Shown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Lamdage22 on January 13, 2016, at 6:45:01
Hey, yall,
my doctor didnt want to prescribe Viibryd "pharma companys said that Venlafaxine doesnt cause sexual side effects either (and it was wrong)" and i am not sure if he wants to prescribe Lithium Carbonate. (I want to take 200mg ontop of the Lithium Orotate.
But he said hed be willing to prescribe foreign (american) medications if he thinks it makes sense.
What do i do? Ask him again about Viibryd?
I like that it usually doesnt cause sexual side effects and Effexor works only partially. Effexor hinders orgasm and Viibryd might not.
What do you guys think?
Thanks.
Posted by Lamdage22 on January 13, 2016, at 7:41:32
In reply to Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 13, 2016, at 6:45:01
Effexor is just very inhibiting to my sexual life. I mean, without it i could go 3 times a day. Now one time and even this one time is always a pain in the *ss. (Hard time reaching orgasm).
Also, Effexor takes most of my suicide thoughts, but beyond that its not very effective. Id say it works 50%. It could be better.
Posted by rjlockhart37 on January 13, 2016, at 11:03:10
In reply to Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 13, 2016, at 6:45:01
Effexor is more stimulating, but you said you where on a low dose, but Viibryd is more for serotonin i think......effexor is more serotonin and NE and small dopamine
Lithium Carbonate is would be for a stablization of the mood, and Viibryd is more of antidepressant, yet Lithium carbonate does have antidepressant properties, it's not like a serotonin antidepressant
Posted by Christ_empowered on January 13, 2016, at 13:41:18
In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by rjlockhart37 on January 13, 2016, at 11:03:10
I keep saying it...wellbutrin. There's even a once daily version. You can take it w/ other antidepressants.
I think adding BuSpar to AD treatment sometimes reduces sexual side effects. I may be wrong though.
Posted by SLS on January 13, 2016, at 15:40:03
In reply to Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 13, 2016, at 6:45:01
I'm curious, what were your reasons for taking lithium orotate rather than lithium carbonate?
I think it is very reasonable for you increase your intake of lithium. In a study performed 15 years ago, the folks at Harvard / Massachusetts General Hospital recommended 300-600 mg/day of lithium to add to Prozac in treating unipolar depression. They reported that the average effective dosage was 450 mg/day. My personal experience with lithium carbonate is that 150 mg/day is too little and 450 mg/day is too much. At 450 mg/day, I begin to experience a flattening of affect and a feeling of mental malaise. I become somewhat passive.
The question is, what is the relative contribution of lithium orotate to blood concentrations? Does 200 mg/day of lithium carbonate + lithium orotate = 300 mg/day of lithium carbonate?. Without having more information about lithium orotate, I wouldn't know. You could always get a lithium ion blood level. If it were me, with my limited information, I would discontinue the the lithium orotate and titrate lithium carbonate, which is a known quantity.
I would ask your doctor what are his reasons for being reluctant to prescribe Viibryd. My doctor has come to like it. That stuff almost worked for me. I began to respond to it for about a week before it gave out on me. For me, it was a very clean drug. I can't remember having a single side effect. It did not affect me at all sexually. Both libido and orgasm remained unaffected. Of course, I am only one person: n=1.
As mentioned by C_E, Wellbutrin often makes a good adjunct to other antidepressants to make them work better. It might make Effexor (venlafaxine) work better. Wellbutrin is also given as a remedy for the sexual side effects produced by serotonin reuptake inhibitors (SSRI, SNRI, etc.). I don't know how well it works, though. I know one person who has remained orgasmic while taking a combination of Pristiq (desvenlafaxine) 100 mg/day and Wellbutrin XR 300 mg/day.
This is how I feel about things right now. Unless you have already demonstrated an intolerance of Wellbutrin, I think you should entertain the idea of discontinuing lithium oratate, adding 300 mg/day of lithium carbonate, adding Wellbutrin 300 mg/day and continue with Effexor while very gradually increasing the dosage. If, however, you are intolerant of Wellbutrin, then I think it makes sense to give Viibryd a try.
Brintellix is an interesting drug. Like Viibryd, I'm pretty sure it is devoid of sexual side effects. It is unique in its ability to enhance cognition, even before there is an antidepressant effect. I don't know how effective it is, though, only because I haven't seen enough of it.
Just remember, there are going to be differences of opinions between us based upon what we have learned and experienced personally with our treatments.
- Scott
Posted by Lamdage22 on January 14, 2016, at 4:50:27
In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!) » Lamdage22, posted by SLS on January 13, 2016, at 15:40:03
The question is where does the weight gain and heart palpitations set in. I think at 300 or 250 so id try 200 and 250 with the lithium.
I am scared that wellbutrin will fuel psychosis. Maybe a low dosage such as 75mg wouldnt. IDK.
Viibryd would need to be imported from USA.
Posted by Lamdage22 on January 14, 2016, at 5:22:44
In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 14, 2016, at 4:50:27
i guess what i am really asking is: Is Viibryd worth it that i look for a doctor who will prescribe it. Id have to change doctors.
I think wellbutrin is independant of Effexor or Viibryd.
I could try it though until i find a Dr that will prescribe Viibryd. That way the time i need to find him is not waisted.
Posted by SLS on January 14, 2016, at 6:02:12
In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 14, 2016, at 5:22:44
Wellbutrin is an interesting drug in that it has a reduced rate of inducing mania, despite its effects on dopamine and norepinephrine. Since you do not have a bipolar component to your illness as you describe, this would not apply to you. In other words, Wellbutrin might still have a tendency to produce anxiety, agitation, anger, and perhaps psychosis. It would be hard to predict with you.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811866/
I understand your reluctance to try anything for which psychosis has been reported. Perhaps you could increase your dosage of Zyprexa temporarily before adding the Wellbutrin. If you do not have a psychotic reaction, then you can then try to reduce the Zyprexa. I REALLY hate to disqualify any possible treatment from consideration in TRD. However, I do have some experience with severe manic psychosis. I have an appreciation for its intensity.
- Scott
Posted by Lamdage22 on January 14, 2016, at 6:34:57
In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by SLS on January 14, 2016, at 6:02:12
Does anyone have links i can show my doctor? Ones that prove that it doesnt have sexual side effects and that it is effective?
Thanks!
Posted by Lamdage22 on January 14, 2016, at 6:43:42
In reply to Viibryd links (sexual sides and effectiveness)??, posted by Lamdage22 on January 14, 2016, at 6:34:57
Scott,
i dont want to raise the zyprexa. If wellbutrin makes that a necessity, i would discontinue immediately.
I have Wellbutrin at home and my doctor suggested i try it. If i tried it, maybe he will be more willing to prescribe Viibryd.
Idk if i should change doctors or not.
Posted by Lamdage22 on January 14, 2016, at 9:27:24
In reply to Re: Viibryd links (sexual sides and effectiveness)??, posted by Lamdage22 on January 14, 2016, at 6:43:42
http://www.ncbi.nlm.nih.gov/m/pubmed/19764890/
http://www.ncbi.nlm.nih.gov/m/pubmed/19284933/
Posted by Lamdage22 on January 16, 2016, at 9:33:04
In reply to Re: Viibryd links (sexual sides and effectiveness)??, posted by Lamdage22 on January 14, 2016, at 9:27:24
I contacted the Dr that i had in the USA and he said he has seen less complaint of sexual side effects with Viibryd.
I sent this email to my german doctor and he agreed:)
Wish me luck.
Posted by Lamdage22 on January 22, 2016, at 14:33:29
In reply to My Dr agreed to try Viibryd, posted by Lamdage22 on January 16, 2016, at 9:33:04
unsure if i will do i though. Id rather try nothing new except for lithium and cannabidiol.
These will not worsen me.
Posted by SLS on January 22, 2016, at 15:05:17
In reply to Re: My Dr agreed to try Viibryd, posted by Lamdage22 on January 22, 2016, at 14:33:29
Hi Lamdage.
I just read a newsletter from Robert Post that cited a study involving Omega-3. Paul Amminger et al. reported that a 12-week course of Omega-3 treatment in adolescents not only prevented psychosis during treatment, but reduced the incidence of conversion for up to a year after treatment discontinuation.
http://bipolarnews.org/wp-content/uploads/2010/05/BNN2015.5.pdf
- Scott
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