Posted by Cairo on May 6, 2005, at 13:52:35
In reply to Re: Topamax and panic attacks » Cairo, posted by ed_uk on May 6, 2005, at 6:03:26
What would this induction of metabolic acidosis mean for other medications, if anything??? Is there anything I can do to help reverse this other than cut back the Topamax? I tried a couple of Tums, but didn't seem to do anything. Topamax is so long acting that maybe it wouldn't. Any suggestions? Don't know if my pdoc will know what to do other than taper, either. As I'm not taking Topamax for seizure, could I taper more quickly than usual?
Cymbalta 30mg also caused panic attacks. What gives with me? SSRIs, even at low doses, give me muscle tremors, hot flushes, etc. I read that giving SSRIs in addition to trazodone could mess up the beta adrenergic receptors further. I'm taking trazodone for sleep. This could explain the Cymbalta. I need a good (correction: great) psychopharmacologist to figure out all my idiosyncratic reactions. I just don't know where to go.
Thank you, Ed.
Cairo
> This could be a symptoms of Topamax-induced metabolic acidosis. Topamax can induce metabolic acidosis due to its action as a carbonic anhydrase inhibitor.
>
> Ed.
poster:Cairo
thread:494112
URL: http://www.dr-bob.org/babble/20050504/msgs/494573.html