![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by jms600 on October 31, 2004, at 16:19:12
Hi,
I am suffering from depression and am currently on 40mg Prozac. I'm thinking of coming off it though as I have GAD, social phobia & panic attacks. I'm sure the Prozac isn't helping them and I don't like SSRIs.
Trouble is I also suffer from ADD.
Is there any drug out there which can be used for treating BOTH severe anxiety AND Attention Deficit Disorder? I was thinking of asking my p/doc about trying some Strattera combined with a low dose of Zyprexa.
Any comments on this combo?
Posted by linkadge on October 31, 2004, at 16:28:23
In reply to ADD and anxiety, posted by jms600 on October 31, 2004, at 16:19:12
I would give a TCA a trial. Nortriptaline or desipramine have been used for depression, ADD, and anxiety disorders.
Linkadge
Posted by jboud24 on October 31, 2004, at 17:47:02
In reply to Re: ADD and anxiety, posted by linkadge on October 31, 2004, at 16:28:23
Consider high-dose Provigil. At least one person has switched from adderall to provigil 600mg/day and is reporting good results. I would also try desipramine before Strattera, just because the half-life of desipramine is much smoother/longer-lasting. Desipramine also has pretty few side-effects vs. other tricyclics.
I have co-morbid ADD and Anxiety too. I wish you luck in finding something that works.
Justin
Posted by King Vultan on October 31, 2004, at 19:54:21
In reply to ADD and anxiety, posted by jms600 on October 31, 2004, at 16:19:12
> Hi,
>
> I am suffering from depression and am currently on 40mg Prozac. I'm thinking of coming off it though as I have GAD, social phobia & panic attacks. I'm sure the Prozac isn't helping them and I don't like SSRIs.
>
> Trouble is I also suffer from ADD.
>
> Is there any drug out there which can be used for treating BOTH severe anxiety AND Attention Deficit Disorder? I was thinking of asking my p/doc about trying some Strattera combined with a low dose of Zyprexa.
>
> Any comments on this combo?
The MAOIs are very good on both social phobia and panic attacks and relatively good on anxiety, with Nardil probably being a superior anxiolytic. Parnate has shown some efficacy for ADD due to its stimulant effects. I did not think desipramine was particularly good for anxiety myself, as my anxiety levels are relatively low, and it increased them. I think nortriptyline is superior for anxiety, but it is probably not as good for ADD as desipramine. I think both would probably show efficacy for panic attacks, as this seems to be an area where tricyclics consistently do well.Todd
Posted by TheOutsider on November 1, 2004, at 6:26:43
In reply to ADD and anxiety, posted by jms600 on October 31, 2004, at 16:19:12
> Hi,
>
> I am suffering from depression and am currently on 40mg Prozac. I'm thinking of coming off it though as I have GAD, social phobia & panic attacks. I'm sure the Prozac isn't helping them and I don't like SSRIs.
>
> Trouble is I also suffer from ADD.
>
> Is there any drug out there which can be used for treating BOTH severe anxiety AND Attention Deficit Disorder? I was thinking of asking my p/doc about trying some Strattera combined with a low dose of Zyprexa.
>
I also suffer from ADD and some anxiety
Personaly I find dexedrine does not cause anxiety and can even be calming in low doses (2.5mg).
I am on a combination of dexedrine and clomipramine.
Clomipramine is very effective for anxiety (but not social anxiety), and the side effects are not all that bad.
Alternativly you could combine a stimulent with an anti psychotic med. I've heard that anti psychotics can take the edge of stimulent anxiety, just a thought!
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.