![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 38 to 62 of 79. Go back in thread:
Posted by sdb on May 28, 2005, at 2:13:50
In reply to Re: prazepam (centrax) one more please to DARKHORSE, posted by sdb on May 28, 2005, at 2:02:41
By the way, you said "I should have congratulated". You have not to. It does not depend what you do. Every individual has a worthful role in society, otherwise our society can not function. So truly, everthing is equal.
Posted by sdb on May 28, 2005, at 6:05:27
In reply to Re: prazepam (centrax) one more please to DARKHORSE, posted by sdb on May 28, 2005, at 2:13:50
Posted by ed_uk on May 28, 2005, at 10:24:27
In reply to Re: prazepam (centrax) one more please to DARKHORSE, posted by sdb on May 28, 2005, at 2:13:50
Hi sdb,
I'm sorry for hijacking the thread. I hope you're not mad at me now.
> there is always the possibility to get a job in research
You should invent some new anti-anxiety drugs!
Kind regards,
Ed.
Posted by sdb on May 28, 2005, at 13:46:41
In reply to Re: prazepam (centrax) one more please to DARKHORSE » sdb, posted by ed_uk on May 28, 2005, at 10:24:27
Hi ed,
I am absolutely not mad. If I decide go in to research I will try to help suffering people.
Bye the way, I had a pretty difficult childhood and could not walk (physically disabled) during three years.http://www.dr-bob.org/babble/20050521/msgs/500782.html
If you are cultural interested there is film about a bipolar, homosexual pianist. It is very interesting to see it. He said in the film (he gave seldom interviews): "You should accept your faith this is psychologically the easiest". I have analyzed the film perhaps three times.
Sviatoslav Richter "The enigma"
http://www.amazon.co.uk/exec/obidos/ASIN/B00004CXNY/drbobsvirtenp-21
There is another artist Glenn Gould. He was addicted to almost every substance. I suppose he suffered social avoidance disorder and anxiety disorders. He once stated: "Solitude is the way of happiness".
This is his playing performance (Goldberg Variations DVD):
http://www.amazon.co.uk/exec/obidos/ASIN/B00005014I/drbobsvirtenp-21
This is his life "Thirty-Two Short Films About Glenn Gould" (played by an actor DVD):
http://www.amazon.co.uk/exec/obidos/ASIN/B0000544LY/drbobsvirtenp-21
Artists and interesting persons are always in some way disordered. But this give you consolation.
Posted by Dr. Bob on May 29, 2005, at 11:42:56
In reply to Re: prazepam (centrax) one more please to DARKHORSE, posted by sdb on May 28, 2005, at 13:46:41
> If you are cultural interested there is film about a bipolar, homosexual pianist.
Sorry to interrupt, but I'd like to redirect follow-ups regarding films and music to Psycho-Babble Books. Here's a link:
http://www.dr-bob.org/babble/books/20050501/msgs/504689.html
Thanks,
Bob
Posted by sdb on May 29, 2005, at 13:42:12
In reply to Redirect: film about a bipolar, homosexual pianist, posted by Dr. Bob on May 29, 2005, at 11:42:56
http://www.dr-bob.org/babble/20050527/msgs/503663.html
Posted by Mr.Scott on May 29, 2005, at 20:31:03
In reply to Re: Has somebody ever taken prazepam (Centrax)? » sdb, posted by darkhorse on May 4, 2005, at 9:39:26
I am sorry that my vocal frustrations with benzodiazepines affected you negatively! You see I am a control freak, and I hate the idea of being on something I can't just stop especially when I suspect it may be causing or worsening my fatigue or depression. In spite I still take .75mg of clonazepam daily because I can't tolerate much of the other meds.In posting I only seek discussion and hopefully one day answers, but I never pretend to have any. Certainly not for the massess! Sometimes i can be insensitive and for this I am sorry. I'm trying to work on that. Everyone is different, and I am only me. One flawed dude!
I'm glad I saw your post, and again I apologize.
Scott
Posted by Mr.Scott on May 29, 2005, at 20:38:26
In reply to Re: Has somebody ever taken prazepam (Centrax)?, posted by SLS on May 23, 2005, at 10:09:20
Genius!
You would think Pfizer would see the financial value in this and re-market centrax in the US. Originally it was almost not put on schedule 4 at all, but at the last minute was added because it's a benzodiazepine. I know a marketing exec for pfizer and I'm going to mention exactly what you just said. He's not just another drug rep either. I wonder what he will say?
Scott
Posted by Mr.Scott on May 29, 2005, at 20:41:24
In reply to DarkHorse! » darkhorse, posted by Mr.Scott on May 29, 2005, at 20:31:03
Posted by ed_uk on May 30, 2005, at 6:53:16
In reply to Re: DarkHorse! Actually meant for Ed-UK..Sorry! (nm) » Mr.Scott, posted by Mr.Scott on May 29, 2005, at 20:41:24
Hi Scott!
I don't take a benzo, I think your post was for someone else!
Kind regards,
Ed.
Posted by Mr.Scott on May 30, 2005, at 7:00:38
In reply to Re: DarkHorse! Actually meant for Ed-UK..Sorry! » Mr.Scott, posted by ed_uk on May 30, 2005, at 6:53:16
Sorry! Hard to follow these threads sometimes. I know someone was offended! Apologies to whomever it was.
Scott
Posted by sdb on May 31, 2005, at 4:32:03
In reply to Re: DarkHorse! Actually meant for Ed-UK..Sorry! » ed_uk, posted by Mr.Scott on May 30, 2005, at 7:00:38
Posted by darkhorse on May 31, 2005, at 4:36:21
In reply to Where is darkhorse? - back to my questions..., posted by sdb on May 31, 2005, at 4:32:03
Posted by sdb on May 31, 2005, at 5:00:48
In reply to Re:I'm here!.. (nm) » sdb, posted by darkhorse on May 31, 2005, at 4:36:21
Look please to my questions.
http://www.dr-bob.org/babble/20050527/msgs/503663.html
With prazepam I feel a remarkable effect with prazepam only after approx. 10 days... 10mg-20mg.
In the evening I will be here again!
Bye
Posted by ed_uk on May 31, 2005, at 16:07:43
In reply to prazepam,bromazepam to darkhorse, ed_uk, everybod, posted by sdb on May 27, 2005, at 12:13:01
It's a shame that bromazepam (Lexotan) isn't available in the UK anymore......
Kind regards,
Ed.
Posted by ed_uk on May 31, 2005, at 17:00:49
In reply to Re:I'm here!.. (nm) » sdb, posted by darkhorse on May 31, 2005, at 4:36:21
PS. I just discovered that there's a Lexotan CR, I never knew that.....
Yours,
Ed.
Posted by ed_uk on May 31, 2005, at 17:27:42
In reply to Re:I'm here!.. (nm) » sdb, posted by darkhorse on May 31, 2005, at 4:36:21
Hi DH,
I was wondering.... have you ever tried a thienodiazepine eg. etizolam, brotizolam or clotiazepam??? How did you find it/them?? Similar to a 'normal' benzo???
Eur Neuropsychopharmacol. 1999 Dec;9 Suppl 6:S413-9.
The use and development of anxiolytics in Japan.
Yamawaki S.
Department of Psychiatry and Neurosciences, Hiroshima University School of Medicine, Japan.
More than half of the out-patients in Japanese hospitals receive anxiolytics or hypnotics for basic symptomatic management. Benzodiazepines (BZDs) are the most frequently prescribed by psychiatrists and by internists for the treatment of anxiety symptoms (mainly generalised anxiety disorder, psychosomatic diseases and autonomic dystonia). Although numerous BZDs and their analogues were introduced into the Japanese market during the last three decades, thienodiazepine derivatives have the predominant market share, in contrast to the US and the UK. Approved doses are also lower. The lack of buspirone and SSRIs in the market may contribute to the widespread prescription of BZDs in Japan. Several newer anxiolytic candidates, such as BZD receptor partial agonists and 5-HT1A receptor agonists, are currently in various phases of clinical research in Japan. However, the designs of clinical trials, particularly diagnostic precision, need to be revised.
Kind regards,
Ed.
Posted by darkhorse on June 1, 2005, at 8:03:44
In reply to Hi darkhorse! Sdb needs your benzo expertise! » darkhorse, posted by ed_uk on May 31, 2005, at 17:00:49
> PS. I just discovered that there's a Lexotan CR, I never knew that.....
>
> Yours,
> Ed.Hi ED :
I never heared of this before!
Do you have more info? like where is it available and what is its half-life...etc
DH
Posted by darkhorse on June 1, 2005, at 8:45:08
In reply to Thienodiazepines » darkhorse, posted by ed_uk on May 31, 2005, at 17:27:42
Hi ED :
Yes I tried Brotizolam.It is a good hypnotic with around 5 hours duration.I liked it more than Zolpidem,Zopiclone and triazolam.
I guess brotizolam,along with lormetazepam were the best hynotics,but this is only relative.Anyway,Ido not like to take hypnotics,because what I have is more of daytime anxiety and not insomnia, that is where bromazepam comes in handy: to take early morning and avoid before bedtime so one can sleep relatively "naturally"
Sorry for the rambling!!Best wishes,
DH
Posted by darkhorse on June 1, 2005, at 9:50:00
In reply to prazepam,bromazepam to darkhorse, ed_uk, everybod, posted by sdb on May 27, 2005, at 12:13:01
> Hi Sdb
> -Did you also remark a long time of onset of the prazepem?Yes.
> -How would you rate bromazepam/prazepam/clonazepam
> related to sexual and cognitive (memorizing things) abilities?I do not think I had sexual probs with BZ. Only all 6 SSRI's + Clomipramine + Venlafaxine .
I think Pra & Broma are equal in terms of cognition.Clonazepam was worse,but maybe because everytime I tried it with different doses it had an unbearable lethargic,depressed blue feelings.>
> I have never taken non reversibel MAO's (poorly, no more available in my country). This could be an option after worst experiences and memorized OCD because of the SSRI's.I have tried Tranylcypromine up to 60mg.
My reaction to it was strange.I felt over self-confident,was rude and nasty.In addition I had a big appetite and gained weight.
I felt so relieved when I stopped.
But this is only my trial.Best wishes
Darkhorse.
Posted by sdb on June 1, 2005, at 14:51:54
In reply to Re: prazepam,bromazepam to darkhorse, ed_uk, everybod » sdb, posted by darkhorse on June 1, 2005, at 9:50:00
Hi all!
Thank you darkhorse for your response. I like the prazepam it seems after some days (long onset) to be a stabilizing, anxiolytic, antidepressant benzodiazepine. In relation to anxiety clonazepam is definately stronger, you can use it as needed (3h) but has more sideeffects. With prazepam you feel much more normal.
There was a compared study prazepam to clomipramine, I have read the article and it seems to be an appropriate study expect with some to less explanations to the measurements. In Hars, Madrs etc. were only minor differences:
Pharmacopsychiatry. 1991 Sep;24(5):175-9. Related Articles, Links
Compared efficacy of prazepam and clomipramine in major depression with anxiety: a multicenter controlled study.Lemoine P, Boulenger JP, Caillard V, Tanne N, Bonnet D.
Unite Clinique de Psychiatrie Biologique, C.H.S. Le Vinatier, Lyon Bron, France.
The efficacy of antidepressants is well established in major depressions, especially those with melancholic features. However, some anxiolytics also appear to have antidepressant properties at least for outpatients. 118 outpatients (25 males, 93 females, age: 18-60) with major depression according to DSM-III criteria, neither melancholic nor suicidal, reaching at least 27 on Montgomery and Asberg depression rating scale (MADRS) and 19 on Hamilton anxiety rating scale (HARS) accepted to participate this double blind study carried out by 15 G.P.s coordinated by 3 psychiatrists. After a one week placebo wash-out-single-blind period, they were randomly, double blind, assigned to one of the two following groups: PR treated with prazepam (30-60 mg), a benzodiazepine anxiolytic or CL treated clomipramine, an imipramine antidepressant (75-150 mg). Patients were evaluated at days 0, 7, 14, and 28, using MADRS, HARS, Clinical Global Impression and Hopkins symptoms check list 58. In addition, G.P.s had to meet monthly for a case discussion group. Results: groups were comparable at day 0. A highly significant improvement of MADRS and HARS scores (p less than 0.001) was observed in the total population. For the completer population evolution was also significantly positive in all the parameters studied but, considering MADRS and HSCL scores, a difference in favor of CL is observed.(ABSTRACT TRUNCATED AT 250 WORDS)
Publication Types:
Clinical Trial
Multicenter Study
Randomized Controlled TrialPMID: 1775523 [PubMed - indexed for MEDLINE]
Posted by sdb on June 1, 2005, at 15:25:22
In reply to Prazepam,bromazepam to d-horse, ed_uk everybod, posted by sdb on June 1, 2005, at 14:51:54
Clonzepam gave stabilizing, strong anti-anxiety effects and a clear point of efficacy (3). You could take it as needed (prazepam you cant). Poorly it gave total sexual disfunction (should diminish by time according to many studies but my personal experience was only nine days) and a lethargic feeling. But overall I think the clonazepam is very good for suffering above all anxious, panic people.
I personally have only as needed (it was very effective) and nine days experience so I dont know if bad sideeffects could be weaker by time.
I can not believe that prazepam is no more sold in most countries. It could be a very useful
drug.
Posted by ed_uk on June 1, 2005, at 16:28:55
In reply to Re: Hi darkhorse! Sdb needs your benzo expertise! » ed_uk, posted by darkhorse on June 1, 2005, at 8:03:44
Hi DH,
>Lexotan CR
I think it's available in Brazil- I could be wrong though.
Kind regards,
Ed.
Posted by ed_uk on June 1, 2005, at 16:32:29
In reply to Re: prazepam,bromazepam to darkhorse, ed_uk, everybod » sdb, posted by darkhorse on June 1, 2005, at 9:50:00
Hi DH!
>I have tried Tranylcypromine up to 60mg.
My reaction to it was strange.I felt over self-confident,was rude and nasty.In addition I had a big appetite and gained weight.Perhaps the dose was much too high for you? I wonder whether it would have worked well for you at a really low dose. I'm starting Parnate soon, I hope it doesn't make me nasty!
Kind regards,
Ed.
Posted by sdb on June 2, 2005, at 1:00:39
In reply to Re: prazepam,bromazepam to darkhorse, ed_uk, everybod » darkhorse, posted by ed_uk on June 1, 2005, at 16:32:29
Hi ed
How much tranylcipromine daily did you take?
Wish you all the best for the exams!
I also have to work sometimes more sometimes less, so dont be angry if I will not immediately response to questions. But I surely come back at least one ore two times a week.
kind regards
sdb
Go forward in 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.