![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Sheilac on August 20, 2013, at 14:32:15
I'm still having panic attacks, but am sticking with Buspar. Thank goodness for Klonopin. I hate that Buspar is such a short acting drug. Makes me irritable when it wears off.
My doc mentioned an SNRI - Effexor. I tried it in the past at 75mg, but it bothered my bladder. I have irritable bladder (IC) and SSRIs cause my bladder pain, so Effexor didn't work out for me. She suggested starting at a higher dose of 150 xl.
Not sure about this. For now it's just something we talked about.
Is there any difference starting at 150mg Effexor? Less serotonin at that dose?
Too much serotonin kills my bladder and isn't worth the pain.
She told me to think about it.
Posted by tensor on August 21, 2013, at 1:20:41
In reply to Effexor 150 neurotransmitters?, posted by Sheilac on August 20, 2013, at 14:32:15
> I'm still having panic attacks, but am sticking with Buspar. Thank goodness for Klonopin. I hate that Buspar is such a short acting drug. Makes me irritable when it wears off.
>
> My doc mentioned an SNRI - Effexor. I tried it in the past at 75mg, but it bothered my bladder. I have irritable bladder (IC) and SSRIs cause my bladder pain, so Effexor didn't work out for me. She suggested starting at a higher dose of 150 xl.
>
> Not sure about this. For now it's just something we talked about.
>
> Is there any difference starting at 150mg Effexor? Less serotonin at that dose?
>
> Too much serotonin kills my bladder and isn't worth the pain.
>
> She told me to think about it.
>
>150mf of Effexor would increase reuptake inhibition of serotonin if anything, it may at that dose increase noradrenaline. Ever tried mirtazapine or nortriptyline? Reboxetine is worth trying, it doesn't touch serotonin. Depending on the severity of your symptoms, there are also Lyrica, Trileptal, Zyprexa, Seroquel, Risperdal.
Do all SSRIs cause bladder problems?/tensor
Posted by Sheilac on August 21, 2013, at 6:17:59
In reply to Re: Effexor 150 neurotransmitters? » Sheilac, posted by tensor on August 21, 2013, at 1:20:41
Does that mean 150mg of Effexor WOULD probably hurt my bladder due to it hitting serotonin?
I guess the doc thought 150mg would be different than 75mg.
I've tried Trileptal - great for stabilization, makes me depressed. Seroquel - great for sleep, but not much for depression
Right now I'm trying to make Buspar work, but 1 pill only lasts about4-5 hours, which sucks.
So, I guess I'm not sure if I want to try 150 Effexor if its the same as 75mg.
Posted by tensor on August 21, 2013, at 9:58:38
In reply to Confused?, posted by Sheilac on August 21, 2013, at 6:17:59
> Does that mean 150mg of Effexor WOULD probably hurt my bladder due to it hitting serotonin?
I honestly don't why your bladder hurts on SSRI/SNRI but if it is a result of increased serotonin, then most likey, yes.
> I've tried Trileptal - great for stabilization, makes me depressed. Seroquel - great for sleep, but not much for depression
I would suggest trying reboxetine, it worked for my anxiety. But I don't know if it's available in your country. Altough you had to stop due to pain, did the SSRI/SNRIs work for your anxiety?
> Right now I'm trying to make Buspar work, but 1 pill only lasts about4-5 hours, which sucks.
It's a wacky medication.
> So, I guess I'm not sure if I want to try 150 Effexor if its the same as 75mg.
Well, I don't know how much it hurts, consider the risk/benefit ratio. BTW you do have tried regular SSRIs and not just Effexor? Because noradrenergic medications make my whole reproduction system ache (I'm male).
/tensor
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.