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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Anna P. on November 30, 2000, at 16:02:20
Is this safe to take Lorazepam with Lithium and Neurontin?
Is there any drug interaction ? I'm really concerned as I had the car accident while on Neurontin and Lorazepam before adjusting to them first.Anna P.
Posted by natg on November 30, 2000, at 17:06:51
In reply to Lithium, Neurontin and Lorazepam Safe?, posted by Anna P. on November 30, 2000, at 16:02:20
> Is this safe to take Lorazepam with Lithium and Neurontin?
> Is there any drug interaction ? I'm really concerned as I had the car accident while on Neurontin and Lorazepam before adjusting to them first.
>
> Anna P.Hi Anna:
Unfortunately, I am no expert in pharmacology so I don't think I can respond to your question ( sorry, I wish I could help you! )
I just started Neurontin 2 weeks ago and I was curious as to what your Neurontin and Lorazepam dosage is? I take both. I only take Lorazepam when I have a lot of anxiety, anywhere from .5 to 2 mgs.
How does Neurontin work for you?
I'm taking it for mood swings and anxiety. I find that it is helping my mood swings quite well but I still have a little bit of anxiety. Note, I have read that in some people it can have a stimulating effect.From what I know I'm sure Neurontin can be combined with Lithium ( from what I've read).
There are some interesting articles that I came across on the Web, you might want to check Depression Central.Hope you get the info. you need and Good Luck,
Nat
Posted by judy1 on December 3, 2000, at 19:23:51
In reply to Lithium, Neurontin and Lorazepam Safe?, posted by Anna P. on November 30, 2000, at 16:02:20
Hi Anna,
Neurontin is one of those great drugs that doesn't interact with other mood stabilizers (lithium), but it can have an additive sedating effect with benzos. (As you discovered with your ativan). Most people tolerate both pretty well and acclimate to the sedation. Take care.
Posted by dove on December 5, 2000, at 9:49:51
In reply to Re: Lithium, Neurontin and Lorazepam Safe? » Anna P., posted by judy1 on December 3, 2000, at 19:23:51
I've been taking Neurontin (Gabapentin), Klonopin, Amitriptyline (Elavil), Nefazodone (Serzone), and Adderall, with Lorazepam (Ativan)as needed. My p-doc says that this is a safe combo, although, the Lorazepam taken too close to the Neurontin and Klonopin seems to induce quite an urge to sleep. When first initiating this med-combo, there seems to be a lag in reaction times, and an overall "slowing" of the senses, but this faded fairly quickly for me.
~dove
Posted by dove on December 13, 2000, at 15:11:11
In reply to Re: Lithium, Neurontin and Lorazepam Safe?, posted by dove on December 5, 2000, at 9:49:51
> I've been taking Neurontin (Gabapentin), Klonopin, Amitriptyline (Elavil), Nefazodone (Serzone), and Adderall, with Lorazepam (Ativan)as needed. My p-doc says that this is a safe combo, although, the Lorazepam taken too close to the Neurontin and Klonopin seems to induce quite an urge to sleep. When first initiating this med-combo, there seems to be a lag in reaction times, and an overall "slowing" of the senses, but this faded fairly quickly for me.
>
> ~dove
Anyone have any comments on this med combo: Neurontin, Adderall, Serzone, Amitriptyline, Klonopin, Ativan (as needed), and the latest addition of 10 mgs of Prozac per day?I know I should probably be looking to discontinue a few of these meds, and I'm positive that my p-doc would approve as long as I don't remove the Neurontin, but what, when, and how? Especially in light of the new Prozac addition, which is suppose to help my up and down female cycle. My p-doc is very open-minded and receptive, particularily when compared to most of the other small town doc's, but he doesn't seem to know much about the drug-to-drug interactions.
Any possible benefits or drawbacks to a med cocktail like this?
~dove
Posted by SLS on December 13, 2000, at 19:44:51
In reply to Neuron,Ativan,Klonopin,Ami,Serzone,Adderall,Prozac, posted by dove on December 13, 2000, at 15:11:11
> > I've been taking Neurontin (Gabapentin), Klonopin, Amitriptyline (Elavil), Nefazodone (Serzone), and Adderall, with Lorazepam (Ativan)as needed. My p-doc says that this is a safe combo, although, the Lorazepam taken too close to the Neurontin and Klonopin seems to induce quite an urge to sleep. When first initiating this med-combo, there seems to be a lag in reaction times, and an overall "slowing" of the senses, but this faded fairly quickly for me.
> >
> > ~dove
Dear Dove,When I first read this, I couldn't think of what sort of condition(s) you were treating. It's a hell of a cocktail. However, after rereading it several times, I came to the inescapable conclusion that I still had no clue. :-)
General anxiety disorder, major depression, and ADD? Maybe a hint of fibromyalgia? (I really hedged my bets here).
> Anyone have any comments on this med combo: Neurontin, Adderall, Serzone, Amitriptyline, Klonopin, Ativan (as needed), and the latest addition of 10 mgs of Prozac per day?
>
> I know I should probably be looking to discontinue a few of these meds, and I'm positive that my p-doc would approve as long as I don't remove the Neurontin, but what, when, and how? Especially in light of the new Prozac addition, which is suppose to help my up and down female cycle. My p-doc is very open-minded and receptive, particularily when compared to most of the other small town doc's, but he doesn't seem to know much about the drug-to-drug interactions.
>
> Any possible benefits or drawbacks to a med cocktail like this?
>
> ~dove
I would be interested to know what your current diagnoses are so as to be able to give you some input, should I have any.
- ScottBTW - Thanks.
Posted by dove on January 11, 2001, at 9:53:13
In reply to Re: Neuron,Ativan,Klonopin,Ami,Serzone,Adderall,Prozac » dove, posted by SLS on December 13, 2000, at 19:44:51
>However, after rereading it several times, I came to the inescapable conclusion that I still had no clue. :-)
>
You're not the only one ;-)
> General anxiety disorder, major depression, and ADD? Maybe a hint of fibromyalgia? (I really hedged my bets here).
>> I would be interested to know what your current diagnoses are so as to be able to give you some input, should I have any.
>
You want dx's huh? Here we go :-)ADHD: presentation: at birth; cessation: not yet; symptoms present through 3+ familial generations.
Epilepsy: the likeliest category given to me was "Absence Seizure Disorder", with the other possibility being Temporal Lobe Seizure disorder?, as they didn't have any conclusive data to prove one way or another. Seizures/black-outs present in 3+ generations.
Migraines: This dx was followed by my doc saying that I never had "epilepsy", just terrible migraines. Migraine w/ aura present in 3+ generations on one side and 2 generations on the other.
Major Depressive Disorder (to include SAD also): off and on since age 7 or so; symptoms blatantly present in every generation since at least 1613 (first recorded suicide in the family, seemingly induced by severe melancholy).
Bipolar I (maybe II): sub-type mixed-mania ultra-rapid cycling, predominately depressive with manic episodes being very brief, angry, agitated, and barely reaching the hypomanic stage. Symptoms present in at least 4 generations.Panic Disorder (to include Agoraphobia and GAD): presented in Kindergarten, didn't consider the symptoms as abnormal until a of couple years ago, as so many family members and relatives act/experience the same. I decided to seek help when I wasn't really living life anymore, just passively experiencing the abrasive procession of time. Again, symptoms present in 4+ generations.
PTSD: This has been an ongoing sort of problem, beginning in childhood (physical/emotional/ect... abuse), continuing through my teen years with bad decisions and lack of foresight or insight. Late-teens through adulthood have been speckled with car accidents (none in which I was the driver, and leading to wanting control of the car (i.e. I want to be the driver) and was later dxed with OCD due to this), traumatic deaths of family members, relatives (distant and close), close long-time friends, and witnessing close-up two grisly deaths' of a stranger.
OCD: on occasion a p-doc will consider this legit, one of my doc's was convinced that my car-travel phobia (i.e. I want to be the driver not the passenger problem) is a perfect example of my OCD in action. As is my difficulty with self-esteem and always combating that feeling of being a waste of air and space, worthlessness, also an example of OCD perfectionism obsessions because I'm always viewing myself as a failure.
I may be forgetting a few, but I think that is plenty for now :-)
I think the Klonopin is doing something, just like the Neurontin is doing something, and the Serzone, all kind of vague but definitely positive in nature. I quit the Ativan, will only take for an extreme situation, like going to the dentist, and the small amount of Prozac is really truly different from my last experience at 20mgs. Instead of flattening me, it gives me a little more bounce, a boost if you will. I'm experimenting with taking it every other day (half-month dosage) because of the material I've read in regard to utilizing it for PMDD (Severe PMS?) and the realization that the women taking it for only two weeks did significantly better than the ones taking it continuously.
Any thoughts, ideas? I can't afford to keep downing this money-hungry med-cocktail, my bank is already broke :-)Thank You!
dove
Posted by SLS on January 11, 2001, at 11:18:59
In reply to Re: Neuron,Ativan,Klonopin,Ami,Serzone,Adderall,Prozac » SLS, posted by dove on January 11, 2001, at 9:53:13
Dear Dove.
No problem. This is an easy one!
Take 2 aspirin and call me silly.
Look, I'm going to give you my email address if you feel I can be of some help to you. Perhaps you can help your doctors sling their arrows closer to the multiple targets by arming yourself with more information and new insights. If you don't want to correspond, I'll understand. In the meantime, if my brain is still working (I am experiencing a small but significant response to medication this week), I am intrigued enough by the challenge and fond enough of the individual to make a project of it.
I am sure that others will feel the same way and respond to your posts with the usual brilliance that this board consistently demonstrates.
I'll hang out for a little while to see what others have to say. It will be like drawing upon the cumulative pool of a population comprised of people who have expertise for each of the specific components of your condition(s). Even if no general concensus is arrived at, you will have a better understanding of what you are dealing with.
Good luck.
* Warning: I'm not as smart as I sound. At least, not yet.
Sincerely,
Scott- > You can use a remailer service if necessary.
Posted by SLS on January 17, 2001, at 18:21:23
In reply to Re: Neuron,Ativan,Klonopin,Ami,Serzone,Adderall,Prozac » dove, posted by SLS on January 11, 2001, at 11:18:59
Dove,
I want you to take a quick look at the following DSM IV diagnostic criteria URL. It is important to realize that there are many more aspects of the condition addressed, including more comprehensive guidelines to recognize it. Its phenomenology remains very contraversial, but its existance is unequivicol.
http://behavenet.com/capsules/disorders/somatizationdis.htm
I'm just curious to know your reaction to this.
Sincerely,
Scott
This is the end of the thread.
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