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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by utopizen on November 8, 2002, at 19:19:39
Not that I get withdrawl effects, but I'm tossing this idea out there--- I mean, if the idea works, that's a great idea....
Posted by IsoM on November 9, 2002, at 3:27:08
In reply to Dilantin for SSRI withdrawl?, posted by utopizen on November 8, 2002, at 19:19:39
I had many months of having continuing withdrawal (or sometimes called discontinuation) symptoms after I slowly tapered off Paxil. Even though I took Celexa for over a year afterwards, I needed the addition of 5 mg of Paxil to hold the symptoms at bay - a necessary evil.
Then when I started taking adrafinil (& then switched to Provigil), all withdrawal symptoms disappeared completely. I was emboldened to try stopping the low dose of Paxil but continue the Celexa, & the problems never returned, not even the slightest.
It may prove true for only a small minority, but I'd love to hear more about this. I often wonder if adrafinil or Provigil (modafinil) "fixed" whatever residual transmitter problems that were caused by Paxil. If so, I'm curious how. I do know Provigil activates different regions of the brain from regular stimulants.
Posted by oracle on November 9, 2002, at 14:09:09
In reply to Dilantin for SSRI withdrawl?, posted by utopizen on November 8, 2002, at 19:19:39
Everyone I know who tried Dilantin reported
major side effects and a blood test is required while one is on it, if mempry serves.
Posted by utopizen on November 9, 2002, at 19:58:22
In reply to Re: Dilantin for SSRI withdrawl?, posted by oracle on November 9, 2002, at 14:09:09
> Everyone I know who tried Dilantin reported
> major side effects and a blood test is required while one is on it, if mempry serves.It tends to contraindicate itself when taken with certain other drugs. These drugs should be reviewed before considering it with your doctor.
It may cause a rash, but it's only in 3% of the population. If it does, it is immediately noticable and the patient simply stops taking it (it goes away).
I'm not even suggesting people think about this to avoid vivid nightmares during a withdrawl phase, I'm tossing it out there for people like IsoM who had to go through months worth of slow withdrawl.
The idea is that electricity regulation is achieved at the CNS in patients taking Dilantin. Many withdrawl side effects, like feeling like the floor is sinking into a gap as one walks, or electric shocks, may resolve themselves if one took Dilantin.
Actually, if you don't have a drug that says it is contraindicated with Dilantin (Phenytoin) or you should speak with your doctor if you are taking Dilantin, it's a rather well-tolerated drug.
For people with seizures, it's a lot safer than Phenobarbital or Miltown (the only reason why these two drugs really exist still).
Posted by oracle on November 10, 2002, at 3:32:14
In reply to Re: Dilantin for SSRI withdrawl?, posted by utopizen on November 9, 2002, at 19:58:22
I know 3 people with seizure disorder, they all hate Dilantin. One hates it because it makes them tired but it is the only option.
The other got the skin rash and hated the way it made them feel. The third was on it years ago while a ward of the state and under court order to take it.
He presented at hospital in continuous seizure went thru several episodes of seizures for several hours. He liked phenobarb the best
but had few rights as a ward. Dilantin made him very tired and he also 'felt funny". In the end his docs had to change his med as his blood workups were
coming back altered. He does not know the specifics.I agree with your concepts and have lots of experience as I take high dose Effexor. For me the Dilantin for the shocks is like the buttonhook operation
for a headache. Very low dose benzo works very well, is well tolerated, requires no blood test, is very cheap, & can be given once a day. Dilantin
will fix the shocks, for me, but does zilch to the tendency to cry at the drop of a hat. Low does benzo will treat both.
This is the end of the thread.
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