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james555

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About james555

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  • Birthday 01/01/1972

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    Math, Music, Reading

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  1. The stimulant I am currently taking is working perfectly. But I noticed that my pulse rate is pretty high and probably has been for months. Now I am concerned I'll have to change things up some. I assume I'll have to lower the dosage as I would think any stimulant would do the same thing, correct me if I'm wrong about that. Regardless, for any of t hose that have had the same issue (high pulse rate), what did you do to solve that issue? I really hate to screw with the med b/c it's helping so much but the rate is too high, I have no choice.
  2. No problem, I try to help and give advice to others if they are struggling to find a right medicine because it's almost impossible for some. You've been on meds a long time so you understand I'm sure. Just my opinion, but psychiatric medicine needs a lot of improvement and the pharmaceutical companies aren't doing a good job in trying to get more people well. In fact, I think some are doing it on purpose but maybe I am paranoid, idk. I honestly think they just want to make sure they sell the same amount each month and could care less if the medicine is improved. I am sure you already know this but if the cipralex helps in any way then obviously that's a good thing. Stay on that and just add another med if you're not feeling completely well. Abilify is a good add-on if the other med is only working just a little bit. I took medicine that worked just a little bit for 6 or 7 years, I don't want anybody to do the same thing...it's horrible....Thanks for the post, I hope you get well soon.
  3. You seem to be stressed out so I will try and at least answer one question. 1) what is the right dose? That is just dependent on the patient and how he reacts so there is no correct dosage. I was on 15mg and I did not tolerate this medicine very well and it did nothing for my depression. You are on 45mg that is the max I would think you'd go. Will my weight continue increasing? You will plateau sooner or later but you'll probably gain more than you want I suspect. 2) Is there any way to stop this weight gain? I tried everything on the meds that caused weight gain. There are studies out there saying why you actually gain weight. Some of those say, no matter what you do you will gain. I sort of agree with this, there is nothing you can do. 4) How does one come off Mirtazapine? At 45mg I'd come off gradually. 4 months isn't too long though! At least it wasn't years! If it's actually helping you it's going to be even tougher of an adjustment because the depression will be more present so I'd find something else to replace it with before fully coming off of it. 5) If i were to stop and ween myself off, how does one cope with the withdrawal? ....don't do that. I will now be taking Venoflaxine in the morning and Mirtazapine - Remeron (45 mg)....if you are worried about side effects I'd chose another SNRI other than Effexor (Venlafaxine ), maybe Cymbalta or Pristiq, less side effects for many. If you are worried about too much weight gain I'd look at Wellbutrin or even maybe Abilify if you can tolerate their energetic effects...that could be an issue though... Hope this helps some!
  4. Hi, 10 years on meds is a long time! I have experienced depression and taken meds around 9 years, so I know it fairly well also. I only found something that worked for me back in Feb...yeah, took a long time! haha If you are determined to come off the Prozac so you can live a healthier lifestyle (nothing wrong with this at all) I would look at making sure you always get the right amount of sleep, that regulates your mood so it's so important to get 7-8 hours a night. I don't have any personal experience coming off of medicine so I can't give you any personal advice. But, a friend of mine was able to come off all meds by simply staying in a routine, a good nights rest every night, no alcohol *ever*, therapy, fish oil and zinc. So those are a few things you could look into. Note, he had a different type of depression than I have so I think it's important thing to know your type, that could help you with your supplements.
  5. Obviously, late to this post but I have some experience with CNS stimulants for depression so this could help others as well...For depression (I know very little about ADD), try your best to take the extended release type, it makes a big difference. The fact that you are feeling different in the afternoon than the morning could explain this if you aren't taking an XR type. With the XR, you get a consistent trickle of the medicine as opposed of being hit with a larger dose in the beginning. Also, for the XR, it's much harder to abuse than the IR so that's a plus I think. The IR was effective for me but wasn't nearly as consistent. Also, I've found out caffeine can really effect the way you feel on CNS stimulants so I'd keep your intake of that as low as possible. Caffeine really screws with me. For a certain type of depression it's probably the most effective medicine you'll get. And as far as knowing if it's working or not? It's almost immediate, at least it was for me...no more than a week I could tell it squashed some of my worse symptoms. For depression, getting the right dosage to see if it works is not as important compared to the other meds IMO, even at a low dose it's apparent. Hope this helps some and good luck!
  6. Doesn't look like I can edit posts so replying instead...just in case someone else comes into a similar situation and has similar symptoms: ↓ edit: It looks as though caffeine/coffee is the culprit. I've drank coffee with every other med w/ no issues but seems to be one with these types of meds...makes sense but I figured I was immune I guess. :) As long as I don't touch any (or just a very small amount) I'm side-effect/symptom free. I get some really odd symptoms from it too!
  7. For those that take CNS stimulants for whatever their illness is, what are some of the physical signs to be worried about? I am mostly interested in physical issues and not the mental issues. I can "over worry" at times so it's good to get a feel for what is somewhat common and for what isn't. I've had two symptoms that have crept up in the last 2 weeks or so and figured I'd get some opinions on it. 1) Around the sternum area I feel a light pressure at times It leaves immediately. It's like if someone lightly placed their finder on my sternum and then took their finger away. I can "over worry" about things at times so my first inclination is to go to heart problems/issues. haha But it could be something to watch out for I guess. 2) Also, I get a quick dull pain on my right shoulder blade every once in a while. It doesn't last more than a second. It could happen a few times during the day. Are these symptoms common to anyone? What are some things to look out for that could be potentially life threatening? 3) These symptoms seem to come out when I drink coffee, usually after a cup and half. Could this be making things worse or the culprit. Also, if you feel like this isn't anything to worry about please do give your opinion. Like I said, I tend to over worry so it's nice to get advice of all types. Lastly, I'm pretty proactive on things like this so if it becomes a concern I will definitely go see a doctor. Right now they aren't and figured I'd ask you all.
  8. I was on this combination as well at one time. Abilify works really for many when it comes to depression, it helped me out in many ways. I don't remember any bad side effects with these two. Cymbalta, Pristiq and Effexor are some of the meds in this category with Cymbalta and Pristiq giving me much less side effects than the Effexor.
  9. So it was giving you insomnia or at least enough not to get a good nights sleep? That would be a good enough reason to come down after 3 weeks. And as far as your startup effect and Wellbutrin, I agree about the headaches. I had them also when I started. Mine was a dull persistent headache for a week or so. Honestly, I can't tell much difference between 150mg and 300mg of the Wellbutrin. As far as side effects, Wellbutrin had the least amount for me. But I am sure everyone will react to the meds a bit differently. There really isn't much out there for fatigue, lack of energy due to anxiety/depression. Most do the opposite I've found. If you need a more energetic medicine I would consider a low dose of Abilify, like 2mg or maybe even half that, 1mg. Abilify at that dose should get rid of any tiredness. And it will work faster than an anti-depressant, which I think is a plus. I responded to it after just a week of being on it. Don't read too much about the side effects, all of these meds have it. I've taken many meds and none have been life threatening. All have been fairly safe. I know it's a AP and many would disagree but if the depression is affecting you to the point of not functioning then I would only worry about getting that fixed. Otherwise it might get worse. Abilify could give you anxiety b/c of it's energetic effect but try to get through it. Maybe ask the pysch for something you can take for the first month only if you have a panic attack or really bad moments of anxiety, like buspar or something similar, just for the first month though as you don't want to add anything else at this time.
  10. How long have you been on Ciplralex? If it's been at least a couple of months then that might not be one the issues. Usually SSRI's cause this type of feeling more than a DRI (bupropion). That's not to say bupropion can't make you feel this way, it can. First, this is my opinion and opinions and symptoms can vary so just realize that. As far as feeling the energy bottom out? That's actually pretty normal I've noticed. The Wellbutrin gives you a boost for a few weeks then that's it. It does it to me. I feel super energetic for a couple of weeks or so then that goes away. So that's not uncommon and I wouldn't think much of that. Other medicines do this as well. For example, Abilify works like stimulant for about a month, then the symptoms plateau for me. The Abilify still helped though, it just didn't give me that super energized feeling. So what you are experiencing is normal IMO, as far as it working *really* good in the beginning. When you start to combine medicines it can get very complex and you'll never know if it's a combination of the medicines or just one. I know this from experience, I currently take 3 different medicines and probably will the rest of my life. A good question to ask is what do you want the Wellbutrin to help with? What symptom of your depression are you having that you want to be helped with? (or whatever mental illness you are dealing with, I just assume it's depressive). Pick one symptom that bothers you the most and see if the Wellbutrin helps in any way at all. Unfortunately, you'll need to at least give the Wellbutrin 8 weeks to see if something helps. Many say a lot longer than that but I don't have the patience to take meds that don't help me for 6 months straight. So I always give them at least 2 months before I say, "this isn't helping any". That one of the biggest complaints about most of these medicines. They take way too long to see any results. It's also why it makes finding the right med tougher to find. But again, what I would do is pick out one symptom you are having and really be honest with yourself and see if it's helping. For example, if one of your symptoms was anhedonia. Notice week to week if you start to gain interest in something that you use to enjoy doing or activities that are enjoying, like reading about astronomy or showing sexual interest in girls again. If there's no strong impulse to do these things after 8 weeks it's probably not going to help you much. You'll have to add to it or try something else. But I don't know your symptoms and how severe they are. If it's anxiety (which is just as horrible as depression when it's severe and many times leads to a depressive episode form what I've heard), try to notice if you stop obsessively worrying about certain things or however your anxiety symptoms look or feel. Sorry, kind of a long response but hopefully it will help some. You'll need to at least give another week or so before you notice anything IMO. You could be still going through the side-effects stage of the medicine. Sometimes the side effects can last up until a month I've heard.
  11. I am on 200mg SR and it works just as well as 300mg. But honestly, it's best for you to see if 300mg is a bit better IMO. You have to experiment on your own to see what the different dosages do for you as many doctors will just keep you at a dose until you say you need an adjustment. Not all but many will. For example, the other med I take improved drastically when I switched to an extended release as opposed to the IR (immediate release) and I asked for that so it's good to be aggressive if you are not feeling well. But if you are feeling fairly good it's not good to be so aggressive as you can screw your meds up. As long as you've been on the 150mg for at least 5 or 6 weeks I'd say try it out. I think part of the reason they say wait a week is the the risk of seizures at anything above 150mg, though I could be wrong about that. It does increase with higher dosages, especially 450mg and up. I think the XL is suppose to help decrease that risk as it doesn't give you a lot immediately. I'd be on XL if I could afford it, it'd probably work better for me.
  12. Hi, Luckily, I've been doing great and haven't had any type of issues with my unipolar depression since March so this isn't for that type of advice. What I am curious about is for long time users of bupropion, has anyone ever had issues with bupropion from the Labeler / Supplier, Solco Healthcare U.S., LLC? I had been taking bupropion from the Sandoz supplier for a little under a year. But the pharmacy I go to sort of gets new stock in and the supplier sometimes changes, which was the case on the 1st of this month. I didn't feel any symptoms until a week later so that kind of makes me feel this might be more viral but I don't know for sure. I ask this because I am not feeling very well and I want to make sure it's not the bupropion that's doing it. If it's viral it'll run it's course, I'm not concerned about that. But It feels very similar to the start-up effects of when you first start taking an anti-depressant (I've taken dozens over the last 10 years so I know the feeling pretty well)...body aches, body temperature feels "off" but you don't seem to have a fever, occasional chill bumps and a persistent dull headache, it's a dull headache, nothing severe or painful. It's mostly body aches and dull headache that will not go away though. I've had it for about 6 days now and it won't go away. Anyway, I remember feeling this way on many types of antidepressants like Effexor, Paxil, Prozac, Lexapro etc, etc.. I've crossed out allergies and there is always a possibility it's something viral (very well may be). But it's been with me going almost one week and started to think about the switch over to the new supplier of my bupropion. Like I said earlier though, I had been taking it for at least 5 days or so before I got these side effects so that makes me think it could be viral as I don't think it takes that long for the side-effects for a med to kick, right? It's been some time but I was thinking it's pretty much right away when you get those side-effects. I figured I'd ask here as this is the best place to ask b/c we all have to take this stuff to get better or hopefully better so we know the side effects better than anyone else, including the psychiatrist. I do know Solco Healthcare is own by Zhejiang Huahai Pharmaceutical and they've had issue with quality control so it made me start to think about it a little bit. Hopefully it'll past soon as I do not touch anything or discontinue any of the meds as everything is going well, they have been since March.
  13. Hello! I apologize! I understand very well what you all are going through and feel like I should help and give any good info that might help you ASAP. So sorry! I need to change my email address on here so I get notifications of replies, will try that after I post this. @SSRI I have no experience with Agomelatine. Sorry! My post was way back in February so lots has happened and I've learned more about my depression and what helps and what doesn't. In my opinion, forget those dopamine agonist. If you have treatment resistance depression w/ anhedonia (I can't speak for other types) you need a CNS stimulant and maybe take something like Wellbutrin along with it. But the CNS stimulant is key. There are a lot of bullshit articles on how stimulants are *bad*, mostly in the media. But, taken as prescribed, they are safer and 10x's more effective for people with TRD. If you feel as like it's more of a dopamine problem, then a CNS stimulant is probably as good as you get. Make sure you take the XR type though. Those work like any other add-on or AD like Abilify, etc... The IR Immediate Release type isn't consistent enough to fully do the job IMO. In my case, I am 100% sure it's low dopamine that's cause my TRD/anhedonia as well as some other symptoms like severe concentration issues and loss of all emotions. If those symptoms sound close to what you are experiencing you need to find a good psych that will listen to you and prescribe what works for you. That being said read this article, it's a decent article and has some good points: https://mentalhealthdaily.com/2014/03/13/taking-adderall-for-treatment-resistant-depression/ The article does makes a good point of how "not everyone should be on a stimulant for depression." so there are cases where it's not going to work. Nothing is perfect. But your odds are better with one if you have TRD w/ low dopamine/ahedonia. I know b/c I have suffered from it for 8+ years with hardly any help. It's not a coincidence that I just starting feeling well again almost as soon as I was prescribed one. Just my opinion, but I do not think the type of CNS stimulant matters, as long as it's works similarly, so I wouldn't get hung up on finding the right stimulant. Finding the right dosage is important though so it'll be trail and error. Watch out for caffeine and drink very little, it will cause it not to work well...just my experience.... I wouldn't recommend Pramipex as I don't know enough about it. But if you are looking for a med that will help with your dopamine issues / ahedonia then again, a stimulant is as good as it gets. It'll get you well in my opinion. It's eliminated my concentration issues, anhedonia and my loss of emotion within a a few weeks of finding the right dosage. Even at low doses I saw an improvement. Hope that helps and you get well soon. Took me 8 years until a pysch decided to prescribe this type of med for me. I should have been sooner but happy I found something. For anhedonia, it's the only answer IMO. I stress my opinion. But two things or it won't work...take as prescribed (that's very important, never take more than prescribed) and be patient and find the highest dose that doesn't cause side effects. Hope this helps!
  14. Reading helps, it's the main thing that has helped me as far as natural things. I am hesitant to say any type of reading though. I have exclusively read mostly math textbooks (it doesn't matter what level it is) and then do some problems after I'm done. Recently, I switch over CAD drawing exercises using AutoCAD. It could be the problem solving combined with reading, I'm really not sure.....or, it could be a simple as reading a book so definitely try it. And it's very important that it's a long reading session as well, short times have never really helped me. I spend hours reading doing problems now. Of course, when I was really sick, forget it, it never would have happen due to the anhedonia. That's the death of every bit of your interest...it doesn't matter how "strong" an individual your are, it's the death of an individual too. Reading can help though!
  15. Stay away from it, as far as you can. You will end up spending your time on social media and not working on whatever it is (meds/emotions/etc) you need to be working on. And it's mostly all negative as well, imo. That being said, there are good parts of the internet like this forum. It's always nice to be able to have a place at anytime to share your thoughts, you can't do that any place else. Plus, you get to see/hear all of the other people that are going through hell as well, makes you realize you are not alone.
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