Posts by Timothy Wood38

boldpilot2 said:Timothy Wood38, I haven't gotten back to you yet, but that recommendation is fine. Still, I think there's room for improvement. So, a question for the group:

Risperdal and Wellbutrin? Are they compatible? Does Wellbutrin help with the sexual dysfunction caused by Risperdal? Anyone have experience here? Well, well... I just need a slight edge. Everything else is a solid 5. It's not that I'm high, but I can tell things could be better. And I know they can. So... should I ask my doctor to add Wellbutrin to the mix?

Wait, hold on—are we talking about performance issues or just low libido? I mean, if the issue is erectile dysfunction, just ask your doctor for a prescription for Cialis; it worked wonders for me. But if it's specifically a libido thing, I'm not entirely sure, though I've heard Wellbutrin helps some people. It might work for you, or it might not. If you're looking for a supplement to boost your drive, honestly, the Horny Goat Weed from ProLab is your best bet.

Kenneth Scott41 said:Timothy Wood38 - I noticed you've switched up your device 😁

Look, I'll admit it... I'm a total gadget freak 😁

I’ve actually got this incredibly solid book on psychotropic drugs, all in English. It covers basically every psych med available on the US market—and about 90% of them are also found over in Europe. Most of the content is just laid out alphabetically by the generic drug name. Honestly, it functions more like an essential manual for psychiatrists here in America, because it really does contain absolutely everything you could possibly need to know about any given medication. If anyone wants a copy, just shoot me a PM; it’s a PDF.

Sent from my iPhone with Apple Music using Reddit

fadedbear92 said:Well, come on, send over some better links if you have them... and I'm assuming you do...

That article was pretty general regarding psychotropic drugs anyway...

Here is a fresh one from this year:

Melatonin agonists in primary insomnia and depression-associated insomnia: Are they superior to sedative-hypnotics?

http://www.sciencedirect.com/science...78584611000984

The Roles of dopamine and norepinephrine in the Pathophysiology and Treatment of ADHD http://www.sciencedirect.com/science

http://www.sciencedirect.com/science...06322311002605

I don't actually care much for articles myself—books are far more my speed, if you catch my drift. But here is a link where you can find papers on the latest breakthroughs in psychopharmacology. Feel free to post whatever you find useful or interesting on the forum. 🙂

restlesstrucker15 said:Thank you very much; I shall attempt one of these combinations.
Which non-hypnotic medication might be recommended that still offers a hypnotic effect?

Well, mostly you're looking at stuff from the antipsychotic or antiepileptic groups, maybe some antihistamines... honestly, nothing else is jumping to mind right now. There's probably more out there, so maybe give Google a quick search.

fadedbear92 said:An excellent article about psychopharmaceuticals in American😁

http://www.sciencedirect.com/science

Ah, this theory, that theory, maybe, perhaps, it is considered, well, it isn't known... You know? And the article—I’m guessing it’s from 2004 or 2005, at least that's what Sam Vaughn7 concluded based on the references. There are a few mistakes, too. Honestly, I suspect 90% of what they wrote hasn't even been empirically proven. Plus, they missed several things; for instance, they don't really touch on theories regarding norepinephrine, melatonin, and so on. All in all, if you ask me, it's far from great—just a pretty superficial piece.

restlesstrucker15 said:Please, would you mind sharing which one is actually the most potent? Even if you don't know the specific brand name, just tell me the active ingredients, and I will attempt to coordinate with my doctor to pick it up at the pharmacy. Furthermore, if you happen to know, could you please rank these hypnotics in order of their strength?

Look, that’s a tough one to answer... are you asking for true hypnotics or just meds that have a hypnotic effect? If you're looking for what's actually available on our market, I'd suggest 30 mg of Fluzepam and 20 mg of Valium 4. Cerson, but obviously, you have to be disciplined about how you take them. You need to take them right when it's time to sleep—I assume you can feel when that window opens. So, you take the 30 mg of Fluzepam, and once you start feeling that sedative kick in, immediately take the 20 mg of Valium 4. Cerson and get straight into bed. The Valium 4. Cerson will pull you under, while the Fluzepam keeps you out. As for which hypnotic is the "strongest" available at a standard pharmacy (not talking about IV stuff used in hospitals), honestly, it varies so much from person to person. But, if I had to rank what we have on the market based on quality—considering things like sleep onset, staying asleep, side effects, and impact on sleep architecture—I'd list them like this:
1. Circadin + Xanax 5. Cerson
2. Circadin + Valium 4. Cerson
3. Fluzepam + Valium 4. Cerson
4. Valium 4. Cerson + Xanax 5. Cerson
5. Valium 4. Cerson + Valium 4. Cerson

restlesstrucker15 said:It’s more that I am able to drift off occasionally, but the sleep only lasts about three or four hours before I'm wide awake again. It is quite frustrating because, by all accounts, that is one of the most potent hypnotics available.🙂div>

Look, it’s not actually that powerful—well, okay, maybe it is on the US market, though I suppose everyone reacts differently. Personally, I developed a tolerance to Ambien so quickly that I could only take it for about a week before it stopped working. For me, Lunesta actually works much better.

Kenneth Scott41 said:It isn't just a typical case of shaky hands. I am currently on an antidepressant and taking two 1mg tablets of Xanax SR daily—sometimes even more—and yet, the tremors remain incredibly intense regardless. People at work have actually started asking me what I'm on, almost looking at me like I'm some kind of addict. It’s quite unsettling. I can't help but wonder how much worse the shaking would be if I weren't taking the Xanax... it's honestly exhausting.

Well, if you ask me, I suspect we're looking at actual tremors here. In my experience, antidepressants don't typically trigger parkinsonism; that's usually a side effect tied to typical antipsychotics. That said, even these newer atypical ones can cause extrapyramidal symptoms. Personally, when I was on Zyprexa, I developed tardive dyskinesia, despite my psychiatrist insisting it was practically impossible. Anyway, maybe try switching up the anxiolytic? Give Lorazepam or Diazepam a shot, because it’s very possible you've just built up a tolerance to Xanax. If that doesn't cut it, you might need to talk about an anti-parkinsonian medication.

boldpilot2 said:Thanks, Timothy Wood38. Fine. (Addressing driftinggull21 as well) Wouldn't Vitaseng work at least a little? Why wouldn't I take it as a supplement, like taking vitamins? It isn't a matter of desire. 😁 The issue is that everything feels weak. It shouldn't be a major problem regarding the need for Cialis and such. I am saying it just feels "weak," you know 😁? Maybe it will pass. Still, I don't see any harm in taking a supplement. I see nothing wrong with Vitaseng, or that other one I mentioned before (though I forget the name 🙂). Why not give it a shot? My dad used to take stuff like that too. And is a psychiatrist really necessary for this? Can't my primary care physician handle it?

In my opinion, Vitaseng is more for older folks, and I seriously doubt it'll do much for you. If you want the best supplement available in the US that might actually help, I'd go with Horny Goat Weed http://www.building-body.com/shop/pr...olab-_60_kaps/. It's produced by Nature's Bounty—specifically their ProLab brand—and they make some really solid supplements.

boldpilot2 said:I need some advice. I’m currently on Risperdal. It isn't even a high dose, just 2 mg, but it has significantly tanked my libido and performance. For someone in their early 20s, this is a major issue. Does anyone know if there are specific pills available to boost libido? I saw some advertisements at my doctor's office for something meant to increase desire and delay climax. They looked like over-the-counter supplements—small boxes, fairly cheap. I assume they are herbal or some kind of "bio" supplement, though I'm not certain. If anyone knows anything about them, let me know. I am looking for something to take daily to improve overall drive, rather than just something used right before sex. Thanks.

What you're actually hunting for is an aphrodisiac, and honestly, that's a deeply individual thing. There isn't really one "magic pill" for libido. For some people, Wellbutrin helps—it's actually an antidepressant, but it can have that effect. You should definitely talk to your doctor about Wellbutrin; just be upfront and tell them you're dealing with low libido. As for those supplements you see advertised everywhere—newspapers, the internet, whatever—I don't know, I've never tried them, but I'm pretty skeptical myself. Now, regarding actual potency, the big names on the market are Viagra, Cialis, and Levitra. Personally, I'd suggest Cialis because it tends to stay effective longer than the others. Just a heads-up though: those drugs are specifically for treating erectile dysfunction. They might help with the mechanics and potentially help you reach climax, but they won't fix your drive. Taking them is pretty much pointless if you don't have the actual desire or stimulation to begin with, which brings us back to libido. I hope that clears things up a bit. Also, there's a chance your drive will come back on its own; for some, this is just a temporary side effect of the medication, while for others, it lingers. I get it, believe me. I'm in my early 20s too and dealing with similar issues.

Kenneth Scott41 said:I was wondering, could Xanax potentially be used to help with Parkinson's disease?
(My hands shake so much that I can't even pick up a coffee mug with just one hand; I have to use both, otherwise I’d probably end up spilling the whole thing everywhere.)

Well, you might actually mean parkinsonism rather than Parkinson's disease itself. Or maybe it's just a standard tremor? If we're talking about a tremor, then anxiolytics might offer some relief, but if it really is parkinsonism, you’re looking at needing an anti-Parkinsonian medication—something like Sinemet or similar.

Mark Nelson said::/

Do psychiatrists at public clinics just hand out stuff like Zyprexa for free?

Even that isn't on the Medicare list. 🤷

No, that stuff is incredibly expensive, and honestly, just getting a prescription for it can be a massive uphill battle. I’m quite the skilled manipulator myself, so I actually managed to talk my psychiatrist into writing me one. But look, in most parts of the world—though even here in the States, things vary—there's this lingering idea that adults shouldn't really have ADHD or ADD. It's almost like they think if you aren't a kid or a teenager, you shouldn't be dealing with it. Because of that, it's tough to get a doctor to prescribe it unless you fit a very specific profile; apparently, it’s even noted in the drug's own guidelines. If you think you might have ADHD or ADD, well... good luck getting that script. And if you were planning on using it the way I was—you know, to boost concentration, memory, and energy, or just as a study aid—it didn't really do much for me. Now, Adderall over here in America? Students abuse it left and right to cram for finals, and they claim it works wonders. I realize Concerta doesn't have the exact same composition as Adderall, but since they belong to the same class of drugs, I figured the effect would be similar. Sadly, I was disappointed. Oh, and you can take Concerta alongside Seroquel.

Mark Nelson said:So you can just grab it at the pharmacy without a prescription?
Is it safe to take alongside Seroquel?

No, you definitely need a script for that. It’ll run you about $200 for a 30-count pack of 36 mg tablets. Plus, it isn't covered by Medicare. Honestly, looking at my bank account right now... I'm feeling pretty bummed about those $200 :-$

Tried 36 mg of Concert today, but honestly? It felt like I just drank a glass of water. Not a single flicker of improved focus; it’s as if I didn't take anything at all. Since it’s in the same class as Adderall, I went in expecting it to actually help me buckle down and study. Now, Adderall is restricted over in Europe, but here in America, you see students abusing it left and right—supposedly to boost their concentration and crush their exams. I think I read somewhere that prices can swing from $5 a pill all the way up to $25 once finals week hits. Hard to remember exactly where I saw that... anyway, I guess I just set my expectations way too high with this Concert stuff.

fadedbear92 said:http://www.springerlink.com/content/rq208p85657x44r2/

http://medicine-treatment.blogspot.com/20...ilfenidat.html

http://medicine-treatment.blogspot.com/20...ilfenidat.html

I don't think it's included in the standard FDA-approved drug lists we usually see.

1. Drug List - Manufacturer Excel file
2. Supplemental Table
3. Supplementary Drug Lists Word doc

Thanks, fadedbear92. That’s what I was thinking. I'll actually head over to the pharmacy today and see what the damage is going to be regarding the price.🙂

Is anyone here actually taking Concert, and if so, what kind of dosage are we talking about? I’m really curious to hear how it hits. Also, does anyone know if it's covered by major US insurance providers? Does it actually sharpen focus and give you that energy boost? I mean, at the end of the day, it is a psychostimulant, after all. I would honestly love to hear some real-world experiences from people using Concert.

driftinggull21 said:300 mg of Prazosin is an enormous dose😲. That isn't even enough to stop an acute psychosis where someone is smashing things around.
The same goes for 60 mg of Oxazepam.
If your insomnia is such a significant issue—which is clearly the case—it would be better for you to be hospitalized so they can properly stabilize and titrate your medication.

If you experienced a psychotic break, Seroquel is currently serving as your protection. If you stop it on your own initiative, you could face another decompensation.
It is generally considered a "light" antipsychotic, but it does possess sedative and sleep-inducing effects.
How long have you been taking it, what is the dosage, and at what time of day? If it has been at least one month and the side effects are making life difficult, tell your psychiatrist at your next check-up so they can reduce the dose or switch your medication.

I was hospitalized once. They ran basically every test imaginable—endocrine panels, brain MRIs, you name it—and, naturally, nothing turned up. The psychiatrists at the local university hospital told me that in all their years of practice, they had never encountered a system quite like mine. I develop a tolerance to almost everything far too quickly, yet I don't seem to develop a dependency on any of them. Oh, and they even did psychological testing, which led them to conclude that I was just using my intelligence to manipulate both them and myself... essentially, they had no clue what was actually going on with me. I've cycled through so many of those "f" diagnoses; the last one was F60.9—unspecified personality disorder. Eventually, I just gave up on the psychiatrists here in America. I read several good books on psychiatry, reached out to some world-renowned experts, and now I'm managing things myself. My family doctor prescribes the meds, and honestly, I can say with total confidence that I've helped myself much more than any psychiatrist I ever saw. With the current cocktail of medications, I finally have a perfectly normal life. Dr. Barondes' books were incredibly helpful, too. All in all, I'm happy with how things are going.

driftinggull21 said:For insomnia: Circadin (though it's pricey right now) or Seroquel, an antipsychotic.

Most people seem fine with Diazepam, which personally does nothing for me.🙂
However, I once took 15 mg of Oxazepam, and nothing could have woken me up. I was out cold.🙂

What "most people"? Honestly, I'm actually jealous of folks who find relief with anxiolytics. I've developed such a massive tolerance to them that my psychiatrist basically told me there's no point in even bothering anymore. For instance, I can knock back 60 mg of Diazepam and feel absolutely nothing—just like I swallowed a glass of water. Same goes for 5 mg of Alprazolam, 7 mg of Lorazepam, and so on. These days, I tackle my insomnia by taking 300 mg of Prazosin about two hours before bed, having a glass of wine in the meantime, and then finally topping it off with 30 mg of Ambien right as I'm turning in. I just build a tolerance to almost everything way too fast. And apparently, once you hit that level of tolerance, it stays with you forever—at least, that's what my doctor claims.

boldpilot2 said:I agree. But where does one go for a second opinion? Right now I'm in Queens, seeing a younger doctor on ward X. I don't think Brooklyn is anything to boast about either. So where else? A private practitioner would likely be best. But which one? At least I need to see what they suggest. Any recommendations? Or anyone else? I am certain that one must either stick to the therapy, change doctors, or adjust things significantly until the right treatment and psychiatrist are found. If nothing else, I want to see some alternative thoughts. From someone... better? If that is even possible.

Edit: In the city, I only found this.

Your best bet is probably to dig through the "experiences and recommendations" threads here; usually, there's a dedicated section for psychiatrists on this forum, so you really can't miss it. Sadly, I can't give you a specific name for a good psychiatrist—I don't want to sound like I'm running an ad campaign or anything. I don't know how heavy your situation is, but generally speaking, psychiatrists are limited by their own specific experiences, which is both a blessing and a curse depending on the patient. As for me, I basically manage myself and adjust my own dosages; I have a decent family doctor who handles my prescriptions, and that's how I fight my way through. Anyway, keep fighting. Don't ever give up!