Question:
Whatever seems to work.. generally the consensus seems to be Effexor XR – Hide quoted text — Show quoted text -outri…@despammed.com wrote:
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
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On 1 Jun 2005 21:31:12 -0700, outri…@despammed.com wrote:
Has anyone tried St. John’s Wort? Did anyone try some combination of drugs? This guy has tried most of what has been suggested. Not working for him, and Paxil made him very hyper and anxious, then coming down off it was horrible. {The couch is getting worn out}. I am getting worried it won’t end and may lead to something worse…
Be careful with St. John’s Wort – it interferes with the metabolism of a number of meds, so interaction with treatment could be a concern. Doesn’t have to be, I don’t believe it has ever been tested together with IF or Riba, but it’s something to keep in mind. And except for a recent German study finding good results, most previous studies found relatively little effect on depression. What he might want to discuss with his doc is a different approach, a different class of meds. Most docs reflexively prescribe SSRIs when they hear depression, but maybe an anti-anxiety med with a different mechanism might work better in his case. Maybe even the bad old stuff like Valium. It can be a concern because of addiction, but it doesn’t have to be (and as you’ve seen with Paxil, withdrawal is a problem even with the modern meds). Thomas — To reach me, complete my last name in the address.
Response:
Hi Zee, Canadave: Over the past ten years I’ve had good luck with Prozac and Zoloft. Paxil made me disfunctionally sleepy. Neurontin does have a mild calming effect. I got into too high of a dose with Zoloft and became agitated. I’m working with 10 mg of Lexapro right now. It definitely helps with the sadness and blackness. Don’t get twisted up about needing an antidepressant. They can help you think more rationally and make life easier for those close to you. Stay with it. Kathy J.
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Hi Zee What a rough road for you. It sounds like your fella might be best served by benzodiazepines or a narcotic. This is such an enormous learning experience for us all. I so want to get well so I can show others how its done. Compassion to you. Kathy J.
Response:
In article <pn3u91d06odmnmsus9scocnuuk42d7o…@4ax.com
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Thomas Wagner <t…@capecod.com
wrote: On 1 Jun 2005 21:31:12 -0700, outri…@despammed.com wrote: Has anyone tried St. John’s Wort? Did anyone try some combination of drugs? This guy has tried most of what has been suggested. Not working for him, and Paxil made him very hyper and anxious, then coming down off it was horrible. {The couch is getting worn out}. I am getting worried it won’t end and may lead to something worse… Be careful with St. John’s Wort – it interferes with the metabolism of a number of meds, so interaction with treatment could be a concern.
St John’s Wort induces CYP3A4, one of the liver P450 enzymes. This is a really common enzyme used to metabolize a lot of drugs and making it more active can reduce by more than half the amount of drug in your bloodstream of other drugs you’re taking, making them ineffective. Then again, there’s this: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&… =Abstract&list_uids=12087352 Saying that: CONCLUSION: In patients with chronic hepatitis C, pretreatment CYP3A4 and CYP2D6 activities were significantly lower than those observed in healthy volunteers. These differences disappeared after 1 month of antiviral treatment because of the restoration of these CYP activities in about half of the patients. It’s all guesswork at this point. I’d just check for all his other medications if there’s a known or likely interaction with something he’s taking. I’d also look for recent studies that looked at St John’s Wort in a larger group of people over a long time because I think they showed it didn’t do much of anything.
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In article <1117755901.815191.240…@f14g2000cwb.googlegroups.com
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outri…@despammed.com wrote:
Ahhh this just in: some doc has suggested gabapentin aka Neurontin. Any thoughts on that?
I found this interesting: http://www.psycom.net/depression.central.gabapentin.html
It’s an epilepsy med fercrissake. Sometimes used for peripheral neuropathy pain.
It seems to be one of those freaky new drugs that shows the limits of how little we know about how the brain works. It seems to work for some people who haven’t responded to other treatments. My only experience is someone who took it for severe pain from facial shingles. It worked amazingly well for him and was selling and moving out of his house of 15 years at the same time. Stopped taking it when the lesions went away and has not had side effects 2 years later. G
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outri…@despammed.com wrote in news:1117755901.815191.240440 My doc put me on Lexapro. It seemed to work pretty well for me. Best Dan @f14g2000cwb.googlegroups.com: – Hide quoted text — Show quoted text -
Ahhh this just in: some doc has suggested gabapentin aka Neurontin. Any thoughts on that? It’s an epilepsy med fercrissake. Sometimes used for peripheral neuropathy pain. Depression? I don’t get anything on google for that. Of course, I know docs are prescribing off-label in a lot of cases, but this looks like more risk than benefit. Would appreciate any comments. Zee
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In article <1117789335.983667.289…@o13g2000cwo.googlegroups.com
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– Hide quoted text — Show quoted text - outri…@despammed.com wrote: > Gordo Mondragon wrote: > > In article <1117466574.245675.284…@z14g2000cwz.googlegroups.com
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> > "pajaritaflora" <birdsp…@gmail.com> wrote: > > [...] > > > Zee, I am not very good at eating right now. I have alot of cereal. I > > > crave tomatoes. before tx I was cooking fabulous food. Now I don’t have > > > the energy or desire and am nauseous. IE MJ. > > slice an onion > > slice a piece of celery > > slice a carrot > > put olive oil in a pan and saute them for a couple of minutes > > put a can of crushed red tomatos > > simmer for a hour > > serve in a bowl over bread, or old rice, or pasta if you have the energy. > > Tomatos always made me feel better. > Well there ya go. Who needs pharmaceuticals?
Smoking a bowl before I started usually gave me the energy and desire to eat so I could pull it off. Sometimes I couldn’t and I’d just have to tell someone else how to make it
Response:
"Gordo Mondragon" <ga_mondra…@yahoo.com
wrote
back at Mary Ann who says:
Zee, I am not very good at eating right now. I have alot of cereal. I crave tomatoes. before tx I was cooking fabulous food. Now I don’t have the energy or desire and am nauseous. IE MJ. Gordo replies Smoking a bowl before I started usually gave me the energy and desire to eat so I could pull it off. Sometimes I couldn’t and I’d just have to tell someone else how to make it
Just a mouth full of nice coffee in the AM seems to clear up my nausea, I suppose just a bit. Pot still works best, I sent Mary Ann one of my stir fry recipes that I mentioned months ago. I still make them once or twice a week. Lots of chopped garlic, ginger in some, flash fried in a wok on the side element of the gas barbeque outside on the deck. I stir fry the oil, spanish onions in chunks, garlic then when that gets nice and slightly wilty looking, I add the meats which have been thin sliced cross grain, pounded thin thin thin and soaked in a bit of chinese cooking wine (tenderizer) and sesame oil (flavour and easier handling). Meat portion is too big sometimes, so I continually resize it. I think I did well on Wednesday, actually. I remove the meats and ginger, onions, etc after about two or three minutes, place on warm standbye in a pot on the upper shelf of the barbeque. It does not over cook that way while I stir fry the harder veggies and get the small bit of stock ready to re-combine the two in a covered (steaming) wok very little liquid, a little goes a long way. don’t boil it or fully steam it. I add the other fancy veggies like pea pods and green onions at various times during the veggies stage. Flash fry it. I really do think the big thin slices of ginger root really help the tummy too. Never tried it for breakfast, though. This is yummy stuff, I wish I could do more. cactus jammies
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In article <1117421675.477589.151…@z14g2000cwz.googlegroups.com
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– Hide quoted text — Show quoted text - outri…@despammed.com wrote: > Gordo Mondragon wrote: > > In article <1117287668.657964.293…@g14g2000cwa.googlegroups.com
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> > outri…@despammed.com wrote: > > > What anti-depressant works best for you? All suggestions welcome > > > please. Collecting for someone too sick to do it himself. > > Best drug for me during tx: mj baked into brownies. Took care of the > > horrible yuck feeling, and erased the riba rage. > > For the crying, my doc gave me Symbyax. Combo of Zyprexa and Prozac. > > Worked fast, worked well. > > G > Sounds wicked. I don’t think I’ve heard of that combo: one an > antidepressant the other an antipsychotic that causes weight gain and > messes with insulin levels.
It didn’t cause me to gain weight and didn’t mess with my insulin levels. None of this medication is without possible side effects, and I didn’t take it because I wanted to. I took it because I needed it. It worked. YMMV.
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In article <1117466574.245675.284…@z14g2000cwz.googlegroups.com
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"pajaritaflora" <birdsp…@gmail.com
wrote:
[...]
Zee, I am not very good at eating right now. I have alot of cereal. I crave tomatoes. before tx I was cooking fabulous food. Now I don’t have the energy or desire and am nauseous. IE MJ.
slice an onion slice a piece of celery slice a carrot put olive oil in a pan and saute them for a couple of minutes put a can of crushed red tomatos simmer for a hour serve in a bowl over bread, or old rice, or pasta if you have the energy. Tomatos always made me feel better.
Response:
I’m a Zoloft kind of girl. I even chose to stay on it after tx and I really like it except for dreams I have at night. I’m always trying to gain control over situations I’m in. hc <outri…@despammed.com
wrote in message
news:1117287668.657964.293070@g14g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
Response:
outri…@despammed.com wrote:
Thanks Mary Ann. He too wants to function better. He wants to ride his bike, sail his boat, but the MJ may come in handy some other time.
Hi, If your friend is on treatment he may be too fatigued to do some of those things. being patient with myself and slowing my pace way down has been very helpful. I can actually get a few things accomplished. It was very frustrating at first…..I used to do heavy duty fighting (krav maga) and Bikram Yoga,,,,That’s not happening now.
I don’t know where you are with food.
Zee, I am not very good at eating right now. I have alot of cereal. I crave tomatoes. before tx I was cooking fabulous food. Now I don’t have the energy or desire and am nauseous. IE MJ.
He eats a very high fat, densely caloric diet. He burns it and stays very lean. Don’t deny yourself anything, if and when you can eat–just chow down. And if the MJ would help you with appetitie–why not? Zee
Good luck, Mary Ann
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I started with paxil and found out it and one other anti-depressant I tried just didn’t make me function right. So I ended up taking no anti-d and am happy I didn’t have to. But if I felt the need I would go back to paxil as I functioned better on it. It just didn’t make me feel right, wanted to sleep all the time. I tried it 3 months told my doctor and we just stopped. It made me feel better (depression is a strange thing, the mind is a strange thing). As far as pot, I agree with you, for the folks who like it, "lite up the dubie"! It gives some people the muchies. The muchies give you a fat ass and it doesn’t do anything for me but make me sit around like a frog on a log. Oh, it’s against the law here in Kansas. Oh, but It is way kewl though! But when in Amsterdam you can call me frogie!!! Buster <outri…@despammed.com
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news:1117287668.657964.293070@g14g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
Response:
outri…@despammed.com wrote:
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
Celexa is what I’m using. Combine that with some tokes and I might actually eat food, and have some inspiration. Mary Ann
Response:
I’m on Paxil. It seems to do the job. — Shawn (use the "reply feature on your browser to send a private reply via E-Mail.) <outri…@despammed.com
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What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
Response:
to zee
That’s true but in the bizarro world of HCV combo treatment – where you’re not really depressed, you have chemically-induced symptoms of depression – marijuana works amazingly well in many people to make them feel a lot better. Gordo
////////////////////////////////////////////////////////////////// zee outrider, you messin with this? cactus jammies strict portion control is the key to the highway, any highway going anywhere. If you don’t know where you’re going any road will get you there.
///////////////////////////////////////////////// I found this at: http://www.swin.edu.au/victims/resources/assessment/affect/bdi.html I posted this because I often wondered what accumulation of charactersistics determine whether a person is really Clinically depressd or not. I am not, by the way -cactus jammies- Beck Depression Inventory (BDI) The BDI questionnaire is copyrighted by The Psychological Corporation. Material presented here is for educational and reference purposes and (as stated at the footer of every page of this web and applicable to every questionnaire) should only be used by registered professionals who understand the administration and uses of the material. PLEASE READ THIS: If you want a copy of the BDI or any further information on it please direct them to The Psychological Corporation. Please don’t send me any more emails about the BDI – I currently ignore about 10 a week. Sorry to be so strict – but I put these free pages up for people’s information, not as a career move. Devised By: The original version of the BDI was introduced by Beck, Ward, Mendelson, Mock & Erbaugh in 1961. The BDI was revised in 1971 and made copyright in 1978 (Groth-Marnat, 1990). Both the original and revised versions have been found to be highly correlated (.94; Lightfoot & Oliver, 1985 cited in Groth-Marnat, 1990). Type of Instrument: The BDI is a 21 item self-report rating inventory measuring characteristic attitudes and symptoms of depression (Beck et al., 1961). The BDI has been developed in different forms including several computerized forms, a card form (May, Urquhart, Tarran, 1969, cited in Groth-Marnat, 1990); the 13-item short form and the more recent BDI-11 by Beck, Steer & Brown, 1996 (see Steer, Rissmiller and Beck , 2000 for information on the clinical utility of the BDI-11). Description: The BDI is a self-administered 21 item self-report scale measuring supposed manifestations of depression. The BDI takes approximately10 minutes to complete, although clients require a fifth – sixth grade reading age to adequately understand the questions (Groth-Marnat, 1990). Reliability Internal consistency for the BDI ranges from .73 to .92 with a mean of .86. (Beck, Steer, & Garbin, 1988). Similar reliabilities have been found for the 13-item short form (Groth-Marnat, 1990). The BDI demonstrates high internal consistency, with alpha coefficients of .86 and .81 for psychiatric and non-psychiatric populations, respectively (Beck et al.,1988). Split-half / Cronbach’s Alpha: The BDI has a split-half reliability co-efficient of .93. Test-Retest Reliability: Beck et al., (1961) did not recommend conventional test-retest reliability for his original measures for the BDI (1961). Beck suggested that if the BDI was re-administered within a short interval then scores could be spuriously inflated due to memory factors. If the test was re-administered after a long interval then consistency would be lower due to the intensity of depression. Alternate test-retest reliability methods by Beck et al., (1961) found that regardless of whether the 2 tests were reissued at 2 or 6 weeks intervals the scores on the inventory tended to reflect changes in the clinical depth of depression. However, Groth-Marnat (1990) reported that re-test reliabilities ranged from .48 to .86, depending on the interval between re-testing and type of population. Alternate Form Reliability: Correlation’s between the 21 item and 13-item short form have ranged from .89 to .97 indicating that the short form is an acceptable substitute for the long form (Beck, Rial, & Rickels, 1974). However, readers are drawn to the possible "sins" of short form development (Smith, McCarthy & Anderson, 2000). Inter-rater Reliability: Beck, et al., (1961) reported that inter-rater reliability was not appropriate for the BDI. See Beck et al. (1961) for details. Validity & Factor Analysis A meta-analyses of studies on the revised BDI’s psychometric properties by Richter, Werner, Heerlim, Kraus, & Sauer (1998) report advantages with the revised BDI’s high content validity, and validity in differentiating between depressed and non-depressed people. Beck, Steer and Garbin (1988) reported that the revised BDI has been found to include three to seven factors, depending on the method of factor extraction. These include factors that reflect negative attitudes towards self, performance impairment and somatic disturbances, as well as a general factor of depression (Brown, Schulberg & Madonia 1995). Criterion (or Predictive) Validity: The BDI has been able to discriminate the level of adjustment in seventh-graders (Albert & Beck, 1975 as cited in Groth-Marnat, 1990). Content Validity: The content of the BDI was obtained by consensus from clinicians regarding symptoms of depressed patients (Beck et al., 1961). The revised BDI items are consistent with six of the nine DSM-111 categories for the diagnosis of depression (Groth-Marnat, 1990). Concurrent validity: Correlations with clinician ratings of depression using the revised BDI range from .62 to .66 (Foa, Riggs, Dancu, & Rothbaum, 1993). Clinical ratings for Psychiatric patients are reported as high to moderate ranging from .55 to .96 Man r=.72 (Beck et al., 1988 cited in Groth-Marnat. 1990). Groth-Marnat (1990) reported moderate correlations between the revised BDI and other scales measuring depression such as the Hamilton Psychiatric Rating Scale for Depression (.73) and the Zung Self Reported Depression Scale (.76) and the MMPI Depression Scale (.76). Construct Validity: Groth-Marnat (1990) reported that controversy exists over whether the revised BDI is measuring state or trait variables. Furthermore, it has been suggested that the BDI is not specific to depression, unlike the DASS. Convergent and Discriminant Validity: Discriminant analysis has found that the translated version of the revised BDI highly discriminates depressive symptoms in Spanish (Bonicatto, Dew, Soria (1998) Persian (Hojat, Shapurian, Mehryar (1986) and Chinese speaking people (Skeck (1990). Groth-Marnat (1990) reports that the revised BDI discriminates Psychiatric patients from non-psychiatric patients as well as relatively higher scores for patients with major depressive disorder compared to patients with dysthymic disorders. The revised BDI has also been used to discriminate loneliness, stress and self reported anxiety (Groth-Marnat, 1990). Interpretation: 1. Sadness 12. Social withdrawal 2. Pessimism 13. Indecisiveness 3. Sense of failure 14 Change in body image 4. Dissatisfaction 15. Retardation 5. Guilt 16. Insomnia 6. Expectation of punishment 17. Fatigability 7. Dislike of self 18. Loss of appetite 8. Self Accusation 19. Loss of Weight 9. Suicidal ideation 20. Somatic preoccupation 10. Episodes of crying 21. Low level of energy 11. Irritability Add up the score for each of the twenty-one questions and obtain the total. The highest score on each of the twenty-one questions is three, the highest possible total for the whole test is sixty-three. The lowest possible score for the whole test is zero. Only add one score per question (the highest rated if more than one is circled) Total score Levels of Depression 05 – 09 These ups and downs are considered normal 10 – 18 Mild to moderate depression 19 – 29 Moderate to severe depression 30 – 63 Severe depression Below 4 = Possible denial of depression, faking good; this is below usual scores for normals. Over 40 = This is significantly above even severely depressed persons, suggesting possible exaggeration of depression; possibly characteristic of histrionic or borderline personality disorders. Significant levels of depression are still possible (Groth-Marnat, 1990). Key References: Beck, A.T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry 4, 561-571. Beck, A.T., Rial, W. Y., Rickets, K. (1974). Short form of Depression Inventory: Cross-validation. Psychological-Reports 34 (3), 1184-1186. Beck, A. T., Steer, R..A., Garbin, M.. G., (1988) Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review 8 (1), 77-100. Bonicatto, S. Dew, A. M., Soria, J. J., (1998). Analysis of the psychometric properties of the Spanish version of the Beck Depression Inventory in Argentina. Psychiatric Research, 79 (3), 277-285. Brown, C., Schulberg, H. C., & Madonia, M. J., (1995). Assessing depression in primary care practice with the Beck Depression Inventory and the Hamilton Rating Scale for Depression. Psychological Assessment 7 (1), 59-65. Foa, E. B., Riggs, Dancu, C. V. S., & Rothbaum B. O., (1993). Reliability and validity of a brief instrument for assessing Post Traumatic Stress Disorder. Journal of Traumatic Stress. 6 (4), 459-473. Groth-Marnat G. (1990). The handbook of psychological assessment (2nd ed.), "Gordo Mondragon" <ga_mondra…@yahoo.com
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In article <1117291729.720909.264…@g43g2000cwa.googlegroups.com, outri…@despammed.com wrote: [...] I don’t dispute your right to use whatever you
… read more »
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<outri…@despammed.com
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news:1117287668.657964.293070@g14g2000cwa.googlegroups.com…
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself.
Wellbutrin. In fact…since I am hypersensitive even off of tx I stayed on it. All the others made me feel too unlike myself and too sleepy. I don’t want to not be emotional…I just want to keep my emotions in perspective. Getting giddy over small things is good but getting angry because you broke a glass you bought at the local five and dime is not. Of course on tx I didn’t need a reason to be angry but even then the wellbutrin really helped. AG
Response:
Celexa was very good to me. :-) Elmo http://community.webtv.net/elmoemerson/DocElmosHepFile http://community.webtv.net/elmoemerson/TheFamilyAlbum
Response:
Re: suggestions for anti-depressants Group: alt.support.hepatitis-c Date: Sat, May 28, 2005, 1:46pm From: elmoemer…@webtv.net Celexa was very good to me.
Elmo /////// At least until the whiskey, weed and women got the upper hand. (yes, Elmo again) http://community.webtv.net/elmoemerson/DocElmosHepFile http://community.webtv.net/elmoemerson/TheFamilyAlbum
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Marijuana, my own realm as a treatment cocoon during the tx and lots of junk food cactus jammies leave your struggles at the door ////////////////////////////////////////////////////////////// <outri…@despammed.com
wrote in message
news:1117287668.657964.293070@g14g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself. Zee
Response:
groovy have a good time whatever CNS depressant, bfd.
cactus jammies <outri…@despammed.com
wrote in message
news:1117291729.720909.264960@g43g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> X-No-Archive: yes > Cactus Jammies wrote: >> Marijuana, my own realm as a treatment cocoon during the tx and lots of >> junk >> food >> cactus jammies >> leave your struggles at the door >> ////////////////////////////////////////////////////////////// >> <outri…@despammed.com
wrote in message
>> news:1117287668.657964.293070@g14g2000cwa.googlegroups.com… >> > What anti-depressant works best for you? All suggestions welcome >> > please. Collecting for someone too sick to do it himself. >> > Zee > I don’t dispute your right to use whatever you want, to achieve > whatever you want. But marijuana is a CNS depressant. > Apart from being hair of the dog. > Zee
Response:
<outri…@despammed.com
wrote in message
news:1117291729.720909.264960@g43g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> X-No-Archive: yes > Cactus Jammies wrote: >> Marijuana, my own realm as a treatment cocoon during the tx and lots of >> junk >> food >> cactus jammies >> leave your struggles at the door >> ////////////////////////////////////////////////////////////// >> <outri…@despammed.com
wrote in message
>> news:1117287668.657964.293070@g14g2000cwa.googlegroups.com… >> > What anti-depressant works best for you? All suggestions welcome >> > please. Collecting for someone too sick to do it himself. >> > Zee > I don’t dispute your right to use whatever you want, to achieve > whatever you want. But marijuana is a CNS depressant. > Apart from being hair of the dog. > Zee
Actually, cannabis doesn’t work with hangovers. Alias – Hide quoted text — Show quoted text –
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In article <1117287668.657964.293…@g14g2000cwa.googlegroups.com
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outri…@despammed.com wrote:
What anti-depressant works best for you? All suggestions welcome please. Collecting for someone too sick to do it himself.
Best drug for me during tx: mj baked into brownies. Took care of the horrible yuck feeling, and erased the riba rage. For the crying, my doc gave me Symbyax. Combo of Zyprexa and Prozac. Worked fast, worked well. G
Response:
In article <1117291729.720909.264…@g43g2000cwa.googlegroups.com
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outri…@despammed.com wrote:
[...]
I don’t dispute your right to use whatever you want, to achieve whatever you want. But marijuana is a CNS depressant.
That’s true but in the bizarro world of HCV combo treatment – where you’re not really depressed, you have chemically-induced symptoms of depression – marijuana works amazingly well in many people to make them feel a lot better. It’s also sort of rude to ask for information about what works for people and then tell them they’re wrong. Maybe if you posted a list of what you would consider acceptable answers then no one would waste their or your time by posting something that’s not on it. Gordo
Apart from being hair of the dog.
Not the combo treatment dog, in my experience.
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