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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by adamie on July 19, 2001, at 15:28:42
Hi. This forum has been extremely useful for me and I have learned quite a bit despite my horrible memory problems.I have gotten some good opinions but it would be good to see more of what people think. I am wondering which anti depressants people feel are good for one's love life? Before my severe depression my fiance has always meant everything to me and all that mattered was spending every moment together. I want to be able to feel that again. I want the feeling of 'wanting' to always take care of her. To have stronger and fuller emotions is my most primary concern. Also I have severe concentration, thinking, and memory problems. Perhaps certain anti depressants can work for both of those symptoms? I have no anxiety component in my depression, and sleep and appetite problems have been resolved. Actually before my depression I would often have some trouble sleeping because I would always think about things a lot before going to sleep. Such as my fiance. I would think a lot about many things. The depression has really taken my thinking ability ability away. It's severely been limited. I would love to be in my old state. Even with sleeping problems. Because that was normal for me. I want to have sleep trouble again due to thinking too much. So I hope there will be something that works very well for loving emotions and thinking ability. Does anyone have any experiences or suggestions for these symptoms?
My depression has been extremely severe and was caused 2 months ago by a drug called accutane which is a man made vitamin A. So far I have only been on paxil for 23 days. I experienced no side effects except sexual side effects which I noticed once when I was in a better mood. The paxil I think has helped slightly but I am still very depressed. But it's a relief my depression isn't in the state of complete horror where I had no reaction to anything with my heart constantly pounding.
I went to my therapist today at the hospital and I rated my mood as 2.5/10. She said the paxil should have worked more for me by now and she said when the other therapist gets back (the professional) we may switch my medication or some other change if I haven't had a big improvement. I was actually thinking of adding reboxetine but we will see what happens in the next few weeks. I will have a choice in what to choose so I will try to better educate myself in the time being. She reassured me I will make a complete recovery and says she is very hopeful. I certain hope I do. But of course it's something she could just typically say. But we will see how things go. Maybe my dose will be increased before something is added. Many possibilities.
Also I have been told by some people here that my lack of emotions and lack of thinking/concentration symptoms would be better treated with a stimulating/activating type of anti depressant and also one that may work for norepinephrine and also maybe dopamine. That is why I am strongly considering trying reboxetine which is available here in Canada. Does anyone here have any thoughts, experiences, or suggestions as to what may best be suited for my symptoms? I want to have sleeping trouble as a cause of thinking too much. That was normal for me. And I mostly want to have strong loving emotions back. My mind is severely limited in the thinking category. It actually took a very long time to write this.
Thank you for reading.
Posted by JohnL on July 19, 2001, at 16:42:23
In reply to Best anti depressants for Love Life?, posted by adamie on July 19, 2001, at 15:28:42
Adamie,
Unfortunately Reboxetine has caused impotence with most men at this board who have tried it, including me. And I have yet to see anyone who liked it well enough to stay with it. I could be way wrong, but I think most of us at this board would be a whole lot better off to forget antidepressants altogether and look at the other psychiatric drugs instead. Personally I have seen more people with bad depression get well on stimulants and/or antipsychotics than on antidepressants. They're just names anyway. Go with what works. We've all been around the antidepressant circus long enough. Give something else the same fair chance that you give antidepressants.
John
Posted by adamie on July 19, 2001, at 17:36:58
In reply to Re: Best anti depressants for Love Life?, posted by JohnL on July 19, 2001, at 16:42:23
> Adamie,
> Unfortunately Reboxetine has caused impotence with most men at this board who have tried it, including me. And I have yet to see anyone who liked it well enough to stay with it. I could be way wrong, but I think most of us at this board would be a whole lot better off to forget antidepressants altogether and look at the other psychiatric drugs instead. Personally I have seen more people with bad depression get well on stimulants and/or antipsychotics than on antidepressants. They're just names anyway. Go with what works. We've all been around the antidepressant circus long enough. Give something else the same fair chance that you give antidepressants.
> JohnThat is unfortunate regarding reboxetine. I guess I will see what my options are soon enough. Regarding impotense though that really isn't an issue for me since me and my fiance dont plan to ever have children. But if there are some bigger issues then maybe reboxetine would be an unlikely choice. I still have more research to do.
If first a few anti depressants dont work well enough I will deffinetly try anti phychotics. I need to try the typical things first though. Unless my therapist approves a suggestion of Zyprexa I dont know if I will try it in the next two weeks. But maybe I will. I will do some research and if I find some good results then maybe Zyprexa and others you mentioned will be primary choices for me next. I was just planning to keep things simple for now so that is why I asked for thoughts on anti depressants instead of all drugs in general. Thanks for your previous suggestions. You have deffinetly given me a lot of insight as to what may work for my symptoms. Chances are though that I will probably have to choose another anti depressant in this early state. But I'll see. Thanks for replying
Posted by SalArmy4me on July 19, 2001, at 18:01:57
In reply to Best anti depressants for Love Life?, posted by adamie on July 19, 2001, at 15:28:42
Reboxetine may be more effective than your SSRI:
Versiani, Marcio MD *. Amin, Mohammed MBBS (Kar), FRCP(C) +. Chouinard, Guy MSc, FRCP(C), FAPA ++. Double-Blind, Placebo-Controlled Study With Reboxetine in Inpatients With Severe Major Depressive Disorder. Journal of Clinical Psychopharmacology. 20(1):28-34, February 2000:
"Moreover, a subset analysis of severely depressed patients (CGI Severity of Illness subscale) enrolled in two studies (both of 8 weeks' duration) involving a total of 549 depressed patients showed that reboxetine was significantly (p < 0.05) more effective than the SSRI fluoxetine; the weighted mean reboxetine-fluoxetine difference at endpoint was 2.6 points on the 21-item HAM-D total score..."
This is the end of the thread.
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