Guest guest Posted December 27, 2005 Report Share Posted December 27, 2005 Hope everyone's holiday season was/is peaceful and bright. Visits both to and from friends and relatives have left little time for internet use recently, but I did notice on this and another group, the discussions about SSRIs and their side effects. I have some personal knowledge due to a family history of clinical depression and anti-depressant medications. My hereditary depressive disorder has been successfully treated with the MAO inhibitor, parnate, for several decades and my sister takes an SSRI, lexapro, w/ good results. Our mom who would have nothing to do with medications was a victim of suicide due to untreated depression. Here is some info I can share from my experience: Lexapro is celexa with one half of its chemical formulation removed. The isomer that was removed was responsible for sexual and other side effects. This was told to me by my psychiatrist and to my sister by her doc - both practitioners from Europe. You won't find this information in lexapro advertisements, because including it would be damning celexa along with all the manufacturer's other SSRI drugs. The info for physicians for lexapro states only that: " At the chemical level, Celexa is a mixture of two mirror image halves called S- and R-enantiomers. The R-enantiomer does not contribute to the antidepressant effect so it was removed, leaving only the therapeutically active S-enantiomer. The new drug that this process created is Lexapro. " However any man suffering from clinical depression would be wise to insist on lexapro if SSRI med is being prescribed, to avoid erectile complications. Another good choice, already mentioned, is wellbutrin (bupropion). This link contains very revealing info. Apparently this drug is not only devoid of sexual side effects, it also enhances sexual abilities in many patients. Again, you won't hear this from the parent company for political reasons. http://bupropion.com/wonderwell/index.html As to trazadone, prescribing this for a depressed person is malpractice IMO. It is a sleeping pill, period. My road to a cure for clinical depression includes a few summarily fired psychiatrists who felt that it was appropriate to prescribe tranquilizers and sleeping aids for depression. Clinical depression saps enough energy without adding a pharmaceutical energy drain on top of the illness. But the most egregious and widespread prescription error in common practice (perpetuated by drug cos) is giving AD drugs to persons whose depression stems from some other endocrine malfunction or deficiency. There is an appropriate questionnaire for diagnosing actual clinical genetic depression. It includes such questions as: Do you have pervasive feelings of hopelessness and pessimism? Do you often feel like crying for no reason? Do you find it hard to summon the energy to perform routine daily tasks? Have you had these feelings in the past? Do you have a family history of depression? etc etc The fact is that once an endocrine system goes out of whack and is left untreated, it will eventually effect all other biochemical systems including neurotransmitters, resulting in depression. So it is important to determine which system failure came first. Treating with antidepressant meds when the failure stems from, let's say hypothyroidism, is injudicious and will not solve the problem. Many of the suicides and psychotic episodes one hears of in the news from AD meds are from their prescription to persons with adequate amounts of seratonin and the efficiently functioning synapses. This creates neurotransmitter overload. I consider blood hormone level testing to be a worthless diagnostic tool, but the failure of each biochemical system leaves a personalized marker that can facilitate identification. Which symptoms came first is the pivotal question in looking for a root cause. Example: the thyroid gland controls metabolism, thus the first symptoms heralding a deficiency of thyroxine are likely to be weight gain or loss, low energy, and dull hair which will eventually break and fall out. Untreated for a long time, skin lesions can erupt, libido disappear, and serious depression set in. Depression however in this instance is a symptom or a secondary failure. This person's problems will not be reversed by anti-depressant treatment. Prescribing AD meds for a patient suffering from hormone disorders such as andropause, menopause, hypothyroidism, pituitary problems, etc is just going to compound the problem. I hope this will provide some clues for those wrestling with the anti- depressant dilemma. ADs can be life-saving (and I mean this very literally) for those with actual clinical depression, but their misuse and misprescription is widespread. A very interesting application of acetyl-l-carnitine and alpha lipoic acid is treatment of depression. It happened by accident, but I have completely supplanted my MAOI with high doses of this amino acid/antioxidant combination, and the AD effect between parnate and ALC/ALA is indistinguishable. I assume that ALC/ALA's effect in promoting cellular efficiency and repairing neural (synaptic) connections is responsible. I have info on the various uses of this therapy at http://infowomanhrt.tripod.com/ALC_ALA.html (links to specific uses and supporting studies at bottom of page) Cheers, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2005 Report Share Posted December 28, 2005 The psychiatrists may have said that, but it is completely untrue. I don't know where that misinformation started. The incidence of sexual side effects with lexapro are just as high as with celexa or any other SSRI. Also, some people on the SSRI board have persistent sexual problems long after quitting lexapro. Not just ED, but problems with orgasm and desire etc. Removing the r-enantiomer does not eliminate the sexual side effects because the r-enantiomer is basically biologically inert. It doesn't do anything, positive or negative. BTW, removing an enantiomer can sometimes make a more toxic drug. For example Eli Lilly tried to remove s-fluoxetine from prozac to make r-fluoxetine and found out that it causes heart problems so the drug was never brought to market. Yes, apparently the racemate is safer. Interesting article over here: http://64.233.161.104/search?q=cache:ZYZu2uQ-hO8J:fqvictims.org/News/Smoke%26Mir\ rors/area.htm+r-fluoxetine+toxic & hl=en And although wellbutrin does have a much lower incidence of sexual side effects than the SSRIs, and can sometimes, as you say, be pro-sexual, in some people it too can cause sexual dysfcuntion after prolonged use. Vornan > > Hope everyone's holiday season was/is peaceful and bright. > > Visits both to and from friends and relatives have left little time > for internet use recently, but I did notice on this and another > group, the discussions about SSRIs and their side effects. > > I have some personal knowledge due to a family history of clinical > depression and anti-depressant medications. My hereditary depressive > disorder has been successfully treated with the MAO inhibitor, > parnate, for several decades and my sister takes an SSRI, lexapro, w/ > good results. Our mom who would have nothing to do with medications > was a victim of suicide due to untreated depression. > > Here is some info I can share from my experience: > Lexapro is celexa with one half of its chemical formulation removed. > The isomer that was removed was responsible for sexual and other side > effects. This was told to me by my psychiatrist and to my sister by > her doc - both practitioners from Europe. > > You won't find this information in lexapro advertisements, because > including it would be damning celexa along with all the > manufacturer's other SSRI drugs. The info for physicians for lexapro > states only that: > " At the chemical level, Celexa is a mixture of two mirror image > halves called S- and R-enantiomers. The R-enantiomer does not > contribute to the antidepressant effect so it was removed, leaving > only the therapeutically active S-enantiomer. The new drug that this > process created is Lexapro. " > > However any man suffering from clinical depression would be wise to > insist on lexapro if SSRI med is being prescribed, to avoid erectile > complications. > > Another good choice, already mentioned, is wellbutrin (bupropion). > This link contains very revealing info. Apparently this drug is not > only devoid of sexual side effects, it also enhances sexual abilities > in many patients. Again, you won't hear this from the parent company > for political reasons. > http://bupropion.com/wonderwell/index.html > > As to trazadone, prescribing this for a depressed person is > malpractice IMO. It is a sleeping pill, period. My road to a cure > for clinical depression includes a few summarily fired psychiatrists > who felt that it was appropriate to prescribe tranquilizers and > sleeping aids for depression. Clinical depression saps enough energy > without adding a pharmaceutical energy drain on top of the illness. > > But the most egregious and widespread prescription error in common > practice (perpetuated by drug cos) is giving AD drugs to persons > whose depression stems from some other endocrine malfunction or > deficiency. > > There is an appropriate questionnaire for diagnosing actual clinical > genetic depression. It includes such questions as: > Do you have pervasive feelings of hopelessness and pessimism? > Do you often feel like crying for no reason? > Do you find it hard to summon the energy to perform routine daily > tasks? > Have you had these feelings in the past? > Do you have a family history of depression? > etc etc > > The fact is that once an endocrine system goes out of whack and is > left untreated, it will eventually effect all other biochemical > systems including neurotransmitters, resulting in depression. So it > is important to determine which system failure came first. Treating > with antidepressant meds when the failure stems from, let's say > hypothyroidism, is injudicious and will not solve the problem. Many > of the suicides and psychotic episodes one hears of in the news from > AD meds are from their prescription to persons with adequate amounts > of seratonin and the efficiently functioning synapses. This creates > neurotransmitter overload. > > I consider blood hormone level testing to be a worthless diagnostic > tool, but the failure of each biochemical system leaves a > personalized marker that can facilitate identification. > > Which symptoms came first is the pivotal question in looking for a > root cause. Example: the thyroid gland controls metabolism, thus the > first symptoms heralding a deficiency of thyroxine are likely to be > weight gain or loss, low energy, and dull hair which will eventually > break and fall out. Untreated for a long time, skin lesions can > erupt, libido disappear, and serious depression set in. Depression > however in this instance is a symptom or a secondary failure. This > person's problems will not be reversed by anti-depressant treatment. > > Prescribing AD meds for a patient suffering from hormone disorders > such as andropause, menopause, hypothyroidism, pituitary problems, > etc is just going to compound the problem. > > I hope this will provide some clues for those wrestling with the anti- > depressant dilemma. ADs can be life-saving (and I mean this very > literally) for those with actual clinical depression, but their > misuse and misprescription is widespread. > > A very interesting application of acetyl-l-carnitine and alpha lipoic > acid is treatment of depression. It happened by accident, but I have > completely supplanted my MAOI with high doses of this amino > acid/antioxidant combination, and the AD effect between parnate and > ALC/ALA is indistinguishable. I assume that ALC/ALA's effect in > promoting cellular efficiency and repairing neural (synaptic) > connections is responsible. I have info on the various uses of this > therapy at > http://infowomanhrt.tripod.com/ALC_ALA.html > (links to specific uses and supporting studies at bottom of page) > > Cheers, > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.