the sense that many PCP's and Pdocs believe that all medications have similar causes and effects with everyone they prescribe to. I remember a time where Pdocs told people who were anxious depressives that Prozac would literally make them crawl out of their skin.[An actual quote] When in reality, it wasn't all that activating for a majority of people. If it was, Lilly certainly wouldn't have done so well with it!I think your comment reinforces how little is really understood about human neurobiology as well as the importance of seeking the best possible Doc you can find. I can not say that I have had any hands on experience personally with these meds, but I certainly have experienced some of the end results of inappropriate rxing day in and day out. Micro
P.S. If Wellbutrin is a God send for you, then why alter the course?
Posted by Edgefield on February 20, 2004, at 14:43:53
In reply to Re: Anyone Please with Desipramine?, posted by micro on February 20, 2004, at 0:26:16
I would like to first just try lowering my dosage of Wellbutrin in hopes of eliminating this spacey, dizzy feeling that've had since my first panic attack in 2002.
The Wellbutrin has been a God send because it has helped my anxiety and depression. It has even helped with the dizziness especially since I lowered the dosage from 300 to 150. I'm hoping that all of this spacey feeling will be gone at an even lower dose. If not then I need a plan "B" before seeing my doctor.
Since SSRIs are out of the question I'm researching my other options. In doing a search on this site I found a post that spoke well of desipramine in eliminating derealization.
Any suggestions?
Thanks!Edgefield
> P.S. If Wellbutrin is a God send for you, then why alter the course?
This is the end of the thread.
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