SSRIs

Question:

I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining weight? Suzy

Response:

> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy

You will grow hair on your feets! Get all hyped up – and then they put you on SSRIs and you become all messed up!

Response:

grow up you sorry ass excuse for a human – Hide quoted text — Show quoted text -> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy > You will grow hair on your feets! > Get all hyped up – and then they put you on SSRIs and you become all messed > up!

Response:

I do not know the answer to that, I hope someone can help you, I’m posting, so that your post will have a new message in it, and that will hopefully get someones attention. alexplore is full of himself,      if you don’t have him killfiled, do it. if you can’t, and the way I understand it, it may not work for his replies to other posts, just ignore him. I don’t know how long you’ve been on this group, or how much you know of the trolls, so if you already know all of that, I’m sorry for taking up time saying it to someone who already knows.

– Hide quoted text — Show quoted text -> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy

Response:

  I’ve been on wellbutrin sr for around 4 weeks now and have lost 12 lbs.  I don’t believe weight gain is a side effect of wellbutrin             Pam

– Hide quoted text — Show quoted text -> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy

Response:

Question:

> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy

You will grow hair on your feets! Get all hyped up – and then they put you on SSRIs and you become all messed up!

Response:

– Hide quoted text — Show quoted text ->> I’m going to add wellbutrin to a low dose of tofranil.  Will I be gaining >> weight? >> Suey >You will grow hair on your feats! >Get all hyped up – and then they put you on SSRIs and you become all messed >up! > No, she’ll just have seizures..

Yes… like my ex-wife and now a *documented* Child abuser and psychiatrist, Ingrid Eve Runden, MD. > Seriously though yes you may lose weight on Wellbutrin.

Runden did.. > Another > reason that I am upset with my current pdoc is that Anorexia can be > caused or set off by Wellbutrin and Wellbutrin should not be given to > anorexics.

You should have told that to Psychiatrist Runden. > I was quickly approaching anorexia and my pdoc was aware of that when > he prescribed Wellbutrin for me. > To make matters worse he had me take Wellbutrin for over a year and I > would still be on it if he had his way.  The new pdoc that I had a > consultation with last week and the majority of pdocs feel that > someone with bipolar should not take an anti depressants for more than > a few weeks!

Hmm… was Runden bipolar? Nope.. not at first anyway.. Just "depressed" – she started on Wellbutrin, then "did the rounds" of everything…. Standard… I should post the "family medical history" and ALL THE SCRIPTS "for the family" – nearly ALL OF IT WAS HER… > u

http://groups.google.com/groups?hl=en&lr=&safe=off&ic=1&th=77c90bd999… seekd=947843002#947843002

Response:

grow up you sorry ass excuse for a human – Hide quoted text — Show quoted text -> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy > You will grow hair on your feets! > Get all hyped up – and then they put you on SSRIs and you become all messed > up!

Response:

Question:

Hi All I would like to know when is the best time for my mom to take Celexa.  She was recently prescribed the medication and I would like to know when is the best time for her to take it. Any help is appreciated; thanks in advance. Christine

Response:

> I’d strongly advise taking it in the evening.  It can make one drowsy, at > least in the first few weeks.  If drowsiness continues to be a problem, > think about getting the doc to prescribe Wellbutrin (only 150mg) and take > it in the morning.  I think it is a great combination.

That’s strange: My doc told me to take it before noon, at least in the beginning. Actually that made sense to me, because it did not make me drowsy, but rather to the contrary, I felt a lot more awake when I started it (woke up 2 or 3 hours earlier). Might be something that is different from person to person. I take it at 9 in the morning now, but I suppose it doesn’t make too much difference anyway. /ralph — I drink less coffee since I started Citalopram. — .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .

Response:

>> I’d strongly advise taking it in the evening.  It can make one drowsy, at > least in the first few weeks.  If drowsiness continues to be a problem, > think about getting the doc to prescribe Wellbutrin (only 150mg) and take > it in the morning.  I think it is a great combination. > That’s strange: My doc told me to take it before noon, at least in > the beginning. Actually that made sense to me, because it did not > make me drowsy, but rather to the contrary, I felt a lot more awake > when I started it (woke up 2 or 3 hours earlier). Might be something > that is different from person to person.

It varies depending on the individual’s response: for some people, it can make them quite drowsy, whilst for others it can cause insomnia, so it makes sense to adjust the timing of the dose accordingly.  These affects are also prone to changing over time in some individuals, so it may need to be reviewed every now and again.  I’d reckon that when starting, assume whichever side-effect will be the most troublesome, so if insomnia’s going to be a major problem, take it in the morning, whereas if drowsiness might be a bigger pain, take it in the evening, then adjust as necessary. As a caution, depending on the drug in question, it might be advisable to avoid taking two doses too close together.  Citalopram is generally okay on this front, but the likes of dothiepin isn’t. Chris.

Response:

 I have been taking Celexa for about one year now.  Actually, started out on 5 mg. and VERY gradually worked up to 40 mg.  At first, there were some side effects (upset stomach, diarrhea, yawning, feelings of being speeded up).  Also, I joined Weight Watchers in July and have lost almost 30 lbs.  This was due in no small part to feeling so much better on the Celexa.  For the first time in many years, I have very little depression (almost none), no anxiety, and can enjoy life like never before.  It took about 4 months to really feel good.  Hope this helps. I love this medication. Carole

Response:

Celexa completely keeps me up.  I take 80mg first thing when I wake up in the morning.  I have to take Trazadone to sleep or I have complete insomnia. The same is true for a friend of mine. -Jessica

– Hide quoted text — Show quoted text -> Hi All > I would like to know when is the best time for my mom to take Celexa.  She was > recently prescribed the medication and I would like to know when is the best > time for her to take it. > Any help is appreciated; thanks in advance. > Christine

Response:

> Hi All > I would like to know when is the best time for my mom to take Celexa.  She was > recently prescribed the medication and I would like to know when is the best > time for her to take it. > Any help is appreciated; thanks in advance. > Christine

I take one in the morning and one early evening… I find it quite stimulating.  For others, the opposite is true.  Try it one way, and if it causes problems try it the other — Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com).

Response:

Question:

Hello All, I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m on 60 mgs. a day, after a recent 20mg increase and have been on it for a couple years at lower doses. I also take1000 mgs of Depakote twice a day and .175 mg of Synthroid. I have everything to be thankful for and I can’t even get a real smile out. My sex drive sucks big time and I’m basically facing each day with no emotions. Has anyone experienced anything similar to this ? Can anyone offer any suggestions on how to cope with this besides changing medications ? Any help will be greatly appreciated. TIA

Response:

>I have everything to be thankful for and I can’t even get a real smile out. >My sex drive sucks big time and I’m basically facing each day with no >emotions.

There are many substances used to counteract SSRI induced sexual disfunction. Ginko Biloba is one that has a good reputation with delayed orgasm or impotency. Try about 200mg/day for a couple of weeks then titrate up or down as needed. Yohimbe helps with desire. Try 2,000mgs only as needed and CAUTIOUSLY increase the dose if needed…Yohimbe can be too energizing for some people. You also might want to look into a different type of AD. Many people find that SSRIs act more as mood anaesthetics than as anti depressants…ask about Effexor, Wellbutrin, Remeron…

Response:

I sure feel less, as i complained in other posts…but, I do feel anger and being upset (and yes, sometimes a little happy)…i seem to be less crying, and to be able to ‘controll’ my anger more As i write this down, it’s like i’m happy with the prozac-result…but i’m not: i still feel down and the negative feelings still have the upper hand , only the sharp edges are rounded, and i guess it’s easier to live with me (as i’m more in controll) i’m having so many ambivalent thoughts on this prozac-cure…i expected ‘more’ of it late – Hide quoted text — Show quoted text ->Hello All, >I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m on >60 mgs. a day, after a recent 20mg increase and have been on it for a couple >years at lower doses. I also take1000 mgs of Depakote twice a day and .175 >mg of Synthroid. >I have everything to be thankful for and I can’t even get a real smile out. >My sex drive sucks big time and I’m basically facing each day with no >emotions. >Has anyone experienced anything similar to this ? Can anyone offer any >suggestions on how to cope with this besides changing medications ? Any help >will be greatly appreciated. >TIA

Response:

- Hide quoted text — Show quoted text – > I sure feel less, as i complained in other posts…but, I do feel anger > and being upset (and yes, sometimes a little happy)…i seem to be less > crying, and to be able to ‘controll’ my anger more > As i write this down, it’s like i’m happy with the prozac-result…but i’m > not: i still feel down and the negative feelings still have the upper hand > , only the sharp edges are rounded, and i guess it’s easier to live with > me (as i’m more in controll) > i’m having so many ambivalent thoughts on this prozac-cure…i expected > ‘more’ of it > late > says… >Hello All, >I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m >on 60 mgs. a day, after a recent 20mg increase and have been on it for a >couple years at lower doses. I also take1000 mgs of Depakote twice a day >and .175 mg of Synthroid. >I have everything to be thankful for and I can’t even get a real smile >out. My sex drive sucks big time and I’m basically facing each day with >no emotions. >Has anyone experienced anything similar to this ? Can anyone offer any >suggestions on how to cope with this besides changing medications ? Any >help will be greatly appreciated. >TIA

Damn, I thought I was depressed until I started reading here!  I’m not even sure I wanna take this crap.  I just started about 5 days ago and feel rather "dull" myself….anyone ever have good results using it or is it always just a dead end street?  I dont want to end up thinking about killing my boss (Well maybe later ) and I guess I’m happy sometimes at least a little while every day……  

Response:

Question:

Well, after a mere week on SEROQUEL, I am now free of meds due to the awful side effects and added psychosis and discombobulation seroquel gave me; on a low dosage of 75mg. I am starting at a new school in a week and a half and I cannot be playing trial and error with medications while I am in school.  I’m really nervous because I don’t need to be going up and down while I am attempting to learn…it’s a tech art school; 45 hours a week/14 months. I’ve been on quite a few psych meds (paxil, pamelor, zoloft, wellbutrin, serzone, effexor) over the past three years and have had negative affects with all…one even landed me in the emergency room. Has anyone else’s body simply rejected the medications?  Anyone know what could be the cause of medicines just NOT working with me? Thanks Leonessa

Response:

>I printed out your email because it gave me a few things to think about.  I >am going to try to solve this ASAP because I can’t live like this.

Don’t give up hope. I hope things work out for you. For email replies remove the **** from my email address.

Response:

Leonessa, I am ultra-sensitive to medications. I had a year or so of experimentation hell. Ive had liver damage (that was the worst one), rashes, drug-induced panic attacks, Tremor, lots and lots of ‘discombobulation’ (one of my favorite words), extreme weight loss, extreme hair loss, flu-like symptoms…and more. Usually I get the side effects that are mentioned as "rare" affecting like less than 1%. But…I too was struggling to get through school, as a graduate student. I HAD to find something to work because I simply couldnt function in either the extreme depression, or mania. There never seemed to be a middle ground. Luckily I have a good pdoc who I respect and trust. Weve slowly ruled things out. I totally agree with Mark’s post ( what an excellent post!)… in science, ruling things out is as important as proving a hypothesis. It DOES take extreme perserverence, and the faith that eventually you WILL find the "one(s) that works". EVERYBODY is different. Im finally stabile (pretty much, kinda, sorta…) on low doses of 3 mood stabilizers (no antidepressants). although…because of my less-than-sterling expeience with medications, I am always skeptical, thinking that I may be feeling normal, but it might be due to just being part of the whole cycling process. Just remember every time a drug fails, you move that much closer to solving the puzzle. Some people hit it right away. Others, like those of us with sensitivities, it takes an agonizingly long time. Hang in there! And I wish you luck with school, and I hope that you dont de-stabilize under the stress.(stress can do that!!!!!!) If you feel yourself slipping (or escalating) I advise you to not wait until it gets bad, the sooner you see your doctor, the better chance you have of becoming extreme. (at least thats my own experience). Sara – Hide quoted text — Show quoted text – > Well, after a mere week on SEROQUEL, I am now free of meds due to the awful > side effects and added psychosis and discombobulation seroquel gave me; on a > low dosage of 75mg. > I am starting at a new school in a week and a half and I cannot be playing > trial and error with medications while I am in school.  I’m really nervous > because I don’t need to be going up and down while I am attempting to > learn…it’s a tech art school; 45 hours a week/14 months. > I’ve been on quite a few psych meds (paxil, pamelor, zoloft, wellbutrin, > serzone, effexor) over the past three years and have had negative affects > with all…one even landed me in the emergency room. > Has anyone else’s body simply rejected the medications?  Anyone know what > could be the cause of medicines just NOT working with me? > Thanks > Leonessa

Response:

>Yup!  I’ve had several different types of medication and all I’ve ever >had are the side effects.  I get the impression my psychiatrist >doesn’t actually believe me sometimes.  I guess we’re just lucky!

Mine thought my side effects were psychosomatic, from reading to much stuff on the internet. I’m thinking of changing psychiatrists. For email replies remove the **** from my email address.

Response:

I’ve had psychiatrists not believe me too. "I’m not eating at all and I think I’m becoming malnourished." "That’s common, let’s up the dosage a little…" > leonessa viola writes: > Has anyone else’s body simply rejected the medications?  Anyone know > what could be the cause of medicines just NOT working with me? > Yup!  I’ve had several different types of medication and all I’ve ever > had are the side effects.  I get the impression my psychiatrist > doesn’t actually believe me sometimes.  I guess we’re just lucky! > — > Shell > http://www.kaidea.freeserve.co.uk/yumorbum.html

Response:

Hey Mark, thanks for your response… > Did they all induce mania, or just one? Were the others just ineffective?

Well, some of them induced anxiety/mania…others made me MORE depressed..after taking one I became anorexic…and some made me physically ill. > Did you stay on each one for a substantial period of time?

Except for the ones that caused me to be unable to function, I was on a lot of these for months. > Have you taken other medications specifically for your emotional > difficulties?  Why is there no Mood Stabilizer listed?

I mood stabilizer would be like lithium, huh?  I guess I was never put on a stabilizer because I was originally diagnosed with unipolar and this was my first medication I’ve been on since my new diagnosis.  I probably should take a mood stabilizer, because if my moods were equalized, I’d imagine my psychosis wouldn’t be as bad. I printed out your email because it gave me a few things to think about.  I am going to try to solve this ASAP because I can’t live like this. Thanks so much. Leonessa

Response:

>   I’m sorry that you’ve had difficulty with your med. regiment. > I don’t have the answer, but I was just reminded of the unrelenting > persistence of Thomas Edison, one of the greatest men throughout > history. To Mr. Edison, he truly felt that every failure was a > positive step in the right direction, since it revealed one more > avenue that was eliminated on the road to success. To quote > Mr. Edison, he said:

snipped… Just had to say this is an excellent and well thought out reply Mark. Leonessa, I cannot take any SSRIs, TCAs, Mood Stablizers (MS)…the first 2 classes trigger dysphoria in me and the MS worsen the symptoms of my Multiple Sclerosis. I can tolerate Seroquel and Klonopin. I am taking Remeron whuch is a tetracyclic AD and I fear that it is also triggering dysphoria. I see my pdoc tomorrow. I plan to talk with him about Vagus Nerve Stimulation…alarge scaled study will be underway shortly and I live in Chapel Hill which has the University of North Carolina and nearby Duke University is only 9 miles away. I am hoping that one of the studies will be done here . If so, I plan to volunteer in a heartbeat!!! Persistence and patience…I know it is easier said then done. Best of luck to you…please do not give up hope. Peace, Lynda

Response:

leonessa viola writes: > Has anyone else’s body simply rejected the medications?  Anyone know > what could be the cause of medicines just NOT working with me?

Yup!  I’ve had several different types of medication and all I’ve ever had are the side effects.  I get the impression my psychiatrist doesn’t actually believe me sometimes.  I guess we’re just lucky! — Shell http://www.kaidea.freeserve.co.uk/yumorbum.html

Response:

Hi Leonessa…   I’m sorry that you’ve had difficulty with your med. regiment. I don’t have the answer, but I was just reminded of the unrelenting persistence of Thomas Edison, one of the greatest men throughout history. To Mr. Edison, he truly felt that every failure was a positive step in the right direction, since it revealed one more avenue that was eliminated on the road to success. To quote Mr. Edison, he said:  "I Speak without exaggeration when I say I have constructed 3000 different theories in connection with the electric light, yet in only two cases did my experiments prove the truth of my theory." Thomas Edison You see Leonessa, Thomas Edison for sure changed the face of the world and society with his successful invention of the lightblub. But he also showed us how to persevere in the face of impossible odds. It has been said of Mr. Edison: "He led no armies into battle, he conquered no countries, and he enslaved no peoples…. Nonetheless, he exerted a degree of power the magnitude of which no warrior ever dreamed. His name still commands a respect as sweeping in scope and as world-wide as that of any other mortal – a devotion rooted deep in human gratitude and untainted by the bias of race, color, or politics." So I would say this Leonessa,…… you have tried Pamelor, Paxil,  Zoloft, Wellbutrin, Serzone, and Effexor, all antidepressants. One is a tricyclic, 2 are ssri’s, and 3 are unique compounds. None of them have worked. Obviously you are trying to eliminate depression with those. It sounds to me like you are unable to take antidepressants. Did they all induce mania, or just one? Were the others just ineffective? Did you stay on each one for a substantial period of time? If we have established that you cannot take antidepressants, then you are have now gained an important piece of information about the nature of your disorder. You also said that seroquel doesn’t work for you. It is an atypical antipsychotic. You say it actually *increased* your psychosis and confusion. Again, here we learn another piece of the puzzle. I am not a doctor, but if I were, I would think that the nature of your adverse reactions would be telling of the pathology involved. Have you taken other medications specifically for your emotional difficulties?  Why is there no Mood Stabilizer listed? All I can offer you, is encouragement to persist in this challenge to find the root cause(s) of your problem. You must take each roadblock as part of the answer, and continue to ask questions and document your efforts, so as to eventually be able to see the big picture. It is essential that you take the scientific approach, and a proactive stance in cooperation with a qualified doctor. Best wishes sweetie, Mark of the Forest

– Hide quoted text — Show quoted text -> Well, after a mere week on SEROQUEL, I am now free of meds due to the awful > side effects and added psychosis and discombobulation seroquel gave me; on a > low dosage of 75mg. > I am starting at a new school in a week and a half and I cannot be playing > trial and error with medications while I am in school. I’m really nervous > because I don’t need to be going up and down while I am attempting to > learn…it’s a tech art school; 45 hours a week/14 months. > I’ve been on quite a few psych meds (paxil, pamelor, zoloft, wellbutrin, > serzone, effexor) over the past three years and have had negative affects > with all…one even landed me in the emergency room. > Has anyone else’s body simply rejected the medications?  Anyone know what > could be the cause of medicines just NOT working with me? > Thanks > Leonessa

Response:

Question:

all good and all usefull!  :) thanks. mainly because i think of all the times i myself tried to "come off" a med ..lol. what do you think about two antidepressants used together? if it works what is the harm? harpy

Response:

>all good and all usefull!  :) >thanks. >mainly because i think of all the times i myself tried to "come off" a med >..lol. >what do you think about two antidepressants used together? >if it works what is the harm? >harpy

I think it’s pretty common to use 2 ADs together. like Prozac + Wellbutrin or Prozac + Trazadone. Wouldn’t make much sense to use 2 SSRIs together like Prozac + Zoloft…but then again, it’s what works that counts… What’s wrong with Fred (Viscount)? Click here for answers: http://x53.deja.com/[ST_rn=ps]/getdoc.xp?AN=683691056&CONTEXT=972383963.717291529&hitnum=24 You can also click on this link about psychopaths and observe how well it describes Fred: http://www.geocities.com/lycium7/

Response:

I think many of us are already taking two AD’s, so its kind of a moot question… but yeah… if it works, do it. Linda – Hide quoted text — Show quoted text ->all good and all usefull!  :) >thanks. >mainly because i think of all the times i myself tried to "come off" a med >..lol. >what do you think about two antidepressants used together? >if it works what is the harm? >harpy

Response:

informed me of this: :> What’s wrong with Fred (Viscount)? Click here for answers: :> : :The above link is not taking me to a site. It merely opens :a format to send an e mail.  I would like to see it, although :I already know what’s wrong with fred. : :Mark : Mark, this link should take you to a section of a post that Keith put out titled " more on Fred as a Psychopath". If you browser asks, tell it that this link is a message ID and not an email address. I don’t know how outlook express works with this.

Response:

- Hide quoted text — Show quoted text – >informed me of this: >:> What’s wrong with Fred (Viscount)? Click here for answers: >:> >: >:The above link is not taking me to a site. It merely opens >:a format to send an e mail.  I would like to see it, although >:I already know what’s wrong with fred. >: >:Mark >: >Mark, this link should take you to a section of a post that Keith put >out titled " more on Fred as a Psychopath". If you browser asks, tell >it that this link is a message ID and not an email address. I don’t >know how outlook express works with this.

I fixed it to go to the Deja archives, that should work better. What’s wrong with Fred (Viscount)? Paste this link into your browser for answers: http://x53.deja.com/[ST_rn=ps]/getdoc.xp?AN=683691056&CONTEXT=972383963.717291529&hitnum=24 You can also click on this link about psychopaths and observe how well it describes Fred: http://www.geocities.com/lycium7/

Response:

Geez Bikerboy  When you get done worrying about whats wrong with Fred try and figure out whats wrong with Mark. – Hide quoted text — Show quoted text -> What’s wrong with Fred (Viscount)? Click here for answers: > The above link is not taking me to a site. It merely opens > a format to send an e mail.  I would like to see it, although > I already know what’s wrong with fred. > Mark

Response:

Dos Do educate the patient on the proper use of an antidepressant to increase compliance. Do "start low and go slow" to minimize side effects. Start the antidepressant at a low dose and gradually increase the dose of medication as tolerated. Do use pharmacologic antidotes when necessary to minimize antidepressant-induced side effects. Do consider targeting all 3 neurotransmitters when treating depression: serotonin, norepinephrine, and dopamine. When switching antidepressants, do consider both the neurochemical effect as well as side effects. Do consider, when choosing an antidepressant, which side effects would be particularly detrimental to the patient — for example, weight gain in an obese patient or sedation in a patient with psychomotor retardation. Do consider augmenting with other antidepressants, mood stabilizers, or stimulants for partial responders. Do consider drug-drug interactions when choosing an antidepressant. Do prevent antidepressant discontinuation syndrome by slowly tapering the medication. Avoid abruptly reducing and/or discontinuing antidepressants. Do educate the patient that they should not stop taking the medication because they feel better. They should always consult with their physician first. Don’ts Don’t stop a medication before a patient has received an adequate trial of any antidepressant intervention. An adequate treatment trial includes an adequate dose for an adequate duration. Don’t ignore a patient’s complaints of side effects because you this may compromise compliance. Don’t forget to consider comorbid medical or psychiatric illnesses that can interfere with an adequate treatment response. Don’t be satisfied with a partial response. Aim to induce remission and prevent relapse. Don’t underestimate the importance of the doctor-patient therapeutic alliance. http://www.medscape.com/Medscape/psychiatry/TreatmentUpdate/2000/tu04… What’s wrong with Fred (Viscount)? Click here for answers:

Response:

Do’s and don’ts for Tinyfright. 1)  Do get a life. 2)   Do return to asdm-m 3)   Do learn something about bipolar disorder. 4)  Do stop whing about how Carol cleaned your clock in court. 5)   Do go outdoors and get some sun. 6)   Do get treatment for IAD 7)   Do have your momma hide the matches from you.                    Don’ts Don’t pretend to be Mr. Nice Guy who’s trying to save usenet from trolls. Don’t take advantage of mentally ill, vulerable women and then brag about it in e-mails to your hero, Viscount. More later… Viscount of ASDM – Hide quoted text — Show quoted text – > Dos > Do educate the patient on the proper use of an antidepressant to > increase compliance. > Do "start low and go slow" to minimize side effects. Start the > antidepressant at a low dose and gradually increase the dose of > medication as tolerated. > Do use pharmacologic antidotes when necessary to minimize > antidepressant-induced side effects. > Do consider targeting all 3 neurotransmitters when treating > depression: serotonin, norepinephrine, and dopamine. When switching > antidepressants, do consider both the neurochemical effect as well as > side effects. > Do consider, when choosing an antidepressant, which side effects would > be particularly detrimental to the patient — for example, weight gain > in an obese patient or sedation in a patient with psychomotor > retardation. > Do consider augmenting with other antidepressants, mood stabilizers, > or stimulants for partial responders. > Do consider drug-drug interactions when choosing an antidepressant. > Do prevent antidepressant discontinuation syndrome by slowly tapering > the medication. Avoid abruptly reducing and/or discontinuing > antidepressants. > Do educate the patient that they should not stop taking the medication > because they feel better. They should always consult with their > physician first. > Don’ts > Don’t stop a medication before a patient has received an adequate > trial of any antidepressant intervention. An adequate treatment trial > includes an adequate dose for an adequate duration. > Don’t ignore a patient’s complaints of side effects because you this > may compromise compliance. > Don’t forget to consider comorbid medical or psychiatric illnesses > that can interfere with an adequate treatment response. > Don’t be satisfied with a partial response. Aim to induce remission > and prevent relapse. > Don’t underestimate the importance of the doctor-patient therapeutic > alliance. > http://www.medscape.com/Medscape/psychiatry/TreatmentUpdate/2000/tu04… > What’s wrong with Fred (Viscount)? Click here for answers:

Response:

– Hide quoted text — Show quoted text – >Do’s and don’ts for Tinyfright. >1)  Do get a life. >2)   Do return to asdm-m >3)   Do learn something about bipolar disorder. >4)  Do stop whing about how Carol cleaned your clock in court. >5)   Do go outdoors and get some sun. >6)   Do get treatment for IAD >7)   Do have your momma hide the matches from you. >                   Don’ts >Don’t pretend to be Mr. Nice Guy who’s trying to save usenet from trolls. >Don’t take advantage of mentally ill, vulerable women and then brag about it in e-mails >to your hero, Viscount.

Unlike Fred, I have never had to pretend to be nice. What’s wrong with Fred (Viscount)? Click here for answers:

Response:

> What’s wrong with Fred (Viscount)? Click here for answers:

The above link is not taking me to a site. It merely opens a format to send an e mail.  I would like to see it, although I already know what’s wrong with fred. Mark

Response:

>> What’s wrong with Fred (Viscount)? Click here for answers:

>The above link is not taking me to a site. It merely opens >a format to send an e mail.  I would like to see it, although >I already know what’s wrong with fred. >Mark

Web Page at: www.robertpo.com For email replies remove the ****

Response:

>>> What’s wrong with Fred (Viscount)? Click here for answers:

sigh didn’t work either Web Page at: www.robertpo.com For email replies remove the ****

Response:

hey Keith, I would add a few little things here. –Don’t assume that just because some responses to medications happen rarely, or very rarely, that one of your patients isn’t gonna be a rare person!! –Do be aware that allergic reactions do happen to medications and they can not be predicted.  Do stop all meds immediately if an allergic reaction does occur and deal with the resulting effects of this appropriately! otherwise, I say we print this out and give to our pdocs! Leslie J.

– Hide quoted text — Show quoted text -> Dos > Do educate the patient on the proper use of an antidepressant to > increase compliance. > Do "start low and go slow" to minimize side effects. Start the > antidepressant at a low dose and gradually increase the dose of > medication as tolerated. > Do use pharmacologic antidotes when necessary to minimize > antidepressant-induced side effects. > Do consider targeting all 3 neurotransmitters when treating > depression: serotonin, norepinephrine, and dopamine. When switching > antidepressants, do consider both the neurochemical effect as well as > side effects. > Do consider, when choosing an antidepressant, which side effects would > be particularly detrimental to the patient — for example, weight gain > in an obese patient or sedation in a patient with psychomotor > retardation. > Do consider augmenting with other antidepressants, mood stabilizers, > or stimulants for partial responders. > Do consider drug-drug interactions when choosing an antidepressant. > Do prevent antidepressant discontinuation syndrome by slowly tapering > the medication. Avoid abruptly reducing and/or discontinuing > antidepressants. > Do educate the patient that they should not stop taking the medication > because they feel better. They should always consult with their > physician first. > Don’ts > Don’t stop a medication before a patient has received an adequate > trial of any antidepressant intervention. An adequate treatment trial > includes an adequate dose for an adequate duration. > Don’t ignore a patient’s complaints of side effects because you this > may compromise compliance. > Don’t forget to consider comorbid medical or psychiatric illnesses > that can interfere with an adequate treatment response. > Don’t be satisfied with a partial response. Aim to induce remission > and prevent relapse. > Don’t underestimate the importance of the doctor-patient therapeutic > alliance.

http://www.medscape.com/Medscape/psychiatry/TreatmentUpdate/2000/tu04… u04.html – Hide quoted text — Show quoted text – > What’s wrong with Fred (Viscount)? Click here for answers:

Response:

– Hide quoted text — Show quoted text ->>> What’s wrong with Fred (Viscount)? Click here for answers: >sigh didn’t work either >Web Page at: www.robertpo.com >For email replies remove the ****

The link is to the message I previously posted about Fred as a psychopath. Mark, your newsreader is misinterpreting it as an email front of the message ID…I’m using Agent too and it works fine for url (I have "Make an educated guess".) Sigh…I wasn’t expecting any problems until the original post began to expire from people’s news servers, at which time I was going to post it again and update my sig file… Here it is again: Fred’s own words give him away. He has said many times, both on this group and in emails, that he doesn’t care about anyone on the group. He knows that all the posters are real people, and he knows that he hurts them…he doesn’t care. http://www.geocities.com/lycium7/ (Excerpts) These psychopaths often think of themselves as special, and deserving of special privileges, even if unsaid. They can be found in all echelons of society, from low-class to high-class backgrounds, but they are never insane or crazy, rather, more like "morally insane." Tim Field, a noted author and webmaster of Bully OnLine, believes that the psychopath picks out people who can see through him: "A bully’s (sociopath) apparent self-esteem and self-confidence is actually arrogance, an unsustainable belief of invulnerability honed from his willingness to act outside the bounds of society to ensure their survival. Targets (or victims) are people who can see through the arrogance to perceive the empty shell behind it – and bullies can sense who can see through them, furthering the target’s elimination." [Bully OnLine]. This usually happens in the workplace, and in situations where the psychopath has let his mask drop, realizing that you’ve seen what he’s really made of. In the workplace, this can mean your very doom if the psychopath happens to be your boss. (I see through you Fred. Best of luck.) The cruelty of the psychopath is something almost unexplicable. The psychopath has a callous, remorseless, and unempathetic attitude towards his victims, or targets. He relates to others on a basis of power rather than affection. Like the narcissist, he has an arrogant, disdainful, and patronizing attitude. Most people will be able to identify this arrogance, although it can often be misinterpreted as an overhealthy self-esteem. Psychopaths do not form real attachments, and they enjoy their image of autonomy. They have a grandiose self-structure which demands "a scornful and detached devaluation of others" [Gacon et al 1992], in order to ward off envy toward the good perceived in people. They react towards perceived or existing attachment capacities with ambivalence and often aggression. Most of them transfer the attachment to "hard objects" such as weapons, knives, etc. The grandiose self is represented onto the weapon or object and is a projection of themselves. (Fred’s "hard object" is his computer.) The fact of the matter is, if we paid closer attention, the psychopath may be able to be discerned. There is something "off" about them — larger than life, almost as if they’re playing a role. It’s hard to describe unless you’ve experienced it (as one individual commented, "I don’t know how to describe pornography, but I sure know what it is when I see it.") In the end, however, you might find out what their true colors are, for they are extremely arrogant, not to mention pugnacious, and are often called obnoxious personalities; however, oftentimes their means of hurting or destroying someone be more subtle. Psychopaths are often witty and articulate. They can be "amusing and entertaining conversationalists, ready with a quick and clever comeback, and can tell unlikely but convincing stories…They can be very effective in presenting themselves well and are often very likeable and charming. To some people, however, they seem too slick and smooth, too obviously insincere and superficial. Astute observers often get the impression that psychopaths are play-acting, mechanically "reading their lines." [Hare, 35]. The psychopathic personality can also be very convincing. They use their moods to manipulate others. Oftentimes they are overbearingly magnetic whenever the purpose suits them, but otherwise can be repugnant and downright mean. It all depends on what they want. They may "ramble and tell stories that seem unlikely in light of what is known about them. Typically, they attempt to appear familiar with sociology, psychiatry, medicine, psychology, philosophy, poetry, literature, art, or law. A signpost to this trait is often a smooth lack of concern at being found out." [Hare, 35]. One psychopathic individual I knew claimed that he had a genius IQ and that he was studying several different majors at college. "When I found out I had a genius IQ, that’s when all my trouble started" he said. I asked him, "Why?" He replied, "’Cause I’m too smart for my own good." In the end I found out these were lies because he was, in fact, a high-school drop-out. Despite their failures, psychopaths have a very "narcissistic and grossly inflated view of their self-worth and importance, a truly astounding egocentricity and sense of entitlement, and see themselves as the center of the universe, as superior beings who are justified in living according to their own rules." [Hare, 38]. They often come across as "arrogant, shameless braggarts–self-assured, opinionated, domineering, and cocky. They love to have power and control over others and seem unable to believe that people have valid opinions different from theirs. They appear charismatic or ‘electrifying’ to some people." [Hare, 38]. I know exactly what Hare means when I recall one person I used to know (who had been diagnosed); he always seemed to be charming everyone around him, although in the end every woman who fell for him ended up becoming hostile when they realized all he had been doing was leading each one on simultaneously. . They know exactly how to appeal to one

Question:

Hello Kathleen >This is my 4th day on Wellbutrin.

My condolences. >I took Prozac for several years

No wonder you sound all fucked up! > and I think it just began to *wear* off…….I understand >Wellbutrin can cause some agitation the first week? I am having >to keep my emotions in *check*.

Is that why you use so many asterisks? >I would like to hear from others on this medication for moral support.

Get off Wellbutrin and any other meds you’re on. Eric in North Carolina WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk

Response:

Wellbutrins not even an SSRI you fuckin retard Scooter

– Hide quoted text — Show quoted text -> Hello Kathleen >This is my 4th day on Wellbutrin. > My condolences. >I took Prozac for several years > No wonder you sound all fucked up! > and I think it just began to *wear* off…….I understand >Wellbutrin can cause some agitation the first week? I am having >to keep my emotions in *check*. > Is that why you use so many asterisks? >I would like to hear from others on this medication for moral support. > Get off Wellbutrin and any other meds you’re on. > Eric in North Carolina > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk

Response:

Yes it is. – Hide quoted text — Show quoted text – > Wellbutrins not even an SSRI you fuckin retard > Scooter > Hello Kathleen > >This is my 4th day on Wellbutrin. > My condolences. > >I took Prozac for several years > No wonder you sound all fucked up! > > and I think it just began to *wear* off…….I understand > >Wellbutrin can cause some agitation the first week? I am having > >to keep my emotions in *check*. > Is that why you use so many asterisks? > >I would like to hear from others on this medication for moral support. > Get off Wellbutrin and any other meds you’re on. > Eric in North Carolina > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk

Response:

Hmm, wellbutrin is not an SSRI.  To quote the PRD on this: "Wellbutrin is an aminoketone class antidepressant, it is chemically unrelated to tricyclic, tetracyclic, selective serotonin re-uptake inhibitor, or other known antidepressant agents." end

– Hide quoted text — Show quoted text -> Yes it is. > Wellbutrins not even an SSRI you fuckin retard > Scooter > > Hello Kathleen > > >This is my 4th day on Wellbutrin. > > My condolences. > > >I took Prozac for several years > > No wonder you sound all fucked up! > > > and I think it just began to *wear* off…….I understand > > >Wellbutrin can cause some agitation the first week? I am having > > >to keep my emotions in *check*. > > Is that why you use so many asterisks? > > >I would like to hear from others on this medication for moral support. > > Get off Wellbutrin and any other meds you’re on. > > Eric in North Carolina > > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk

Response:

> Yes it is.

– Hey shithead axe wielder, Wellbutrin is NOT an SSRI. Eric Eric’s Depression advice webpage http://hometown.aol.com/speedstrength/myhomepage/profile.html Steroids caused my depression…prednisone should be used conservatively Before you buy.

Response:

> Yes it is.

Wellbutrin is *not* an SSRI. Educate yourself. -aurora

Response:

I have no idea what this "PRD" you are quoting is.  My Physicians Desk Reference (2000) quite plainly states Wellbutrin is an SSRI. – Hide quoted text — Show quoted text – > Hmm, wellbutrin is not an SSRI.  To quote the PRD on this: "Wellbutrin is an > aminoketone class antidepressant, it is chemically unrelated to tricyclic, > tetracyclic, selective serotonin re-uptake inhibitor, or other known > antidepressant agents." > end > Yes it is. > > Wellbutrins not even an SSRI you fuckin retard > > Scooter > > > Hello Kathleen > > > >This is my 4th day on Wellbutrin. > > > My condolences. > > > >I took Prozac for several years > > > No wonder you sound all fucked up! > > > > and I think it just began to *wear* off…….I understand > > > >Wellbutrin can cause some agitation the first week? I am having > > > >to keep my emotions in *check*. > > > Is that why you use so many asterisks? > > > >I would like to hear from others on this medication for moral > support. > > > Get off Wellbutrin and any other meds you’re on. > > > Eric in North Carolina > > > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk

Response:

> > Yes it is. > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI.

Sure it is. > Eric’s Depression advice webpage > http://hometown.aol.com/speedstrength/myhomepage/profile.html > Steroids caused my depression…prednisone should be used conservatively

Steroids bulked up my muscular physique.

Response:

Unfortunately if you take a trip over to www.glaxowellcome.com the manufacturer of Wellbutrin clearly states that their product is NOT a SSRI.

– Hide quoted text — Show quoted text -> I have no idea what this "PRD" you are quoting is.  My Physicians > Desk Reference (2000) quite plainly states Wellbutrin is an SSRI. > Hmm, wellbutrin is not an SSRI.  To quote the PRD on this: "Wellbutrin is an > aminoketone class antidepressant, it is chemically unrelated to tricyclic, > tetracyclic, selective serotonin re-uptake inhibitor, or other known > antidepressant agents." > end > > Yes it is. > > > Wellbutrins not even an SSRI you fuckin retard > > > Scooter > > > > Hello Kathleen > > > > >This is my 4th day on Wellbutrin. > > > > My condolences. > > > > >I took Prozac for several years > > > > No wonder you sound all fucked up! > > > > > and I think it just began to *wear* off…….I understand > > > > >Wellbutrin can cause some agitation the first week? I am having > > > > >to keep my emotions in *check*. > > > > Is that why you use so many asterisks? > > > > >I would like to hear from others on this medication for moral > support. > > > > Get off Wellbutrin and any other meds you’re on. > > > > Eric in North Carolina > > > > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk troll.

Response:

Hmm, I guess the manufacturer doesn’t know what they’re making and the FDA just went insane and listed Wellbutrin as a non-SSRI.  Gee, what a wacky world. – Hide quoted text — Show quoted text -> > Yes it is. > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > You’re wrong.

Response:

> > > Yes it is. > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI. > Actually, it is.

Of course it is.  LostboyinNC is probably a wannabee user.  

Response:

Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of hacked their web page on Wellbutrin.  My tentacles are far reaching.  Give it a look folks at http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it look all official and everything.  If anyone has any other web pages I can alter for my grand conspiracy, drop me a line. – Hide quoted text — Show quoted text -> Hmm, I guess the manufacturer doesn’t know what they’re making and the FDA > just went insane and listed Wellbutrin as a non-SSRI.  Gee, what a wacky > world. > There you go again, Brian… On with your lies and deceptions.  Haven’t the > boys in white caught up with you yet?  You are a danger to society and you > need to be stopped. > > > > Yes it is. > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > You’re wrong.

Response:

> > > Yes it is. > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI. > Sure it is.

NO ITS NOT dude…Wellbutrin is in a class all by itself. IT is not an SSRI..Wellbutrin does not even affect serotonin much…hardly at all. SSRI stands for "Selective Serotonin Reuptake Inhibitor." GET IT DIPSHIT? > Eric’s Depression advice webpage > http://hometown.aol.com/speedstrength/myhomepage/profile.html > Steroids caused my depression…prednisone should be used conservatively > Steroids bulked up my muscular physique.

I dont even need anabolics to bulk up pussyboy. I can get muscles without them, unlike you. Eric — Eric’s Depression advice webpage http://hometown.aol.com/speedstrength/myhomepage/profile.html Steroids caused my depression…prednisone should be used conservatively Before you buy.

Response:

> > > Yes it is. > > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI. > Actually, it is. > Of course it is.  LostboyinNC is probably a wannabee user.

Bupropion is a novel, non-tricyclic antidepressant with a primary pharmacological action of monoamine uptake inhibition. The drug resembles a psychostimulant in terms of its neurochemical and behavioural profiles in vivo, but it does not reliably produce stimulant-like effects in humans at clinically prescribed doses. Bupropion binds with modest selectivity to the dopamine transporter, but its behavioural effects have often been attributed to its inhibition of norepinephrine uptake. http://www.biopsychiatry.com/wellbutrin.htm

Response:

– Hide quoted text — Show quoted text -> Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of hacked their web > page on Wellbutrin.  My tentacles are far reaching.  Give it a look folks at > http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it look all > official and everything.  If anyone has any other web pages I can alter for > my grand conspiracy, drop me a line. > > Hmm, I guess the manufacturer doesn’t know what they’re making and the > FDA > > just went insane and listed Wellbutrin as a non-SSRI.  Gee, what a wacky > > world. > There you go again, Brian… On with your lies and deceptions. Haven’t > the > boys in white caught up with you yet?  You are a danger to society and you > need to be stopped. > > > > > Yes it is. > > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > > You’re wrong. > I wish all you mother fuckers would shutup

Before you buy.

Response:

Are you a moron, or are you an imbecile?  Because I always get those two mixed up. Wellbutrin (bupropion) is *not* an SSRI, or any other kind of reuptake inhibitor.  It’s chemically related to the stimulants diethylpropion and cathinone.  Its mechanism of action is not really understood, but it’s probably just a (very) weak stimulant. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom

– Hide quoted text — Show quoted text -> I have no idea what this "PRD" you are quoting is.  My Physicians > Desk Reference (2000) quite plainly states Wellbutrin is an SSRI. > Hmm, wellbutrin is not an SSRI.  To quote the PRD on this: "Wellbutrin is an > aminoketone class antidepressant, it is chemically unrelated to tricyclic, > tetracyclic, selective serotonin re-uptake inhibitor, or other known > antidepressant agents." > end > > Yes it is. > > > Wellbutrins not even an SSRI you fuckin retard > > > Scooter > > > > Hello Kathleen > > > > >This is my 4th day on Wellbutrin. > > > > My condolences. > > > > >I took Prozac for several years > > > > No wonder you sound all fucked up! > > > > > and I think it just began to *wear* off…….I understand > > > > >Wellbutrin can cause some agitation the first week? I am having > > > > >to keep my emotions in *check*. > > > > Is that why you use so many asterisks? > > > > >I would like to hear from others on this medication for moral > support. > > > > Get off Wellbutrin and any other meds you’re on. > > > > Eric in North Carolina > > > > WARNING TO PARENTS: Jew-hating Austrian Nazi Peter "Guardian" Schrenk troll.

Response:

What are you, *another* idiot?  Don’t pontificate when you have no idea what you’re talking about.  Wellbutrin (bupropion) is not an SSRI. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom – Hide quoted text — Show quoted text -> > Yes it is. > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > You’re wrong.

Response:

 > You need help, dude. Perhaps he does, but you need a nervous system. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom – Hide quoted text — Show quoted text -> Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of hacked their web > page on Wellbutrin.  My tentacles are far reaching.  Give it a look folks at > http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it look all > official and everything.  If anyone has any other web pages I can alter for > my grand conspiracy, drop me a line. > You need help, dude. > > > Hmm, I guess the manufacturer doesn’t know what they’re making and the > FDA > > > just went insane and listed Wellbutrin as a non-SSRI.  Gee, what a wacky > > > world. > > There you go again, Brian… On with your lies and deceptions. Haven’t > the > > boys in white caught up with you yet?  You are a danger to society and you > > need to be stopped. > > > > > > Yes it is. > > > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > > > You’re wrong.

Response:

 > I hold a Masters in Pharmacology Sorry, I’ve got you beat in that department.  And if you think that bupropion is an SSRI, then your masters must have come from some dime-store community college. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom – Hide quoted text — Show quoted text ->  > You need help, dude. > Perhaps he does, but you need a nervous system. > Got one.  Perhpas you’d like some of mine seeing as how I hold a Masters in > Pharmacology? > — > ETF > I don’t know just where I’m going > But I’m gonna try for the kingdom > > > Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of hacked their > web > > > page on Wellbutrin.  My tentacles are far reaching.  Give it a look > folks at > > > http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it look all > > > official and everything.  If anyone has any other web pages I can alter > for > > > my grand conspiracy, drop me a line. > > You need help, dude. > > > > > Hmm, I guess the manufacturer doesn’t know what they’re making and > the > > > FDA > > > > > just went insane and listed Wellbutrin as a non-SSRI.  Gee, what a > wacky > > > > > world. > > > > There you go again, Brian… On with your lies and deceptions. > Haven’t > > > the > > > > boys in white caught up with you yet?  You are a danger to society and > you > > > > need to be stopped. > > > > > > > > Yes it is. > > > > > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > > > > > You’re wrong.

Response:

Actually, it’s not.  Not even close. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom

– Hide quoted text — Show quoted text -> > Yes it is. > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI. > Actually, it is.

Response:

 > Exactly.  Wellbutrin IS an SSRI. Do you really have a master’s degree?  In what?  Basket weaving? Did you get your degree from 7-11 or something? Bupropion is not an SSRI.  It does not even vaguely resemble SSRIs, either chemically or pharmacologically.  You resemble an imbecile, however. — ETF (MIT trained neuropharmacologist and former scientist at a couple of R&D based drug companies). I don’t know just where I’m going But I’m gonna try for the kingdom – Hide quoted text — Show quoted text -> > > > > Yes it is. > > > > — Hey shithead axe wielder, Wellbutrin is NOT an SSRI. > > > Actually, it is. > > Of course it is.  LostboyinNC is probably a wannabee user. > Bupropion is a novel, non-tricyclic antidepressant with a primary > pharmacological action of monoamine uptake inhibition. The drug resembles a > psychostimulant in terms of its neurochemical and behavioural profiles in vivo, > but it does not reliably produce stimulant-like effects in humans at clinically > prescribed doses. Bupropion binds with modest selectivity to the dopamine > transporter, but its behavioural effects have often been attributed to its > inhibition of norepinephrine uptake. > http://www.biopsychiatry.com/wellbutrin.htm > Exactly.  Wellbutrin IS an SSRI.

Response:

Oh, you’re Andrew — in other words, no master’s degree, no brain, no intelligence. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom – Hide quoted text — Show quoted text -> > Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of hacked > their web > > page on Wellbutrin.  My tentacles are far reaching.  Give it a look > folks at > > http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it look all > > official and everything.  If anyone has any other web pages I can > alter for > > my grand conspiracy, drop me a line. > > > > Hmm, I guess the manufacturer doesn’t know what they’re making > and the > > FDA > > > > just went insane and listed Wellbutrin as a non-SSRI.  Gee, what > a wacky > > > > world. > > > There you go again, Brian… On with your lies and deceptions. > Haven’t > > the > > > boys in white caught up with you yet?  You are a danger to society > and you > > > need to be stopped. > > > > > > > Yes it is. > > > > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > > > > You’re wrong. > > I wish all you mother fuckers would shutup > My my, smashing good commontary there, what?

Response:

> >  > I hold a Masters in Pharmacology > Sorry, I’ve got you beat in that department.  And if you think that > bupropion is an SSRI, then your masters must have come from some dime-store > I HAVE A MASTERS DEGREE FROM FILLMORE GODDAMIT YOU MOTHERFUCKER SHOW SOME > RESPECT YOU LITTLE BASTARD I DOUBT YOUR A DAY OVER 18 AND YOU THINK YOU KNOW > SOMETHING ASSHOLE IVE BEEN IN TWO WARS AND HAD TO SUCK PEOPLES COCK TO GET > WHERE I AM IN THE WORLD SHOW SOME RESPECT YOU LITTLE FUCKER

Don’t worry–everyone can tell by the way you write that you went to a really hot-shit school and got a degree so advanced it hasn’t been invented yet.   — Laughter is the true seriousness that destroys all false seriousness. –M.M. Bakhtin For those pesky pills that won’t give it up, check out the extraction page: http://members.home.net/harryworld/extraction.html

Response:

Sorry — I didn’t realize that this was cross-posted. — ETF I don’t know just where I’m going But I’m gonna try for the kingdom

– Hide quoted text — Show quoted text -> OK, Eaton, the repetive messages about some Kathleen never been > mentioned in recent postings to ASDM, been received over and over and > over again! > Linda > Oh, you’re Andrew — in other words, no master’s degree, no brain, no > intelligence. > — > ETF > I don’t know just where I’m going > But I’m gonna try for the kingdom > > > > Hehe.  Is Galxo-Wellcome part of my conspiracy?  I must of > hacked > > > their web > > > > page on Wellbutrin.  My tentacles are far reaching.  Give it a > look > > > folks at > > > > http://www.glaxowellcome.com/pi/wellbusr.pdf , I did make it > look all > > > > official and everything.  If anyone has any other web pages I > can > > > alter for > > > > my grand conspiracy, drop me a line. > > > > > > Hmm, I guess the manufacturer doesn’t know what they’re > making > > > and the > > > > FDA > > > > > > just went insane and listed Wellbutrin as a non-SSRI.  Gee, > what > > > a wacky > > > > > > world. > > > > > There you go again, Brian… On with your lies and deceptions. > > > Haven’t > > > > the > > > > > boys in white caught up with you yet?  You are a danger to > society > > > and you > > > > > need to be stopped. > message > > > > > > > > > Yes it is. > > > > > > > > Wellbutrin is *not* an SSRI. Educate yourself. -aurora > > > > > > > You’re wrong. > > > > I wish all you mother fuckers would shutup > > My my, smashing good commontary there, what? > Before you buy.

Response:

Question:

My heart goes out to you and your fiance. Anti-depressants can trigger a manic episode, particularly the SSRIs (Paxil, Zoloft, et al). They also may induce or aggravate rapid cycling – moving from the highest high to the lowest low several times in a given time period (which varies from doc to doc. Stress causes me to have manic episodes. My dad died unexpectedly in April, and I acted like a complete nut. Yelling, crying, assuming everyone was out to get me…all this at my father’s funeral. I viewed every new depression as a failure.  That’s because I thought I could make myself stop having them.  Seems wacky now but as you know us BP’s are a creativelot! My doc took me off Paxil, substituted Wellbutrin, and gradually introduced Zoloft. I have been on mood stablizers throughout (Lithium and Depakote).  I haven’t had a manic or depressive episode since November. The biggest thing for me is knowing that people love me even when I don’t. These are the people who remind me that the clouds will lift and life is worth living since my illness has been diagnosed and treated. This is too long, but I’m not going to edit it. If your fiance has a psychiatrist, she should share what you shared here, exploring ways to handle stress.  Good luck! Before you buy.

Response:

YES!!! Paxil and zoloft both did it for me and it has happened bot with and without a mood tabilizer…

Response:

Sorry to hear about your troubles. Anti-depressants without a stabilizer sent me into a hypomanic ride last year. I ended up in the hospital for a month suffering major depression.  They started me on Effexor and I went hypomanic…they refused to put me back on it and tried Wellbutrin with Lithium, Neurontin and Depakote. I was fine for several months then got depressed went back in the hospital and begged them to try Effexor again since it was the only med that turned on the lights in my head. My docs did and I was fine since I had stabilizers. I was off meds for 6 months recently and headed towards trouble. I am now back on Effexor XR with Lithium and Neurontin daily. I feel fine and have been on this regime for 2 months. Sorry for the lengthy story here…We’re all different but my I’ve heard that rapid cycling and mixed state bipolar is the touchiest to treat with a.d’s because they can loft one towards mania. Hope things get better for your loved one. – Hide quoted text — Show quoted text -> hi. > been here before about 8 months ago . my girlfriend was diagnosed bi-polar > then and went through a 2 week / then 8 week spell in hospital . she ended > up being on 1000mg of pridal (litium ) and not sure the mg of effexor . > now she is back in hospital again . Could the effexor have been a > contributing factor ? . > 2nd Q .. > we were due to get married the last time it happened but couldn’t because of > the attack… We were going to my brothers wedding this time and even though > she went through the weekend fine (actually on a bit of a high), a few days > later this happened .  Seeing as she had a 6 year run without an episode > until last march and again now , is it possible that without major events to > trigger the disorder that she can have a relatively normal life or am i just > grabbing at straws? > thanking you > david o mahony

Response:

David, I don’t know the answer to your first question.  I suspect that most antidepressants have the capability of sending BiPolars into mania, but I will leave it to the pros to give you the final say on that one. As far as your girlfriend living a "normal" life between emotional upsets, it’s hard to say.  Even if it were possible to remain stable when things are ducky, how could you or her forsee or stop potential upheaval?  I think your best bet is to arm yourself with as much knowledge as you can about her illness…and her particular patterns…each one of us is different.   If you marry you must be prepared to deal with her illness. Then you must be willing to stick with her even when theings get out of control.  The last thing she needs is her husband abandoning her during a critical episode of depression or mania.   If you are unable to imagine the worst,and still stand by her then I commend you.  If    you can’t than you will be doing a great disservice to the both of  you.  The best of everything and good luck.

Response:

hi. been here before about 8 months ago . my girlfriend was diagnosed bi-polar then and went through a 2 week / then 8 week spell in hospital . she ended up being on 1000mg of pridal (litium ) and not sure the mg of effexor . now she is back in hospital again . Could the effexor have been a contributing factor ? . 2nd Q .. we were due to get married the last time it happened but couldn’t because of the attack… We were going to my brothers wedding this time and even though she went through the weekend fine (actually on a bit of a high), a few days later this happened .  Seeing as she had a 6 year run without an episode until last march and again now , is it possible that without major events to trigger the disorder that she can have a relatively normal life or am i just grabbing at straws? thanking you david o mahony

Response:

Question:

2:00 am friday. Last dose of any meds monday am at hospital. pdocs screwed up bad, fucked up detox in hospital, didn’t let me know what they were doing, I was pissed & scared. ME/I voluntarily cut depakote since they denied 4 days dose (staggered) in ten days in hosp. THEY cut wellbutrin. They increased seroquel, added ativan 2x daily, hit me up with haldol & unknowns. when I left they didn’t return my supply of meds I had voluntarily surrendered. no taper-down plan. major sleep disturbances. I’m sick. When I hit the sleep barrier I’m afraid of ghosts(?!!?) and awaken. I sleep 2/3 hours per session…5/6 hours daily. I’m hypomanic but tired. Pdoc is perfectly willing to accept my discomfort (not the one in hosp., but original). Even asked my girlfriend for some of her rx tranks, but re-thought…bad idea. Valerian doesn’t work… nor does warm milk. I’m just bitching. It won’t kill me. But I’m afraid they may have fucked me up permanently. This is worse than quitting drinking. Jim

Response:

- Hide quoted text — Show quoted text – > 2:00 am friday. Last dose of any meds monday am at hospital. pdocs screwed up > bad, fucked up detox in hospital, didn’t let me know what they were doing, I > was pissed & scared. ME/I voluntarily cut depakote since they denied 4 days > dose (staggered) in ten days in hosp. THEY cut wellbutrin. They increased > seroquel, added ativan 2x daily, hit me up with haldol & unknowns. > when I left they didn’t return my supply of meds I had voluntarily surrendered. > no taper-down plan. > major sleep disturbances. I’m sick. When I hit the sleep barrier I’m afraid of > ghosts(?!!?) and awaken. I sleep 2/3 hours per session…5/6 hours daily. I’m > hypomanic but tired. > Pdoc is perfectly willing to accept my discomfort (not the one in hosp., but > original). Even asked my girlfriend for some of her rx tranks, but > re-thought…bad idea. > Valerian doesn’t work… nor does warm milk. > I’m just bitching. > It won’t kill me. > But I’m afraid they may have fucked me up permanently. > This is worse than quitting drinking. > Jim

Hi Jim: I think the Haldol and some of the other older major tanqs. are just plain nasty…and I think should ONLY be saved for SHORT term..VERY end of the line use. Even then….there are some better newer ones, even seroquel, but can often be found to be helpful in kower doses, without many adverse effects. In fact, though, i stand by the mood stabalizers and adjustment of dose with a small dose of an antidepressant and benzodiazepine. I want to give you a bit of comfort..because I went through a nasty hospitalization being put on Melaril, along with a 100mg dose of Elavil and lithium. Of course, my pdoc was near his retirement, and I don’t think he had heard of any of the psych meds invented after the dawn of civilization. Thats why I always encourage people to "fire" their pdocs if they are ignoring your pain over and over again. I was in an "emotional straightjacket". The strange thing was..I exhibited no "psychotic" behaviour. I left the hospital feeling about 100 times worse then when I got there..and man..that IS bad. So, my Dad was good enough to really help me….he searched around the city for me (I was still too "Whacked"), and got me in with a fairly well know, and compasioante pdoc. While I was coming down off the other stuff (thankfully, the new doc "tappered" me)..I was SURE the stuff had messed my head up SOME way!! Some kind of brain damage!! But..the new pdoc didn’t let me live in misery….he started out with a VERY small dose of a benzo. Now..we are working primarily with three meds….Effexor XR…a regular benzo schedule, and now into mood stabalizers, starting with Depakote. I still have some distance to go….but I HONESTLY never thought I would have the strength I have now (which is not REALLY alot) back then. My mind is sharp again…am still trying to fix a bit of this "depersonaliztion" with a med adjustment..and my anxiety feels like it was this buring fire that was claimed by a nice summer rainshower. My pdoc also mentioned that there was NO need for me to be on the meds I was in the hospital. He figures that since I didn’t have a drug plan, they just threw the cheapest drugs they could find at me. I can’t give you a 100 percent correct answer, as I don’t know about this regarding myself either, but I DON’T think you have to worry about any permanent brain damage. I would think you would get more damage from alcohol use. Please email if you wish to talk more!! Just IMHO..etc.. Best Luck.. James MacLachlan — "I’ve used up all my sick days…so I’m calling in dead!" -Anon "I’d like to know where shareholders get their power from?? I am wondering where the hell the word "shareholder" is in the American Consitution?" "Let us pause for a moment to recover from the sad news this week that Dan Quayle will not be running for President next year. Potatoe lovers all over America are feeling a sense of loss and I can only say that with Quayle out of the running, all we have to look forward to now is the day when we get to hear more than a sound bite from George W. Bush and realize he’s even dumber than Quayle. There is a reason you have not heard Bush Jr. speak on television for any length of time. The media knows he’s as dense as oatmeal and because they have been so busy touting him as "the front runner" to actually put him on to speak for ten minutes would reveal how not on top of things they really are." Micheal Moore, "The AWFUL Truth"

Response:

i hope that you get better=bruce

Response:

James… The Effexor SR just depressed me more, Depakote held me in its channel, but tended to depress and I liked seroquel too much for it to be good for me….liked that it  knocked me out, looked forward to doses. Fired 6 pdocs in past 5 years. They have accused me of being unable to bond with ‘em. Jim "Mama mama here comes Doctor Dark…his hoom slim-a-slammin his hooves kickin sparks…" Don Van Vliet (aka Captain Beefheart) "Doctor Dark" from "Lick Off My Decals Baby"

Response:

Sounds like you are having a rough time, but at least you are not being incarcerated against your will.  I am betting you would rather be miserable at home than in the dungeon.  Hang-in there.  Hopefully you will find something to make your situation tolerable.

– Hide quoted text — Show quoted text ->This is worse than quitting drinking. >Jim

Response:

Pdoc can’t replaces these meds?  Sounds like you need something to take the edge off, Jim.  Also sounds like you’re aware and watching yourself as you go through the motions of it.  Don’t lose touch.   Linda Briteyes – Hide quoted text — Show quoted text – > 2:00 am friday. Last dose of any meds monday am at hospital. pdocs screwed up > bad, fucked up detox in hospital, didn’t let me know what they were doing, I > was pissed & scared. ME/I voluntarily cut depakote since they denied 4 days > dose (staggered) in ten days in hosp. THEY cut wellbutrin. They increased > seroquel, added ativan 2x daily, hit me up with haldol & unknowns. > when I left they didn’t return my supply of meds I had voluntarily surrendered. > no taper-down plan. > major sleep disturbances. I’m sick. When I hit the sleep barrier I’m afraid of > ghosts(?!!?) and awaken. I sleep 2/3 hours per session…5/6 hours daily. I’m > hypomanic but tired. > Pdoc is perfectly willing to accept my discomfort (not the one in hosp., but > original). Even asked my girlfriend for some of her rx tranks, but > re-thought…bad idea. > Valerian doesn’t work… nor does warm milk. > I’m just bitching. > It won’t kill me. > But I’m afraid they may have fucked me up permanently. > This is worse than quitting drinking. > Jim

Response:

- Hide quoted text — Show quoted text – > James… > The Effexor SR just depressed me more, Depakote held me in its channel, but > tended to depress and I liked seroquel too much for it to be good for > me….liked that it  knocked me out, looked forward to doses. > Fired 6 pdocs in past 5 years. They have accused me of being unable to bond > with ‘em. > Jim > "Mama mama here comes Doctor Dark…his hoom slim-a-slammin his hooves kickin > sparks…" > Don Van Vliet (aka Captain Beefheart) > "Doctor Dark" from "Lick Off My Decals Baby"

This is pretty much my situation (minus the Seroquel..YET..maybe?!?!) The Effexor XR seemed to work for a week or two..but I think that was just because it was simply "changing" some of the N.T. levels…and when it set in..no emotion…LOTS of sadness…and LOTS of "numbness". Depakote is pretty much the same..it kep’t me mildly level, but also a lingering depression followed. BOTH of these KILLED my sex drive…and I DO MEAN KILL!! I am looking at a possible change to a VERY mild dose of one of the newer anti-psychotics. I have to be careful, though..as I will be starting a new job, and don’t want this stuff messing me up. I have been off Effexor XR for about two days now, and actually feel like I am coming back to life. Wish I had answers my friend… James — "I’ve used up all my sick days…so I’m calling in dead!" -Anon "I’d like to know where shareholders get their power from?? I am wondering where the hell the word "shareholder" is in the American Consitution?" "Let us pause for a moment to recover from the sad news this week that Dan Quayle will not be running for President next year. Potatoe lovers all over America are feeling a sense of loss and I can only say that with Quayle out of the running, all we have to look forward to now is the day when we get to hear more than a sound bite from George W. Bush and realize he’s even dumber than Quayle. There is a reason you have not heard Bush Jr. speak on television for any length of time. The media knows he’s as dense as oatmeal and because they have been so busy touting him as "the front runner" to actually put him on to speak for ten minutes would reveal how not on top of things they really are." Micheal Moore, "The AWFUL Truth"

Response:

It occurred to me the other night that advanced "augmentation" of psymeds can cause chaotic (scientific defintion) results, i.e… SSRIs plus serum norepinephrine reuptake inhibitors plus mood stabilizer plus antipsychotic equals "Who Goes There? (oops, Carpenter "Thing" reference again) shape-shifting mutant emotion storm. I finally got a moderate amount of sleep using antihistamines and Melatonin…maybe just placebo affex but perception is everything. My surmise is that the Depakote straight 6mg per kg body weight formula used on me was far too much. Good luck with the new job. Jim "Must the breathing pay for those who breathe in and don’t breathe out? There’d be no game brother, if no one’d play…" Don Van Vliet (aka Captain Beefheart) "Petrified Forest" from "Lick Off My Decals Baby"

Response:

Question:

YOUR DOCTOR SOUNDS LIKE AN ASSHOLE

Response:

>> > Please talk with your pdoc about this issue. > I called him and he said to take 20 mg of Prozac a day and also the > Wellbutrin, but to take Klonopin if I feel like climbing the walls….. >This would be for OCD I forgot to add.  He doesn’t want to eliminate the >Prozac completely. > Didn’t I post about my concern about you going off Prozac altogether > since it is not only effective for depression but also for OCD (and > bulimia)? But I don’t see my post. Maybe I’m losing it??? I guess it’s > time to up my Neurontin dose. <Sigh

You are not losing it at all.  That was what prompted me to question the pdoc’s decision.  I am not sure that he was aware of the OCD, but he is now.   Don’t up the Neurontin sweets, I am the one that is losing it. With Love, Julie

Response:

<Posted and Mailed to Julez> > >> > Please talk with your pdoc about this issue. > > I called him and he said to take 20 mg of Prozac a day and also the > > Wellbutrin, but to take Klonopin if I feel like climbing the walls….. > >This would be for OCD I forgot to add.  He doesn’t want to eliminate the > >Prozac completely. > Didn’t I post about my concern about you going off Prozac altogether > since it is not only effective for depression but also for OCD (and > bulimia)? But I don’t see my post. Maybe I’m losing it??? I guess it’s > time to up my Neurontin dose. <Sigh!> >You are not losing it at all.  That was what prompted me to question the >pdoc’s decision.  I am not sure that he was aware of the OCD, but he is >now.   >Don’t up the Neurontin sweets, I am the one that is losing it.

I figured out what happened. I use Agent (which is an integrated News reader and email program). I must have clicked upon the email only reply button. So that is why it didn’t get posted. DUH! You may find that the antidepressive effects of Neurontin will decrease after a few days and leave predominantly the mood stabilizing effect. >With Love, >Julie

Lots of love from, James

Response:

> What I have been told by my doctores is this:  Prozac is not a long lasting > pill, so going off it ‘cold turkey’ can’t hurt you at all….  we either

My doc said the same thing due to the long half life and the build-up in my system. > take it and feel the effects, or when we stop we just stop…..  This might > be wrong info, but I wanted to let you  know they did that with me and I > didn’t feel any differance…. it did however take a lot longer when they > put me on it again to get it into my system.  I hope you do ok, this ride > is hell sometimes. Angel

Thanks Angel – your name suits you perfectly! Julie

Response:

   (I wrote) My question is: when switching to a new SSRI, and going cold turkey off the Prozac at the same time, can I still expect some heavy withdrawal effects?  I know, your body may vary : ) > The half life of Prozac is 2 – 3 days. Norfloxetine, the primary active > metabolite, has an elimination rate half life of 7 – 9 days. It is > excreted by the kidneys and metabolized primarily in the liver. > IMHO, stopping Prozac abruptly while starting Wellbutrin has the > potential of triggering a mania as Prozac is still in your system. The > half life of Wellbutrin is 8 – 24 hours. It is also excreted via the > kidneys and metabolized in the liver.

Right as usual kiddo, manic is the story of my life since OCTOBER, in varying degrees.  This brought it on pretty good. > Both drugs should be used with caution in peoplw who have impaired renal > or liver disease. > Please talk with your pdoc about this issue.

I called him and he said to take 20 mgs of prozac a day and also the wellbutrin, but to take klonopin if I feel like climbing the walls….. hmmmm Thanks Lynda, hope you are feeling better! Julie

Response:

> > Please talk with your pdoc about this issue.

 I called him and he said to take 20 mgs of prozac a day and also the  wellbutrin, but to take klonopin if I feel like climbing the walls….. This would be for OCD I forgot to add.  He doesn’t want to eliminate the prozac completely. Julie

Response:

<Posted and Mailed to Julez> > > Please talk with your pdoc about this issue. > I called him and he said to take 20 mg of Prozac a day and also the > Wellbutrin, but to take Klonopin if I feel like climbing the walls….. >This would be for OCD I forgot to add.  He doesn’t want to eliminate the >Prozac completely.

Didn’t I post about my concern about you going off Prozac altogether since it is not only effective for depression but also for OCD (and bulimia)? But I don’t see my post. Maybe I’m losing it??? I guess it’s time to up my Neurontin dose. <Sigh!> >Julie

James — the Puzzled

Response:

Tapering off is really just a formality with Prozac. It takes so long to leave your body that quitting abruptly shouldn’t be a problem. Still, if in doubt, taper. Keith – Hide quoted text — Show quoted text ->Hey There: >I haven’t been following the group for about a week…. I need to catch >up : ) >I took prozac successfully for six months. For some strange reason, it >has me smoking cigarette’s again, after quitting for 2 whole years!!! >Also on (Neurontin and Klonopin)…. >My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on >wellbutrin instead. >My question is: when switching to a new SSRI, and going cold turkey off >the Prozac at the same time, can I still expect some heavy withdrawal >effects?  I know, your body may vary : ) >Any experience out there – Please let me know. >Thanks. >Julie

Response:

>What I have been told by my doctores is this:  Prozac is not a long lasting >pill, so going off it ‘cold turkey’ can’t hurt you at all….  we either >take it and feel the effects, or when we stop we just stop…..  This might >be wrong info, but I wanted to let you  know they did that with me and I >didn’t feel any difference…. it did however take a lot longer when they >put me on it again to get it into my system.  I hope you do ok, this ride >is hell sometimes. Angel

Angel, I have to disagree with your doctors. The effects of Prozac do stay with a person for a considerable period of time. It is well known that when a person "rechallenges" any particular medication, it may not prove as effective as it originally did. Some tolerance or resistance may be built up. http://www.rxlist.com/cgi/generic/fluoxetine_cp.htm Accumulation and Slow Elimination — The relatively slow elimination of fluoxetine (elimination half-life of 1 to 3 days after acute administration and 4 to 6 days after chronic administration) and its active metabolite, norfluoxetine (elimination half-life of 4 to 16 days after acute and chronic administration), leads to significant accumulation of these active species in chronic use and delayed attainment of steady state, even when a fixed dose is used. After 30 days of dosing at 40 mg/day, plasma concentrations of fluoxetine in the range of 91 to 302 ng/mL and norfluoxetine in the range of 72 to 258 ng/mL have been observed. Plasma concentrations of fluoxetine were higher than those predicted by single-dose studies, because fluoxetine’s metabolism is not proportional to dose. Norfluoxetine, however, appears to have linear pharmacokinetics. Its mean terminal half-life after a single dose was 8.6 days and after multiple dosing was 9.3 days. Steady state levels after prolonged dosing are similar to levels seen at 4-5 weeks. The long elimination half-lives of fluoxetine and norfluoxetine assure that, even when dosing is stopped, active drug substance will persist in the body for weeks (primarily depending on individual patient characteristics, previous dosing regimen, and length of previous therapy at discontinuation). This is of potential consequence when drug discontinuation is required or when drugs are prescribed that might interact with fluoxetine and norfluoxetine following the discontinuation of Prozac. – Hide quoted text — Show quoted text -> Hey There: > I haven’t been following the group for about a week…. I need to catch > up : ) > I took Prozac successfully for six months. For some strange reason, it > has me smoking cigarette’s again, after quitting for 2 whole years!!! > Also on (Neurontin and Klonopin)…. > My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on > Wellbutrin instead. > My question is: when switching to a new SSRI, and going cold turkey off > the Prozac at the same time, can I still expect some heavy withdrawal > effects?  I know, your body may vary : ) > Any experience out there – Please let me know. > Thanks. > Julie

Response:

Hi Julez, > I took prozac successfully for six months. For some strange reason, it has > me smoking cigarette’s again, after quitting for 2 whole years!!!

Sorry about that. > Also on (Neurontin and Klonopin)…. > My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on > wellbutrin instead. > My question is: when switching to a new SSRI, and going cold turkey off > the Prozac at the same time, can I still expect some heavy withdrawal > effects?  I know, your body may vary : )

The half life of Prozac is 2 – 3 days. Norfloxetine, the primary active metabolite, has an elimination rate half life of 7 – 9 days. It is excreted by the kidneys and metabolized primarily in the liver. IMHO, stopping Prozac abruptly while starting Wellbutrin has the potential of triggering a mania as Prozac is still in your system. The half life of Wellbutrin is 8 – 24 hours. It is also excreted via the kidneys and metabolized in the liver. Both drugs should be used with caution in peoplw who have impaired renal or liver disease. Please talk with your pdoc about this issue. Peace, Reach beyond your grasp!

Response:

What I have been told by my doctores is this:  Prozac is not a long lasting pill, so going off it ‘cold turkey’ can’t hurt you at all….  we either take it and feel the effects, or when we stop we just stop…..  This might be wrong info, but I wanted to let you  know they did that with me and I didn’t feel any differance…. it did however take a lot longer when they put me on it again to get it into my system.  I hope you do ok, this ride is hell sometimes. Angel – Hide quoted text — Show quoted text – > Hey There: > I haven’t been following the group for about a week…. I need to catch > up : ) > I took prozac successfully for six months. For some strange reason, it > has me smoking cigarette’s again, after quitting for 2 whole years!!! > Also on (Neurontin and Klonopin)…. > My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on > wellbutrin instead. > My question is: when switching to a new SSRI, and going cold turkey off > the Prozac at the same time, can I still expect some heavy withdrawal > effects?  I know, your body may vary : ) > Any experience out there – Please let me know. > Thanks. > Julie

Response:

<Posted and Mailed to Julez> >Hey There: >I haven’t been following the group for about a week…. I need to catch >up : ) >I took Prozac successfully for six months. For some strange reason, it >has me smoking cigarette’s again, after quitting for 2 whole years!!! >Also on (Neurontin and Klonopin)….

Are you sure that you resuming smoking is due to Prozac rather than some additional stressor in your life? >My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on >Wellbutrin instead.

You have been on Prozac long enough for it to have built up to a steady state in your system. It is NOT a good idea to go off it cold turkey!!! The effects will remain with you for quite a while I’m afraid. The reason for switching to Wellbutrin is sound IMO. It is the same as Zyban — the antismoking pill you see advertised. I hope it adds in reducing your cravings for nicotine. >My question is: when switching to a new SSRI,

Prozac is an SSRI but Wellbutrin is not — it affects dopamine. >and going cold turkey off >the Prozac at the same time, can I still expect some heavy withdrawal >effects?  I know, your body may vary : )

Maybe? Also are you cutting back on smoking, wearing a nicotine patch, chewing nicotine gum, or what??? All of these will effect how you will feel. >Any experience out there – Please let me know.

I’ve never had problems with nicotine, alcohol, or illegal drugs so I’m afraid I can’t give any personal experiences in any of those areas. >Thanks. >Julie

Best wishes for success from, James

Response:

Hey There: I haven’t been following the group for about a week…. I need to catch up : ) I took prozac successfully for six months. For some strange reason, it has me smoking cigarette’s again, after quitting for 2 whole years!!! Also on (Neurontin and Klonopin)…. My Doctor stopped the Prozac cold turkey, (ouch,) and now has me on wellbutrin instead. My question is: when switching to a new SSRI, and going cold turkey off the Prozac at the same time, can I still expect some heavy withdrawal effects?  I know, your body may vary : ) Any experience out there – Please let me know. Thanks. Julie

Response: