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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 linkadge on April 27, 2004, at 10:29:29
Anyone, I think it is a tossup between prozac and zoloft, does anyone have any ideas ??
THanks
Linkadge
Posted by SLS on April 27, 2004, at 12:15:10
In reply to which SSRI best for cognition ??, posted by linkadge on April 27, 2004, at 10:29:29
> Anyone, I think it is a tossup between prozac and zoloft, does anyone have any ideas ??
This is probably another one of those circumstances where different people react to medication differently. I have been taking Zoloft 250mg for a few months. It has not adversely affected me at all cognitively. For me, Effexor was mildly impairing. The only effect of Zoloft that plagues me is a loss of libido. It's always something. >:-\
- Scott
Posted by Sad Panda on April 27, 2004, at 13:42:13
In reply to Re: which SSRI best for cognition ??, posted by SLS on April 27, 2004, at 12:15:10
> > Anyone, I think it is a tossup between prozac and zoloft, does anyone have any ideas ??
>
>
> This is probably another one of those circumstances where different people react to medication differently. I have been taking Zoloft 250mg for a few months. It has not adversely affected me at all cognitively. For me, Effexor was mildly impairing. The only effect of Zoloft that plagues me is a loss of libido. It's always something. >:-\
>
>
> - Scott
>
>I agree with Scott, every one tends to have a preffered SSRI & will respond differently. The only SSRI that may be more likely to cause problems than all others is Paxil because it has some antimuscarinic activity.
For me, I found Effexor up to 225mg & Remeron up to 30mg to be fine, however 300mg of Effexor made thinking difficult.
Cheers,
Panda.
Posted by linkadge on April 27, 2004, at 13:47:31
In reply to Re: which SSRI best for cognition ??, posted by Sad Panda on April 27, 2004, at 13:42:13
theoretically it should be better than the SSRI's for cognition however I see quite a few complaints.
Does anyone know the mechanisms ??
Linkadge
Posted by Sad Panda on April 27, 2004, at 14:02:55
In reply to why does effexor cause problems ???, posted by linkadge on April 27, 2004, at 13:47:31
> theoretically it should be better than the SSRI's for cognition however I see quite a few complaints.
>
> Does anyone know the mechanisms ??
>
> Linkadge
>Because it's poison? :) It has been demonstrated to be one of the most pro-convulsant AD's around, worse than the worst TCA Dothiepin, so I guess you really don't want to take any more than is neccessary.
Cheers,
Panda.
Posted by snapper on April 27, 2004, at 23:35:37
In reply to Re: why does effexor cause problems ???, posted by Sad Panda on April 27, 2004, at 14:02:55
> > theoretically it should be better than the SSRI's for cognition however I see quite a few complaints.
> >
> > Does anyone know the mechanisms ??
> >
> > Linkadge
> >
>
> Because it's poison? :) It has been demonstrated to be one of the most pro-convulsant AD's around, worse than the worst TCA Dothiepin, so I guess you really don't want to take any more than is neccessary.
>
> Cheers,
> Panda.
>
>
Hey Panda , what do you mean pro-convulsant? Does that mean it invokes too much neurotransmitter, uptake or is it more complicated (as I suspect)
just curious ...because It (FXR) was my mainstay for several years and now I am at a critical cross road of being minimally medicated (xanax,ambien,15mg remeron) I am truly miserable but I am having to endure this state because I am scheduled to have ECT in next 30 days or so and I think that the ECT doc want's me as med free as possible (which makes sense) to achieve the best posssible AD effect w/ECT..... If I re start an AD, any AD it to me would seem likely that I would be just barely beginning to notice its' effects (4-6 wks) VS. ECT effects. does that make sense?
any how ..the pro-convulsant thing - I wonder if after the ect , and should I elect to start FXR after the ect if I will get a more sustained and longer lasting benefit from FXR.....anyhow just *thinking* any input appreciated! thanks
snapper
Posted by linkadge on April 28, 2004, at 8:46:07
In reply to Re: why does effexor cause problems ???, posted by snapper on April 27, 2004, at 23:35:37
For some reason I read somewhere that the most studied combination for treatment resistant depression was:
ECT followed by lithium/nortyptaline combination.
Infact I think lithium and nortryptaline are available in one pill.
Linkadge
This is the end of the thread.
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