![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by willyee on November 8, 2005, at 10:06:00
Right now im having a lot of trouble with anxiety,or racing mind,hyperactivness etc....
Klonopin has been my weapon of choice,as well as Nuerontion as needed.Right now i wanna toss all of it in the cr*pper.
Im on parnate/ritalin AD combo which works ,least i think,can anyone tell me if risperdal might benifit me more than klonopin in these side effects im having?
Posted by rjlockhart on November 8, 2005, at 11:37:30
In reply to Benzo or Anti-pyshc, posted by willyee on November 8, 2005, at 10:06:00
Klonopin is mainly relief, Respirdal i have taken samples of, it mainly dulls out thoughts, not exactly the same antiaxiety mechanism of klono.
The only problem with Respirdal is TD, tardive dys. where you jerk. That is mainly a side effect of antipsychotics, well i higher doses, and long periods. A low dose can make you calm, such as .5mg, 1-2mg dulls out thoughts. It comes up to 4mg in tablets.
I have considered Respirdal, but i take Zyprexa.
Stay in there.
Matt
Posted by Bill LL on November 8, 2005, at 15:43:47
In reply to Benzo or Anti-pyshc, posted by willyee on November 8, 2005, at 10:06:00
A recent Harvard study advocated the use of Klonopin for anxiety. The effective dose range in their study was 1-4 mg per day.
Also, Lyrica, a cousin of Neurontin, looked good for anxiety in some tests. The effective dose for GAD was 400 to 600 mg. (As yet, GAD is an off lable use).
I'm no expert but my understanding is that both Klonopin and Lyrica should be low in the side effects department.
But if you have had trouble with Klonopin and Neurontin, and you have tried both at higher doses, then that's a different matter.
> Right now im having a lot of trouble with anxiety,or racing mind,hyperactivness etc....
>
> Klonopin has been my weapon of choice,as well as Nuerontion as needed.Right now i wanna toss all of it in the cr*pper.
>
> Im on parnate/ritalin AD combo which works ,least i think,can anyone tell me if risperdal might benifit me more than klonopin in these side effects im having?
Posted by cache-monkey on November 8, 2005, at 16:27:09
In reply to Benzo or Anti-pyshc, posted by willyee on November 8, 2005, at 10:06:00
Kind of a tough choice.
Benzos are really the best agents against classic forms of anxiety. The primary problems with benzos, of course, are tolerance and withdrawal. However, my understanding of the Harvard study of Klonopin for panic is that most participants were able to find a dose at which tolerance did not develop. Withdrawing from a benzo can be pretty hard for some people, although a lot less hard when using a valium taper. Secondardy issues with the benzos: cognitive dulling (less of a problem with Klonopin, I've heard) and exacerbation of depression. The latter varies from person to person and may not be an issue with an AD on board.
Racing thoughts and hyperactiveness sound like possible indicators of mild (dysphoric) hypomania. In which case a mood stabilizer or an atypical AP might be more beneficial.
As far as the atypicals: I've heard that they can be pretty effective for what you describe. They do come with a different potential set of side effects: mostly EPS and reduced prolactin with Risperdal if memory serves me correctly. EPS is still rare, though, unless you've got freaky-sensitive D-2 receptors like I do.
Another thing I wonder about is the Ritalin. I am wondering whether that might be leading to some of these anxiety-like conditions. Have you tried reducing the Ritalin to see if that helps? (Or do you lose the AD benefit?)
Best,
cache-monkey
> Right now im having a lot of trouble with anxiety,or racing mind,hyperactivness etc....
>
> Klonopin has been my weapon of choice,as well as Nuerontion as needed.Right now i wanna toss all of it in the cr*pper.
>
> Im on parnate/ritalin AD combo which works ,least i think,can anyone tell me if risperdal might benifit me more than klonopin in these side effects im having?
Posted by willyee on November 8, 2005, at 22:01:23
In reply to Re: Benzo or Anti-pyshc, posted by cache-monkey on November 8, 2005, at 16:27:09
Thanks for the responses,and to your thought,mines is the same.Im sure u know it can be hard when there are a few meds in the mix to determine if one is doing more harm than good.
At times Ritalin seems like the only reason im getting any AD response,and other times i wonder if its just making matters worse.
Klonopin has always helped with anxiety,but never in the way i need it to,i cant describe what i mean in words,it just doesent provide a particular reliaf i am looking for.
I have a lot of thinking to do as if thats any help,lol thanks a lot for the repsonses.
Posted by Phillipa on November 8, 2005, at 22:03:48
In reply to Re: Benzo or Anti-pyshc, posted by cache-monkey on November 8, 2005, at 16:27:09
Hi Willyee, i was thinking the same about the ritalin. And I'm also becoming more interested in klonopin which depressed me and valium developed tolerance, and grudgingly willing to learn more about the possibility of bipolar and anxiety being a symtom of depression that doesn't respond to AD's. And the article further up the Board suggests low dose atypials as treatment for anxiety where someone is anxious and that is there only symptom except depression that doesn't repond to AD's. have you explored this for yourself? I'm in Charlotte liveing now . new E-mail address that i can give you by bablemailing me and i need yours again. Fondly, Phillipa ps Maybe Dr Parker was on to something by saying everyone was bopolar. Yeah I know how you feel about him. Fondly, Phillipa
Posted by med_empowered on November 9, 2005, at 14:31:40
In reply to Re: Benzo or Anti-pyshc, posted by Phillipa on November 8, 2005, at 22:03:48
hey! I'm personally not a big fan of antipsychotics, atypical or conventional...they really seem to dull thoughts and make personalities a lot more bland. I think you might be better off just upping the Klonopin, doing talk therapy/self-help, and/or lowering the Ritalin. Good luck!
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.