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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by meAgain on March 13, 2007, at 1:49:02
Is prozac still considered as effective when compared to the newer SSRI's and SSRNI's? I read it was effective for the treatment of eating disorders(which i struggle with). i am currently on Cymbalta and have been on a huge list of SSRI's that didnt work or me. still very depressed. any suggestions?
Posted by rjlockhart on March 13, 2007, at 2:15:50
In reply to is prozac a successful drug?, posted by meAgain on March 13, 2007, at 1:49:02
Mmm
Prozac isnt the "best" out there. But at like 40mg it can have an effect, it has an effect on me.
Prozac keeps that feeling of downwardness off me.
Sometimes it does.
That my say
Rj
Posted by Phillipa on March 13, 2007, at 12:48:52
In reply to Re: is prozac a successful drug?, posted by rjlockhart on March 13, 2007, at 2:15:50
Depends on the person we're all different. Love Phillipa
Posted by Racer on March 13, 2007, at 14:29:05
In reply to is prozac a successful drug?, posted by meAgain on March 13, 2007, at 1:49:02
> Is prozac still considered as effective when compared to the newer SSRI's and SSRNI's? I read it was effective for the treatment of eating disorders(which i struggle with). i am currently on Cymbalta and have been on a huge list of SSRI's that didnt work or me. still very depressed. any suggestions?
All the SSRIs work similarly, but most people respond better to one or another of them. For me, Prozac and Zoloft are the most tolerable, with Prozac maybe a bit more effective, Zoloft a bit more tolerable. Other people swear by Lexapro, which was intolerable for me. {shrug} The only way to know if it's a good drug for you is to try it.
On the other hand, if none of the SSRIs have helped you, maybe it's time to try another class of drug altogether? Because of your eating disorder, Wellbutrin might not be a good choice for you, but maybe Remeron, or a combination of another antidepressant and an augmenting agent of some sort, like Lamictal, or Abilify. Partly, it depends on what symptoms you're trying to address. Remember, "Depression" can mean different things for different people.
In my case, for instance, "depression" generally has a pretty distinct diurnal pattern -- much worse in the mornings, getting pretty tolerable by late evening -- and involves a lack of enjoyment in anything, a lot of compulsive sorts of escapist behaviors, physical inactivity, negative ruminations, and a lot of crying. That's not necessarily the pattern for everyone, though. If you have a more "atypical" pattern, for instance, you may react positively to pleasurable activities, or you may not have the same sort of diurnal variation. Or you might not have as much anxiety as I have, or may not become so withdrawn as I do. All of those sorts of things affect which sorts of drugs might be better choices for you.
You don't say what sort of eating disorder you're struggling with, but sometimes that's an issue in finding a good fit, drug-wise. For instance, a lot of bulimics and some binge eaters find Topomax a great augmenting agent for antidepressants, because it seems to reduce the urge to binge. A restricting anorexic might find a noradrenergic medication more effective (or not, that's based on a couple of studies only.)
Hope that helps.
Posted by Maxime on March 14, 2007, at 21:57:58
In reply to Re: is prozac a successful drug?, posted by Racer on March 13, 2007, at 14:29:05
Runs up to Racer and gives her a big hug!
I've missed you since I've been gone.
Love,
Maxime
Posted by Joe Bloe on March 15, 2007, at 1:33:55
In reply to Re: is prozac a successful drug? » Racer, posted by Maxime on March 14, 2007, at 21:57:58
It worked very well for me for about a year. In retrospect, it never worked as well after I tried to take a break from it (lowered the dose over a summer to help me get some more exercise to take off the 10 lbs I gained in the first year on it). I think it would be good for eating disorders and also body dysmorphic disorder.
This is the end of the thread.
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