Psycho-Babble Medication Thread 224413

Shown: posts 1 to 18 of 18. This is the beginning of the thread.

 

Meds for angry outbursts??

Posted by tina on May 5, 2003, at 8:14:25

Got a quick question.....
Are AD's the right med when you just have these quick-tempered anger outbursts at other people or would an atypical antipsychotic be more appropriate? Not really depressed but definitely have an anger control issue and constant irritability. What would be a good med for that?
thanks
tina

 

Re: Meds for angry outbursts??

Posted by Okpolosi on May 5, 2003, at 9:57:13

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

> Got a quick question.....
> Are AD's the right med when you just have these quick-tempered anger outbursts at other people or would an atypical antipsychotic be more appropriate? Not really depressed but definitely have an anger control issue and constant irritability. What would be a good med for that?
> thanks
> tina

I had similar experience....have PMDD, or severe PMS, and found myself "blowing up" at simple little things, both at work and at home. My GYN DR prescribed Lexapro and it has been a God-send. Have not had any "blow ups" since I started Lex, been on it 3+ months.

 

Re: Meds for angry outbursts??

Posted by NIKITA on May 5, 2003, at 12:21:43

In reply to Re: Meds for angry outbursts??, posted by Okpolosi on May 5, 2003, at 9:57:13

I take Risperdal for such problems, just 1/2 mg. two times a day. It helps stabilize my mood so I don't get so upset/angry/whatever, which always led to self injury for me. It's really helped me level out. Good luck.

 

Re: Meds for angry outbursts??

Posted by kara lynne on May 5, 2003, at 13:29:56

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

I have no idea if anyone has found this to be true or not, but I read an ad for Buspar that specifically said it targets anger. Could just be another marketing tactic, but maybe it's worth a try...?

 

Re: Meds for angry outbursts??

Posted by MattD on May 5, 2003, at 14:58:23

In reply to Re: Meds for angry outbursts??, posted by kara lynne on May 5, 2003, at 13:29:56

Neurontin and Depakote at least anectotally are helpful for controlling anger.

I personally wouldn't trust much in BuSpar to do anything for anger.

Matt

 

Methaqualone (nm) » tina

Posted by bobby on May 5, 2003, at 15:52:38

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

 

Re: Meds for angry outbursts?? » tina

Posted by Ritch on May 5, 2003, at 21:27:43

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

> Got a quick question.....
> Are AD's the right med when you just have these quick-tempered anger outbursts at other people or would an atypical antipsychotic be more appropriate? Not really depressed but definitely have an anger control issue and constant irritability. What would be a good med for that?
> thanks
> tina

If you are bipolar or highly suspicious of bipolar, Depakote can work magically for this specific problem (it does for me). If you are unipolar depressive, then a low-dose SSRI might be best. AP's a third-line option.

 

Re: Meds for angry outbursts?? » tina

Posted by Ame Sans Vie on May 6, 2003, at 9:23:17

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

Beta-blockers (esp. Corgard) are great for this problem. By keeping your blood pressure and heart rate down, they prevent you from getting physically worked up. I've found Inderal to also be useful for this, though I believe it carries a much greater propensity to cause depression.

 

Re: Meds for angry outbursts??

Posted by delna on May 7, 2003, at 1:19:14

In reply to Re: Meds for angry outbursts?? » tina, posted by Ame Sans Vie on May 6, 2003, at 9:23:17

I had a terrible problem with angry outbursts. with slight provacation i would lose contol and say things that i could not take back and which later shocked me as well. I really found lamotogine (200mg) helped dramatically with this problem . Now people like may sister can endlessly needle me without it getting to me.my response is calm and collected . i'm still sarcastic as ever though i have complete control over what i am saying.

delna

 

Re: Meds for angry outbursts??

Posted by Hattree on May 7, 2003, at 8:58:53

In reply to Re: Meds for angry outbursts??, posted by delna on May 7, 2003, at 1:19:14

I find neurontin helpful.

 

Re: Meds for angry outbursts?? » MattD

Posted by Ron Hill on May 9, 2003, at 10:13:51

In reply to Re: Meds for angry outbursts??, posted by MattD on May 5, 2003, at 14:58:23

Hey Matt,

> Neurontin and Depakote at least anectotally are helpful for controlling anger.

What dosage of Neurontin do you find beneficial for anger control? Do you still take it? If not, why did you stop? Matt, are you bipolar?

-- Ron

 

Re: Meds for angry outbursts?? » Hattree

Posted by Ron Hill on May 9, 2003, at 10:19:25

In reply to Re: Meds for angry outbursts??, posted by Hattree on May 7, 2003, at 8:58:53

> I find neurontin helpful.

How much do you take? On a scale of one-to-ten, how helpful is Neurontin in controlling your anger? Are you bipolar? What other meds do you take? Thanks much for your input!

-- Ron

 

Re: Meds for angry outbursts??

Posted by TR on May 9, 2003, at 11:40:04

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

Don't everyone rip my throat out for this, but if anger's your main problem you might want to look into some type of meditation ot yoga--some variety of natural relaxation (even deep breathing exercises can be of some help). If it feels like more of a chemical (as opposed to purely emotional) problem, there are a host of meds, including ADs, anti-psychotics, and anti-anxiety meds, which could possibly help. You should obviously seek out a good psychopharmacologist if this is the case.

 

Re: Meds for angry outbursts?? » Ron Hill

Posted by colin wallace on May 9, 2003, at 12:04:39

In reply to Re: Meds for angry outbursts?? » Hattree, posted by Ron Hill on May 9, 2003, at 10:19:25

>
> How much do you take? On a scale of one-to-ten, how helpful is Neurontin in controlling your anger? Are you bipolar? What other meds do you take? Thanks much for your input!
>
> -- Ron

Hey Ron old buddy,

Thought I'd chip in here;just my personal take, but I didn't find Neurontin particularly effective in controlling those runaway temper spells we both endure.It proved to be just another 'fade out' med for me, and may even have made things worse after a few months.It's not in the same league as valproate, that's for certain.One advantage though, is that you can pretty much take it or leave it at will.
My psych. was adamant that my supressed, ruminating,or spontaneous anger would be greatly helped with an AD.
I was dead against the idea as you know(too destabilizing) but it seems he was right-at least so far!!What a quandry,eh?? We've been here before. Antidepressants. Can't live with 'em, can't live without 'em.
Still,I hope your NADH trial proves positive.

All the best,

Col.

 

Re: Meds for angry outbursts?? » colin wallace

Posted by Ron Hill on May 9, 2003, at 13:30:22

In reply to Re: Meds for angry outbursts?? » Ron Hill, posted by colin wallace on May 9, 2003, at 12:04:39

Colin,

> My psych. was adamant that my supressed, ruminating,or spontaneous anger would be greatly helped with an AD.
> I was dead against the idea as you know(too destabilizing) but it seems he was right-at least so far!!What a quandry,eh?? We've been here before. Antidepressants. Can't live with 'em, can't live without 'em.

You posted this while I was (at the very same moment) in the process of writing a message to you regarding the same topic but at a different thread:

http://www.dr-bob.org/babble/20030505/msgs/225405.html

Too weird, aye?

Thanks for the input regarding Neurontin. At my most recent visit with my pdoc (about three months ago), I discussed possible medications to try for my irritability. Of the ones on my list (the list you've seen before), he wanted me to try Neurontin first. So that's what I have a script for right now.

I've toyed with the idea of trying Neurontin (gabapentin) for a couple years. One attractive feature is the relatively benign side effect profile. It might be worth a brief trial to see what it feels like in my brain. My pdoc says it does nothing for some patients but it's the best thing since sliced bread (assuming one likes sliced bread) for other patients.

But, I hear what you are saying, Colin, and I've come to the same conclusion. Adding a serotonin medication causes changes in my brain resulting in the abatement of my flash rage and my anal retentive disorder. The question then becomes how can I obtain the benefits brought about by the serotonin medications without adversely affecting my dopaminergic pathways? For example, perhaps there are other paths to bring about the same beneficial changes achieved via the serotonin pathway. Or maybe there is a way to counteract the adverse SSRI side effects (dopaminergic problems), thereby, allowing me to take a low dose of a serotonin medication.

Thanks for your concern and friendship.

-- Ron

 

Re: Meds for angry outbursts?? » Ron Hill

Posted by MattD on May 11, 2003, at 17:28:23

In reply to Re: Meds for angry outbursts?? » MattD, posted by Ron Hill on May 9, 2003, at 10:13:51

Ron,

I don't know about dosing of the anti-convulsives for anger. I never tried them myself; I've not had a problem with angry outbursts or bipolar. This is just something I've read about and talked to some people about.

Best,

Matt

 

Re: Meds for angry outbursts?? » tina

Posted by jemma on May 12, 2003, at 11:35:26

In reply to Meds for angry outbursts??, posted by tina on May 5, 2003, at 8:14:25

I have a terrible time with impatience. Nothing triggers an angry outburst like having to wait in line or wait on hold - which is terrible, because I end up venting on some harried, overworked salesperson, bank clerk, or telephone worker, when they're already suffering from the chronic understaffing policy of their employers! Anyway, I recently learned this is a classic symptom of ADD, and sure enough, ritalin and other dopaminergic drugs really help.

- Jemma

 

Re: Thanks for your reply. (nm) » MattD

Posted by Ron Hill on May 12, 2003, at 13:41:45

In reply to Re: Meds for angry outbursts?? » Ron Hill, posted by MattD on May 11, 2003, at 17:28:23


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