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What is a good anti-depressant? Please

The previous post is not very funny!8)

To the op, make sure you tell your doctor about your St Johns wort use. If you have been using that you cannot start some ad's for a couple of weeks.

Edit: And by the way, you can talk to your doctor about options when they are going to put your on an ad. Just know your stuff, so you can say, too many side effects, dont like the sexual disfunction, to addictive etc. I always talk to my doctor this way, and she appreciates it, as we come to an agreement on something that we both want.

But as has been said already, everyone is different, and you may react totally different to anyone else, especially considering your age.

Hope it all works out for you! There is so much life to be lived, hang in there!
 
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I can't offer much advice, but unless I read it incorrectly, that you might be experiencing Post Acute Withdrawal Symptoms (PAWS) from getting off opiates. It sounds like there might be other issues as well, but it could be making your depression and anxiety much worse.

Do you get any exercise at all? It isn't a magic cure-all, but it does help with depression/anxiety, will help with your blood-pressure, and it almost always puts me in a better over-all mood and mindset. It doesn't have to be anything complicated either, even just going out for a walk can be helpful. Sometimes the more strenuous the better (but you want to be careful pushing yourself if you have issues with blood pressure, etc.). Sorry I can't offer any better advice, good luck. :)
 
AD's (Anti-Depressants) .. I liken them to Russian Roulette you need to try a great many before you find the magic bullet if you ever find it that is and we all know it takes around 3 months to fully stabilise on many AD's so the crap shoot continues until maybe you hit the jackpot one day after a few years of trials. I've decided to try a new one after having tried so many Mirtazapine. Will it work? I dunno but worth a shot.

Using recreational drugs to solve your problems is ill advised. I feel utterly fantastic on some drugs but they cannot be taken daily to assist with my depression/anxiety although I do self medicate benzo's (my little vice).

See a Doctor and Therapist and seek the REAL truth and maybe deal with it.
 
id say the first thing to try would be get OFF the clonazepam. try valium instead.

ive seen that particular drug (clonazepam), fuck up more peoples emotions than crack, even. so i think maybe you should try a different benzo.

secondly, i recommend buprenorphine off-label. i got it pseudo-off label for depression/anxiety/heroin USE (i was never addicted to heroin, perse) and being an opioid, its one of the best anti-depressants that ive ever tried! and ive tried quite a few.

its not heroin, but its almost as good--and better in some regards.
 
If you don't mind saying, what is the cesamet for? PM if you'd prefer.
I've been having horrible nausea for quite a while, vomiting a few times a day, 4 days a week, on average.

I'm thinking about asking my sub doc for something when I go in to see him. I've tried just about every available anti-emetic (promethazine, oral and smoked pot, and a few others) without a whole lot of benefit. I don't like smoking pot because of the brain fog, so I've been preparing an amount equal to what I'd need to smoke to get a buzz (generally about 1-2mg of d-9-thc) as a food product. I eat it, and though it takes a while to kick in, it works well. I'm gonna piss dirty as hell the next time I see the doc, though.
 
wesmdow said:
id say the first thing to try would be get OFF the clonazepam. try valium instead.

ive seen that particular drug (clonazepam), fuck up more peoples emotions than crack, even. so i think maybe you should try a different benzo.

secondly, i recommend buprenorphine off-label. i got it pseudo-off label for depression/anxiety/heroin USE (i was never addicted to heroin, perse) and being an opioid, its one of the best anti-depressants that ive ever tried! and ive tried quite a few.

its not heroin, but its almost as good--and better in some regards.
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i would have to agree. ive been prescribed clonazepam many times and it has never helped me on any dose. but thats just me. ive never been prescribed valium (hopefully i will soon) but buprenorphine has been a good anti-depressant and decent for my GAD (i take suboxone for opiate dependence). im also on zoloft which seems to help my depression somewhat but does nothing for my social anxiety.
 
Currently on Amitriplytine don't notice anything amazing however looking back I've come along way.

Slighty sedating too help sleep at night too.
 
Keep this in mind, there is NO way to measure serotonin levels in your brain. I have seen the damage that SSRIs cause first hand and would recommend you to stay as far away from them as possible. They basically just keep your brain flooded with old serotonin and your brain loses the ability to generate new serotonin. This makes them very addictive because trying to get off of them means that you have even less serotonin in your brain then before you started the SSRIs. Hence, even greater depression (among other horrific side effects) and the need to continue taking them- forever.

Lack of serotonin as the cause of depression is under great debate. Recently, it has been proposed that endorphins (rather intuitively) are the main cause of happiness. It is the cultural stigma of 'opiate addiction' that is keeping doctors from prescribing opiates for depression.

I'm not saying that you should run out and boot some smack, but seriously, an addiction is an addiction is an addiction. SSRI withdrawls can last 18 months and have permanent physical effects. Opiate addiction has 1 month (?) withdrawls and no permanent effects (besides loving the feeling of them).

When will big pharma realize the error in their ways for prescribing these medicines? Sure they work for some people, but MILLIONS of people have had horrendous experiences from SSRIs. If the cultural stigma surrounding opiates ever subsides, I expect opiates to be prescribed for many more illnesses than just chronic pain.

If you're looking to avoid addiction and cure your depression, I am in agreement with other people, try St. John's Wort. It the best natural antidepressant (besides your brain's own endorphins) and has been proven to help.
 
^with that said, i recommend finding an opioid you are POSITIVE you can get on a consistant basis.

that means black-market opioids are out, because something could happen to your source, pretty much leaving you fucked.

getting a scrip to buprenorphine is the most logical choice, it seems to me.

i agree in highly recommending against any ssri's, the side effects are awful, it takes a full month to kick in, and then another month to get off... meaning if you pick one that doesnt work for you, itll be ~60 days before you can try an alternative.

alternatively, with subutex/suboxone, you can feel the effects immediately-- and it feels good :)
 
narutokun said:
Citalopram is nice, citalopram + a stim is even better imo.
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does citalopram make the stim more effective then?

prozac does ive heard and zoloft but isnt these combinations dangerous?
 
^i dunno, for me being on citalopram and a stim is just more effective than being only on citalopram or either only on a stim (depression wise).
 
wesmdow said:
secondly, i recommend buprenorphine off-label. i got it pseudo-off label for depression/anxiety/heroin USE (i was never addicted to heroin, perse) and being an opioid, its one of the best anti-depressants that ive ever tried! and ive tried quite a few.

its not heroin, but its almost as good--and better in some regards.
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hey wesmdow, i necessarily wouldnt be recommending sub to anyone with depression problems or someone who has been clean from opiates. it is NOT IMO a good anti-depressant AT ALL unless you plan on being on it for the rest of your life. and almost in every long-term case (find anyone who has been on it 2+ years) will tell you that it does eventually stop working. it did for me like i said earlier in another topic. and trust me, when you do (if you do) decide to finally come off, bup withdrawal is one of the most annoying frustrating mentally draining detoxes i have ever been through. i dont know how it is with short-term use, but after being on it for about 2 years and finally kicking im still low on energy, no motivation...etc. and ive been off for around 42 days. and i was NOT like this before i started. be careful with bup. there isnt many long-term studies on the drug, and it is very different from other full agonist opiates so who knows what kind of changes to our brain chemistry were doing. i loved the energy, lift in mood (among other things) in the beginning but it soon became a ball and chain in the end. tread LIGHTLY. please. from experience.
 
wesmdow said:
id say the first thing to try would be get OFF the clonazepam. try valium instead.

ive seen that particular drug (clonazepam), fuck up more peoples emotions than crack, even. so i think maybe you should try a different benzo.

secondly, i recommend buprenorphine off-label. i got it pseudo-off label for depression/anxiety/heroin USE (i was never addicted to heroin, perse) and being an opioid, its one of the best anti-depressants that ive ever tried! and ive tried quite a few.

its not heroin, but its almost as good--and better in some regards.
Click to expand...

Clonazepam works great for me as you already know. Benzos are so subjective so not every benzo works for every person. I find clonazepam to be great for anxiety better then valium although valium is a good one too. Ive never had a problem with clonazepam at all.

As for anti-depressants its really a crap shoot. Some work wonders for some people but the same one can be a poison for someone else.

I personally found mirtazapine and wellbutrin to be good. The only downside too wellbutrin is the stomach cramps it sometimes gives you. I got them pretty bad sometimes. It can also cause weight loss.
 
immaturepoop said:
hey wesmdow, i necessarily wouldnt be recommending sub to anyone with depression problems or someone who has been clean from opiates. it is NOT IMO a good anti-depressant AT ALL unless you plan on being on it for the rest of your life. and almost in every long-term case (find anyone who has been on it 2+ years) will tell you that it does eventually stop working. it did for me like i said earlier in another topic. and trust me, when you do (if you do) decide to finally come off, bup withdrawal is one of the most annoying frustrating mentally draining detoxes i have ever been through. i dont know how it is with short-term use, but after being on it for about 2 years and finally kicking im still low on energy, no motivation...etc. and ive been off for around 42 days. and i was NOT like this before i started. be careful with bup. there isnt many long-term studies on the drug, and it is very different from other full agonist opiates so who knows what kind of changes to our brain chemistry were doing. i loved the energy, lift in mood (among other things) in the beginning but it soon became a ball and chain in the end. tread LIGHTLY. please. from experience.
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I may not have been on it as long as you or tapered off completely, but I have gotten off of suboxone before, I have been on it daily for the last 13 months, and within the last month I've decreased my daily dosage at least 45%. Every drug effects people differently, and it might produce negative side effects in some people, but I haven't really experienced much of what you're talking about.

I will agree it does feel less effective over time, but in the last month when I've decreased my dose, I've actually felt better (for the majority) and the suboxone actually feels more effective when I do take it. I've gotten more of a 'high' on it in the last 4 weeks, than I did in the 4 months prior to this. The only difficult parts have been when I've tried adjusting to the lower dose and it's been relatively minor.

Don't get me wrong, I don't think it's a cure-all anti-depressant, and certainly not for everyone, but it could help in some people. Before getting on it, they should really try to understand what they'll be taking and how it might be down the road. Even if at some point they want to get off, it's an easy drug to taper down with and they won't have horrible WD's so long as their not on it too long. Most people prescribed suboxone have WD's resulting from:

Time Spent w/ Recreational Drug + Time Spent on Suboxone = x WD

Being prescribed it as an anti-depressant would have only Time Spent on Suboxone in the WD equation.
 
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