First i thank you in advance you both contribute so much intellectual knowledge around here. Me…well i’m the guy to go to if you want to know about taking huge amounts of anabolics for many years than realizing that it wasn’t all it was cracked up to be. I won’t get too much into taht unless you have specific questions.
On to my situation, currently treated by internal medicine specialist for my testosterone replacement. He tries but really does not have a handle on it. Test level is OK by the charts but for me it still represents a huge drop, i think we should have tapered long term.
Anyway, i have a long history with depression and anxiety, seem to always be worrying instead of living. Was on prozac for years which did help but i mistakenly quit taking it then relapsed. Now on Cymbalta 60 mg daily and also some days will take .25mg of klonipin for the anxiety, i try to not take it unless its bad, but then again it seems like if i don’t shut it off it carries over into the next day.
So my first question is… Is it better to rough it out and not take the Klonipin or to use it when i feel the anxiety and shut it down therefore breaking the anxiety cycle? Second question, I ahve read alot about 5htp is this something that could be taken at a low dose to increase the effectiveness of teh Cymbalta or would i risk too much serotonin?
The way i understand it the 5htp provide teh material to procude more serotonin and then the cymbalta would act as a re-uptake inhibitor perhaps producing an additive effect? One theory i have read staes that you can’t selectively stop re-uptake if you don’t have the material to produce adequate serotonin to begin with. On a side note…luckily for me i have had no sexual side effects from the Cymbalta. I do find libido goes to zero when i have a depressive episode and when this happens i will often bump my testosterone from 100mg weekly to 200 or even 300 which alleviates teh problem, then once i feel OK i can take it back down, however i have to keep estrogen in check at all times or i can become extremely emotional. I hate that more than anything, i can’t control my sadness and everything effects me much more severely than it should.