Jump to content


  • Content Count

  • Joined

  • Last visited

1 Follower

About psychwardjesus

  • Rank

Profile Information

  • Gender
  • Location
    Boston, MA
  • Interests
    Reading, writing, fountain pens, podcasts, reading, tv shows, movies, country & rap music, science, medicine, mental health, psychiatry, psychopharmacology, neuroscience, hiking, camping, guns, shooting sports, hunting, martial arts, self defense, survival skills, nature, outdoors, aquariums, tropical freshwater fish, central & south american cichlids, travel, adventure, craft beer, bourbon & scotch, cigars

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

  1. I can't tell if you live in the US or somewhere else, but in re: the hurdle of refilling and picking up scripts, have you considered looking into whether your insurance would cover a mail-order pharmacy? The only one I know off the top of my head is PillPack, but I'm sure there are others. Obviously there would be more variables than just insurance. Some would depend on your prescriber — like if they only do paper scripts or can e-prescribe — while others would also depend on what meds your on or could be on in the future. I say that because PillPack doesn't dispense Schedule II meds at all, s
  2. So I've been researching and looking at possible new medications to try for my social anxiety and wanted to know if people had experience with any of these and also, if so, how was it? - gabapentin (Neurontin) doses > 600mg TID - pregabalin (Lyrica) doses > 200mg TID - tiagabine (Gabitril) - topiramate (Topamax) - lamotrigine (Lamictal) - quetiapine xr (Seroquel XR) - propranolol er (Inderal ER) - any anti-epileptic/mood stabilizer other than lithium and depakote
  3. I've never taken mirtazapine personally, but through work both anecdotally and observationally, I've heard and seen doses > 15mg to be less sedating and more activating, likely due to greater noradrenergic simulation and so possibly triggering more agitation, anxiety, hypomania/mania, etc. That being said, if you feel like the Bupropion is actually helping, I'd be more likely to reduce the mirtazapine than cross-taper to desvenlafaxine, as they're just different meds and not likely to generate the same results. I don't know how your psychiatrist feels about it, but specifically w
  4. Just my two cents, but ... please don't be afraid of ECT. If your psychiatrist or another medical professional recommends you for it, please consider it seriously. For the last eleven years I've worked full time at a very well known, free-standing psych facility in the United States which easily performs at least 10,000 treatments a year and I've seen numerous treatments from start to finish with my own eyes and helped countless others both before and after the treatments. Yes, it doesn't help everyone, or doesn't help them as robustly as we'd like, but I've also seen it work miracles fo
  5. I know it feels like choosing the lesser of two evils — would I rather be shot or stabbed — but realistically neither is good and I don't think you should set your expectations at that level. Plus, that's not to say it all boils down to medications that influence you to end up on one side or the other. There's also therapy — whether you're in it or not, is the therapist and you a good fit, is the style of therapy appropriate, etc. — and general life stuff, like sometimes you're just depressed because life sucks or certain aspects of life are hard.
  6. Most of the time I see my therapist once a week and my psychiatrist once a month even though I'm pretty sure I could go less frequently, especially my psychiatrist, since, other than some tweaking/playing with new meds here and there, I think my meds are what they are. You know what I mean? And sometimes I do, but that's typically more due to scheduling issues since I work 40+ hours a week and my therapist carries a pretty full load of clients and only sees people four days a week. I think if my therapist suggested it, I'd go along with it. But I don't know that I would ever suggest
  7. Sometimes I honestly wonder and don't know. But typically, I would say some combination of stubbornness, hope and not wanting to hurt family and a few close friends. I also think there's a logical part of me in somewhere in my head that says, Yeah, things definitely aren't great / suck right now, but they'd suck even more if you just threw in the towel. Everything would probably go downhill rather rapidly and you'd either end up dead or sectioned and in the hospital.
  8. If you're referring to tardive dyskinesia when you say TD, I wouldn't worry about it too, too much. Zyprexa is much less likely to cause TD as compared to pretty much any first gen. antipsychotic. Plus, even if you were to develop it, as long as you notice it pretty soon after it starts and you discountinue the Zyprexa,you should be perfectly fine and it'll go away once the olazapine works its way out of your system. Personally, if I were in your shoes and found it helpful, I'd stay on it. I'd be more worried about the increased appetite/weight gain/hyperlipidemia/diabetes mellitus and s
  9. Also, apologies if this was already brought up / addressed, but ... minus the side effects, do you think the Wellbutrin could be worthwhile to try again, but this time either titrating up more slowly and/temporarily managing the start up agitation/anxiety/whatever with a benzo like clonazepam (Klonopin)? Because I personally found it to be a worthwhile medicine in spite of the week or so of increased agitation and anxiety. I'm still on it now and the agitation/anxiety never came back.
  10. Also, somewhat complicating and anxiety provoking, both medications can cause rashes/allergic responses. The Wellbutrin one, while not the most comfortable to deal with, you can take a daily non-drowsy antihistamine like Zyrtec to manage it. It happened to me and I still take Wellbutrin XL. The other, unless the psychiatrist is well, well versed in rashes and has balls of steel, will likely immediately tell you to stop taking it, regardless of how far along in the titration you are or how helpful it is, because the cons far outweigh the pros of they were wrong if you ended up in the ER and/or
  11. I understand the strong urge to discontinue a medication when the side effects are really unpleasant, but as others have already said and I agree with: it would behoove you to try your best to tolerate side effects to see if a) they'll go away and more importantly b) if the medication actually helps. If not, aside from the obvious fact that you're simply not going to get relief from your symptoms, you're potentially significantly limiting your medication choices in the future, as there is some evidence that starting and stopping meds can possibly retard or completely remove their efficacy in t
  12. Do you have any history of overdosing on your meds? If not, maybe one of the other tricyclics or MAOI's?
  13. If you're open to doing another run of trial and error, a tricyclic might be an option; but I will say though that, if you're really concerned about side effects, tricyclic may not be the road you want to go down. Historically, they tend to have more and greater likelihood of side effects compared to other antidepressants. As for why some prescribers don't prescribe tricyclic (or MAOI's for that matter), it may have to do with their significant cardiotoxicity in accidental or intentional overdose. Plus, the relatively newer SSRI, SNRI, NDRI, etc. medicines have better results and more mi
  14. As the other person said, you might want to try to work through the side effects before stopping medications. Otherwise, you're wasting your time, not helping yourself feel better at all, and potentially reducing efficacy of antidepressants if re-trialed in the future and/or complete treatment resistance.
  15. Nicotine interferes with clozapine, so with heavy smokers they sometimes have to go higher than normal to achieve the same therapeutic blood level.
  • Create New...