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What is best anti depressant(s) for Multiple Sclerosis patietns?
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Default What is best anti depressant(s) for Multiple Sclerosis patietns? - 12-28-2008, 12:43 PM

I can find no definitions accept trial and error regarding anti depressants for Multiple Sclerosis patients, and have tried several that simply do not work for me with my MS depression(s). What has anyone with MS had success with, as even neurologists do not seem to have best answers? Another words, strong"picks you up"anti depressant a.k.a. Paxil which worked but required increase of dosages to limits and had terrible withdrawal symptoms.
   
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Default 01-04-2009, 12:43 AM

choose to be happy or choose to be miserable.you may not be able to change what happened to youyou can only be in control of how you react to it.everything is for the best in all possible worlds.drugs just mask the unhappiness. stay away from the drugs.anti depressants only make the pharmaceutical companies and pharmacies rich
   
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Default 01-07-2009, 04:51 AM

weed! clinical drugs are the worst
   
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Default 01-08-2009, 11:27 AM

I think it's very subjective; it varies from person to person. Have you tried many Anti-Ds? Do you have a good psychiatrist? Also, I believe that it's a matter of the therapy in combination with the medication that is most helpful. There's no magic pill for anybody--that's for sure, but you can get some relief if your doctor is very knowledgeable and tries even combining medications (a cocktail) to see what works best for YOU.There are also great books on the subject of the power to heal yourself mentally and triumph through the most debilitating illnesses (i.e. MS). I have a GI disease that was ruining my life. I know you can't think yourself"out"of the MS...if only!, but you can use the power of guided imagery and such to move past the feelings of darkness.Best of luck to you.
   
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Default 01-10-2009, 05:45 PM

Lydia Chwastiak says it's pretty much trial and error. She published an article in Psychiatr Clin North Am. 2007 Dec;30(4):803-17 called"Psychiatric issues in multiple sclerosis"by LA Chwastiak and DM Ehde ofDepartment of Psychiatry, Yale University School of Medicine.Here's the abstract of the article.MDD and anxiety disorders are highly prevalent among persons who have MS and have been associated with decreased adherence to MS treatment and poorer functional status and quality of life. Effective treatment is available for MDD, but this disorder continues to be underdetected and undertreated by MS providers. Treatment with pharmacotherapy is particularly challenging in this patient population, given the somatic symptom overlap between MS and depression and the increased burden of side effects. Larger randomized, controlled trials are needed to elucidate further the effectiveness of pharmacotherapy and to identify subgroups of patients who would benefit from this type of treatment for depression. There have been few rigorous studies of the prevalence and impact of anxiety disorders, substance use disorders, or serious mental illness such as bipolar disorder or schizophrenia, in MS samples.You might want to write Dr. Chwastiak to see if she has any recommendations. She probably doesn't have time to answer a million emails, but if you're the only one, maybe she can suggest something. Her email is lydia.chwastiak@yale.eduI don't have MS personally, but my personal experience and that of the zillion people I've talked to leads me to believe that the neurotransmitter-type antidepressants aren't particularly effective except as symptomatic relief for people who have a temporary type of depression because of stressful circumstances. For those who have depression related to MS, lupus, diabetes, etc., or who have recurrent depression over the course of their life, there doesn't seem to be much"there"there. They may have more luck with the tricyclics like Elavil, or with other antidepressants like Dexedrine. In my case, I had a little luck with Ritalin, but it's very harsh as it kicks in and wears off. I had more luck with Dexedrine, but it felt like my head was all packed with cotton balls like a bottle of aspirin, and I couldn't think. And it's a *real* pain trying to get an Rx for Dexedrine filled; they treat you like a criminal. It just isn't worth it.Hope this is of *some* help to you. People without depression think it's just sadness. They have NO idea that the disorder means cognitive problems like confusion, poor memory, inability to think, sleep disorders.I don't know why people tell depressives to just pull themselves up; would they tell a person with a broken leg to simply grit their teeth because crutches are for weaklings? Hang in there. We're not all fools.
   
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Default 04-23-2013, 06:12 AM

It is very important to explain that when the analysis is much more recent, since it is legitimate for almost any condition, raises the good results rate. Individuals usually are likely to look for substitute solutions once they recognize that traditional treatment methods never have produced outcomes. For this time, the affected person actually is within a wheelchair and is immensely hard that advancement could be counteracted. Why it is beneficial to explain the affected person who during these stadiums simply could prevent the further advancement of the disorder or give a greater standard of lifestyle. In initial stages of the condition the success rate is 60%.
   
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