Posted by yxibow on January 10, 2007, at 3:08:51
In reply to miltown/equanil/meprobamate, posted by harry_in_philly on January 9, 2007, at 17:57:21
> anyone in philly, nj, de, md know of a good MD that will prescribe meprobamate (miltown). I want it because benzos aren't working to help my generalized anxiety disorder/insomnia. Anyone also know of an MD that would prescribe either a barbiturate or chloral hydrate to treat insomnia?
> Thanks,
> HarryI'm not really sure you want to go down the meprobamate road -- it is an old drug, also C-IV, and while the action isn't quite known it does affect GABA-A just like benzodiazepines. I assume you've been through every anxiolytic benzodiazepine available at strengths up to 4 or 8mg of Klonopin. While it is a carbamate, it basically has barbiturate toxicity. And using a barbiturate today also as you were inquiring, is sort of out of the realm of general practice except for hospital settings. The window between effectiveness and respiratory depression (that's an emergency room term, not something you can regulate on your own) of either a barbiturate of any kind or Miltown is slim. Additionally, Miltown can develop dependence more than it was originally thought to be. Similar to its metabolic and non-scheduled cousin Soma, which I must admit is quite a back relaxant but can build up tolerance if not kept in check.
Its something that you would have to have a doctor with definite experience in, which sounds like you are searching considering you are willing to drive congested east coast highways to 4 states. (And the stares you would get in pharmacies about Miltown in the different states you would have to be prepared for as it hasn't been in common use since 1955.)
Being an insomniac myself, have you considered or tried Ambien at 20mg, or Lunesta at 4 (I've tried that) or god forbid 5mg, or Rozerem. Or any of the above plus/and/or a say, 25mg dose of Seroquel? Any of those, in combination even, would be far less lethal than barbiturates or chloral hydrate which is basically yucky alcohol.
I don't normally believe in the use of antidepressants/neuroleptics for their side effects but 3.75 or 7.5mg of Remeron or 25mg of Seroquel would be far safer choices.-- tidings
poster:yxibow
thread:720872
URL: http://www.dr-bob.org/babble/20070107/msgs/720981.html