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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 27. This is the beginning of the thread.
Posted by Jeroen on December 11, 2005, at 3:31:24
EDUK,I HAD PANNICK ATTACK THIS NIGHT!!!
my heart racing again, believe im dying, i took double dosis seroxat, 2 tranxene and my seroquel and i fall asleep, i worked hard and concentrated hard yesterday, i think thats the cause... im very scared again now, today now i feel normal again. ED :(
Posted by Jeroen on December 11, 2005, at 4:05:26
hi, i had a sudden attack before i went to bed. heart racing, feeling very cold, oh no.... :(
Posted by JohnKeats on December 11, 2005, at 6:38:05
In reply to TO EDUK HEEEEEELLLPPP!!!!!!!, posted by Jeroen on December 11, 2005, at 4:05:26
Hey Jeroen,
I can see you are hurting a lot, hang in there. ed_uk or Phillipa will write to you as soon as they see they see your message. In the mean time, do you want to talk about it? I know it must hurt a lot right now, but talking helps, even if it's just a little bit. You can post right here or email me:
http://www.dr-bob.org/cgi-bin/pb/babblemail.pl?to=JohnKeatsReally hoping you'll write again. Hang in there.
Posted by Meri-Tuuli on December 11, 2005, at 9:33:59
In reply to TO EDUK HEEEEEELLLPPP!!!!!!!, posted by Jeroen on December 11, 2005, at 4:05:26
Hey! I don't think Ed has been around lately - at least he hasn't posted anything in the last couple of days. Is there something in your med regimen that you are concerned about, like you think it might have caused the panic attack, or do you think it was purely triggered by something psychological? You could perhaps start a new thread? Or talk to a doc about it?
Maybe more experienced people could then comment on it. I guess if you're in Europe (you sound European - I hazard a guess you're in Germany or maybe Denmark/Sweden/Norway??! but I'm being too nosey now!!) like me, then its afternoon now and the Americans and Canadians are just waking up. They might be able to answer you.......Kind regards
Meri
Posted by Jeroen on December 11, 2005, at 11:28:26
In reply to Re: TO EDUK HEEEEEELLLPPP!!!!!!! » Jeroen, posted by Meri-Tuuli on December 11, 2005, at 9:33:59
yes the heavy sedation when taking seroquel is making me anxiety and tired, i had lot to do yesterday and i think thats why i had a pannick attack, i want to withdraw from seroquel in januari, can you help me with that?
Posted by Phillipa on December 11, 2005, at 12:06:05
In reply to EDUK,I HAD PANNICK ATTACK THIS NIGHT!!!, posted by Jeroen on December 11, 2005, at 3:31:24
Jeroen I haven't seen Ed on the board in over a week. I have no idea where he is. Fondly, Phillipa
Posted by Phillipa on December 11, 2005, at 12:08:29
In reply to SEROQUEL, posted by Jeroen on December 11, 2005, at 11:28:26
Jeroen Merri is right. Someone will pop in. The board in general has been very quiet. Fondly, Phillipa. PS you can always Babblemail me
Posted by blueberry on December 11, 2005, at 19:44:17
In reply to TO EDUK HEEEEEELLLPPP!!!!!!!, posted by Jeroen on December 11, 2005, at 4:05:26
All the meds we take are so weird. Can't tell what will happen. Here's some thoughts though.
A double dose of seroxat would make me have a worse panic attack or worse anxiety. It works over weeks and months to lessen anxiety, but usually actually increases anxiety when you first start taking it or when you increase the dose. Taking a double dose expecting immediate results will probably do the opposite of what you want.
Seroquel might need to be switched to something else like zyprexa. Here's what I was thinking...seroxat has a little bit of norepinephrine reuptake inhibition to it...it increases norepinephrine. Seroquel antagonizes norepinephrine receptors in a way that causes more norepinephrine to be released. So with both drugs combined, you are getting a lot of stimulation from increased norepinephrine, which would bring on anxiety and panic attacks for many people. I mentioned zyprexa because you could do a straight across switch to it, and it does not antagonize norepinephrine receptors like seroquel does.
And you could increase the dose of tranxene or try another one from that same class. If you have another panic attack and you think about taking a double dose of anything, I would take a double dose of the tranxene, not seroxat. I think the problem is not really the seroxat or the seroquel, but the combination of the two...too much over stimulation from the norepinephrine. Just my thoughts though.
Posted by ed_uk on December 14, 2005, at 17:00:49
In reply to EDUK,I HAD PANNICK ATTACK THIS NIGHT!!!, posted by Jeroen on December 11, 2005, at 3:31:24
Hi J
I'm sorry to hear about your panic attack :-(
>i worked hard
Do you think the stress triggered the panic attack?
>my heart racing again, believe im dying
What other symptoms did you have? I think you should call your doctor to discuss what happened.
Unfortunately, many people who suffer from panic disorder have occasional anxiety attacks, even when their medication is working well.
Seroxat is often very effective for panic disorder. It doesn't usually 'poop out' so long as your take it regularly on a daily basis. Be sure to take it at the same time every day in order to get the best effect.
Despite your panic attack, Seroxat IS still working! Even while you're taking medication, panic attacks can sometimes happen. Ask your doctor for a few 5 mg diazepam (Valium) tablets, ONE or TWO tablets can be taken *when required* for a panic attack. Diazepam works quickly - it's a good med to carry around with you in case you have a panic attack.
>double dosis seroxat
Don't do that! With Seroxat, sudden large increases in dose can worsen your anxiety (in the short term).
>30mg Seroxat
If you're worried, you could ask your doctor to increase your Seroxat dose to 40mg. 40mg often seems to work a bit better than 30mg for panic disorder.
>Vitamin E
Are you still taking it? Despite the problems you had at the high dose, a small dose might still be beneficial :-)
>Getting off Seroquel
So you take 100mg in the morning and 400mg at night?
If your doctor agress, you can get a prescription for the 25mg tablets. You can reduce the dose safely in steps of 25mg.
For example....
You could take 100mg in the morning and 375mg at night tomorrow.
Warm regards
Ed
PS. What dose of Tranxene are you taking? Do you take it everyday?
PPS. Please answer all my questions - I can help you if you do :-)
Posted by Jeroen on December 15, 2005, at 9:12:03
In reply to To Jeroen URGENT!!!!!!!!!!!!!!!!!! » Jeroen, posted by ed_uk on December 14, 2005, at 17:00:49
hey EDUK can i take 50 mg less tonight so 350 mg for a week then 50 mg less again next week? is it safe? what are the dangers?
Posted by Jeroen on December 16, 2005, at 6:50:24
In reply to To Jeroen URGENT!!!!!!!!!!!!!!!!!! » Jeroen, posted by ed_uk on December 14, 2005, at 17:00:49
EDUK can i take 50 mg less? so next night 350 mg seroquel
Posted by Jeroen on December 16, 2005, at 13:51:39
In reply to To Jeroen URGENT!!!!!!!!!!!!!!!!!! » Jeroen, posted by ed_uk on December 14, 2005, at 17:00:49
hi ed, how r u? im currently stopping the tranxene 15mg cold turkey after 8 months twice daily, and i feel more like myself at this moment but im scared. im want not to stop seroquel entire, i want to take 100 mg twice daily, because at that dose i felt good now im on 400mg before bedtime and 100 mg at morning, its sedative.
ED IS reducing 50 mg a week safe like 350mg then second week 300 mg or can i do it faster? PLEASE I NEED YOUR ADVICE ON THISmy nystagmus is worser but i feel at this moment much better because of stopping tranxene 15 mg.
i believe seroquel is causing pannick attacks while combining it with seroxat.
> Hi J
>
> I'm sorry to hear about your panic attack :-(
>
> >i worked hard
>
> Do you think the stress triggered the panic attack?
>
> >my heart racing again, believe im dying
>
> What other symptoms did you have? I think you should call your doctor to discuss what happened.
>
> Unfortunately, many people who suffer from panic disorder have occasional anxiety attacks, even when their medication is working well.
>
> Seroxat is often very effective for panic disorder. It doesn't usually 'poop out' so long as your take it regularly on a daily basis. Be sure to take it at the same time every day in order to get the best effect.
>
> Despite your panic attack, Seroxat IS still working! Even while you're taking medication, panic attacks can sometimes happen. Ask your doctor for a few 5 mg diazepam (Valium) tablets, ONE or TWO tablets can be taken *when required* for a panic attack. Diazepam works quickly - it's a good med to carry around with you in case you have a panic attack.
>
> >double dosis seroxat
>
> Don't do that! With Seroxat, sudden large increases in dose can worsen your anxiety (in the short term).
>
> >30mg Seroxat
>
> If you're worried, you could ask your doctor to increase your Seroxat dose to 40mg. 40mg often seems to work a bit better than 30mg for panic disorder.
>
> >Vitamin E
>
> Are you still taking it? Despite the problems you had at the high dose, a small dose might still be beneficial :-)
>
> >Getting off Seroquel
>
> So you take 100mg in the morning and 400mg at night?
>
> If your doctor agress, you can get a prescription for the 25mg tablets. You can reduce the dose safely in steps of 25mg.
>
> For example....
>
> You could take 100mg in the morning and 375mg at night tomorrow.
>
> Warm regards
>
> Ed
>
> PS. What dose of Tranxene are you taking? Do you take it everyday?
>
> PPS. Please answer all my questions - I can help you if you do :-)
Posted by Phillipa on December 16, 2005, at 21:30:09
In reply to TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 16, 2005, at 13:51:39
Jeroen I don't know where Ed is. Post another Thread on pbabble. Larry Hoover and Link are active right now on those boards. Ed has disappeared. Fondly, Phillipa
Posted by Larry Hoover on December 17, 2005, at 0:10:40
In reply to TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 16, 2005, at 13:51:39
> hi ed, how r u? im currently stopping the tranxene 15mg cold turkey after 8 months twice daily, and i feel more like myself at this moment but im scared.
I hate to speak in Ed's place, but I'll give you my best advice. First, I think you would be wiser to reduce the tranxene dose more slowly than your cold turkey process. You won't feel symptoms right away, but around the third day, you will very much feel the withdrawal. It has a long half-life, but a powerful withdrawal syndrome. Just the same as withdrawing from Valium, diazepam, because both Tranxene and Valium metabolize to nordiazepam. So, I suggest a similar withdrawal schedule.
Take 15 mg a day for a week, and if you feel okay, take 15 mg every other day for two weeks. If that's okay, then empty out half the capsule and take one every other day for two weeks. Then you're done with tranxene. That's my advice.
> im want not to stop seroquel entire, i want to take 100 mg twice daily, because at that dose i felt good now im on 400mg before bedtime and 100 mg at morning, its sedative.
>
>
> ED IS reducing 50 mg a week safe like 350mg then second week 300 mg or can i do it faster? PLEASE I NEED YOUR ADVICE ON THISThat is the maximum rate you can reduce it, in my opinion. Reduce by 50 mg, after a week. 50 mg each week. No faster.
Did you try the vitamin E with vitamin C, like I suggested?
Lar
Posted by Jeroen on December 17, 2005, at 2:08:43
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING » Jeroen, posted by Larry Hoover on December 17, 2005, at 0:10:40
i havent forgotten the calcium thing but first withdrawing from seroquel to 100 mg twice daily, is that enough and safe?
Posted by Larry Hoover on December 17, 2005, at 10:14:24
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 17, 2005, at 2:08:43
> i havent forgotten the calcium thing but first withdrawing from seroquel to 100 mg twice daily, is that enough and safe?
at 50 mg decrease each week
I never mentioned calcium, so I don't about that.
I talked to you about vitamin C with E, lower dose.Lar
Posted by ed_uk on December 17, 2005, at 14:28:44
In reply to EDUK can i take 50 mg less?, posted by Jeroen on December 15, 2005, at 9:12:03
Hi J
>hey EDUK can i take 50 mg less tonight so 350 mg for a week then 50 mg less again next week? is it safe? what are the dangers?
The danger is that you may suffer unpleasant withdrawal symptoms, such as nausea, insomnia and increased anxiety.
Ed
Posted by ed_uk on December 17, 2005, at 14:31:57
In reply to TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 16, 2005, at 13:51:39
Hi J
Now that you're on Seroxat, you might not need the Tranxene anymore. Even so, Tranxene should be tapered gradually. Stopping it abruptly was not a good idea!
>ED IS reducing 50 mg a week safe like 350mg then second week 300 mg or can i do it faster? PLEASE I NEED YOUR ADVICE ON THIS
Different people need to taper at different rates. I would recommend that you reduce the dose in steps of 25mg. Don't rush!
Ed
Posted by Jeroen on December 17, 2005, at 15:50:21
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING » Jeroen, posted by ed_uk on December 17, 2005, at 14:31:57
MY TD HAS GOTTEN WORSE SINCE I WITHDRAW FROM TRANXENE,my eyes are making jerky spasmic movements, right upside,
ive got magnesium, i hope it helps for nystagmusi am very depressed ED, crying, thinking 2006 will be my last year alive. RIP 1983-2006 it sounds awfull. im suffering from broken heart, friendship losses because i feel embarrassed with my situation. i know people from the clinic who commitet suicide, ED :( im currently have a tear in my eye.
its just a battle i cannot win
TD how to prevent a nemesis or whatever
Posted by Larry Hoover on December 17, 2005, at 16:10:23
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 17, 2005, at 15:50:21
> MY TD HAS GOTTEN WORSE SINCE I WITHDRAW FROM TRANXENE,my eyes are making jerky spasmic movements, right upside,
Jeroen, I warned you about not going cold turkey on the tranxene, and that the onset of side effects would be a little delayed. You'd feel good for a day, maybe two, and then Bang!
Just take some tranxene. 15 mg, right now. Please?
Lar
Posted by ed_uk on December 17, 2005, at 17:53:12
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 17, 2005, at 15:50:21
Dear J
Larry is right, you can't come off Tranxene abruptly, it's very important to reduce the dose gradually if you want to come off it. Take a dose of Tranxene as soon as possible.
>MY TD HAS GOTTEN WORSE SINCE I WITHDRAW FROM TRANXENE
Not permanently though. Tranxene tends to suppress the symptoms of TD. Abrupt withdrawal of Tranxene will temporarily aggravate your symptoms. A slow taper is vital.
Take a dose of Tranxene tonight, or even two doses if you feel you need it. I'm sorry you're feeling so bad :-(
Abrupt withdrawal of Tranxene can cause depression and anxiety. You'll feel better after you've taken your dose.
Kind regards
Ed
Posted by Phillipa on December 17, 2005, at 21:15:19
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING » Jeroen, posted by Larry Hoover on December 17, 2005, at 16:10:23
First of all Lar thanks for heading my plea, and second Ed I'm so glad your're back. And Jeroen please listen to both larry and Ed. Fondly, Phillipa
Posted by Jeroen on December 18, 2005, at 2:38:13
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Phillipa on December 17, 2005, at 21:15:19
yes i feel its causing depression, just woke up, feeling better day 4 off it, dont have any pills anymore
Posted by ed_uk on December 18, 2005, at 5:44:03
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING, posted by Jeroen on December 18, 2005, at 2:38:13
Hi J
>feeling better day 4 off it
:-)
>dont have any pills anymore
Can you get a prescription? With Tranxene, it can take a few days for the withdrawal symptoms to appear. It would be a good idea to have an 'emergency supply' of Tranxene just in case you get any withdrawal symptoms.
Ed
Posted by Jeroen on December 18, 2005, at 6:28:48
In reply to Re: TO EDUK !!!!!!!!!CURRENT STATUS!!! WITHDRAWING » Jeroen, posted by ed_uk on December 18, 2005, at 5:44:03
btw i started taking magnesium citrate twice daily this morning for my nystagmus, TD, eye blinking or whatever. so 400 mg total each day, when does such a supplement start working? days, weeks, months?
the cold turkey process atm seems to be cooling off i think, (i hope)
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