Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: Can topiramate help anxiety? » Beckett

Posted by SLS on August 18, 2012, at 6:20:25

In reply to Re: Can topiramate help anxiety? » Phillipa, posted by Beckett on August 17, 2012, at 21:30:19

> Hi Phillipa, I have an anxiety disorder along with other issues. Sometimes I don't understand why I have a bad flare. I cannot handle the stress the average person can.


Have you tried Buspar (buspirone)? It works well for some people to treat chronic anxiety. There is more often than not a delay in the appearance of a therapeutic effect. It can take 1 - 3 weeks to work - just like an antidepressant. Buspar acts as a partial agonist of 5-HT1a receptors, as does Viibryd. However, it also blocks D2 receptors like a mild antipsychotic. Buspar does not inhibit the reuptake of serotonin.

Most people don't regard Phenergan (promethazine) as being an anxiolytic, but I saw it work better for anxiety than did Zyprexa for someone with schizoaffective disorder. The Zyprexa had been working pretty well, but the weight gain was unacceptable. I was pleasantly surprised to see him respond so completely to Phenergan.

I wonder if Rhodiola Rosea would be at all helpful. I see a few people report that they respond to it and glean improvements in anxiety, depression, and cognitive impairments. Unfortunately, I see that it is not immune to pooping-out.

Topiramate can effectively treat mixed-states in bipolar II disorder. I have seen it begin working for someone at a dosage of 200 mg/day. It completely abolished the dysphoria, irritability, and rage. This same person was then maintained quite well at a dosage of 100 mg/day. I actually gained a small amount of motivation and energy from topiramate the first time I tried it. However, it most recently was depressogenic for me when added to the other drugs I am currently taking. I think the development of kidney stones is dosage-dependent, so there are good reasons for starting at a low dosage and moving up slowly. Starting at 25 mg and increasing by 25 mg each week is a prudent pace to help prevent cognitive issues. One can use the starter-pack available that is used for treating migranes.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:SLS thread:1023435
URL: http://www.dr-bob.org/babble/20120818/msgs/1023583.html