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Dr. Bob is Robert Hsiung, MD,
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Posted by corafree on February 27, 2006, at 14:53:41
In reply to Re: best med for GAD? » corafree, posted by ed_uk on February 27, 2006, at 13:23:34
Perc 10/650 3x a day, and when have break-through pain .. Vicodin 10mg on top. The BT pain usually lasts only a couple days, but this is a longer stint.
Am fine on the Perc 10/650 3x a day, but when take the Vicodin, my behavior is off .. get a "slam door kind of feeling, or an 'angry sort of feeling', not dangerous or anything, just can be short' w/ objects, people, i.e., "Didn't you get it the first time I said it?" Don't care for the Vicodin, but don't want to take morphine.
My anxiety 'stills' beneath the narcotics. Well, you know that, I think.
Awaiting too many, 'Can't the government get anything straight?', phone calls. This MOVE has turned my 'usage of every assistance program out there' upside down. I lost a telephone assistance program and learned I can never apply again in my lifetime! Crazy!
Tks for any input if wish, cf
Posted by ed_uk on February 27, 2006, at 17:23:16
In reply to Re: best med for GAD? » ed_uk, posted by corafree on February 27, 2006, at 14:53:41
Hi CF
Taking Vicodin on top of Percocet probably isn't a good idea, you'd be better off taking a higher dose of Percocet eg. 10/650 four times a day instead of three times a day.
Remember not to exceed the maximum dose of acetaminophen, since both Percocet and Vicodin contain acetaminophen.
Ed
Posted by corafree on February 27, 2006, at 18:48:12
In reply to Re: best med for GAD? » corafree, posted by ed_uk on February 27, 2006, at 17:23:16
Ed -
Yes you're right. But .. my PCP won't allow me to take 4x Perc.
I just awakened from nap and it is gone .. now if I'm really careful the rest of the eve', it should stay away.
I have gone to quite a few pain docs that say they'll not prescribe. That's an alley I'm not finished going down tho'. My prob is again $.
Awaited to hear from DES all day and no response from a supervisor that said she would check to see if I was entitled to a 'spin down'; med $ by way of food stamps for those in 'catch-22' area of our wonderful 'system'.
(I just went to kitchen .. couldn't remember the two words - spin down - .. recall easier if take mind off a minute. There I spilled ice cubes and chased them all over the room .. they're shaped aerodynamically, and when you try to grab one they fly away .. off to a great start!) bw, cf
Posted by chess on February 27, 2006, at 18:54:32
In reply to Re: best med for GAD? » ed_uk, posted by corafree on February 27, 2006, at 18:48:12
anyone ever try xanax-xr compared to regular xanax?
Posted by corafree on February 27, 2006, at 19:19:14
In reply to Re: best med for GAD? » corafree, posted by Ljoltof on February 20, 2006, at 22:36:50
L -
I just came across your long, well spoken, helpful, and 'probably saved' post!
Somehow I missed it. Sorry!!!!
I've printed it and will give it a good one over and get back to you.
Sorry if you felt I'd not appreciated something you had done for me.
I DO. I'll get back to you. Okay.
Tks, cf
Posted by ed_uk on February 28, 2006, at 14:32:24
In reply to Re: best med for GAD? » ed_uk, posted by corafree on February 27, 2006, at 18:48:12
Hi CF
>Yes you're right. But .. my PCP won't allow me to take 4x Perc.
But he gives you Vicodin to take in combination with the Perc? That doesn't really make sense.
Ed
Posted by Chairman_MAO on March 1, 2006, at 11:43:30
In reply to best med for GAD?, posted by chess on February 16, 2006, at 14:02:36
Neurontin is what doctors Rx for anxiety when they do not want to give you a real anxiolytic.
10mg diazepam at bedtime is enough for many cases of GAD (nordiazepam accumulates).
Overall, I like clonazepam the best for long-term use because of its pharmacokinetics. Alprazolam is the least sedating for me. This is an individual preference sort of thing.
Of course, methaqualone or pentobarbital work better, but I'm assuming you still want to be legal to drive.
A tiny dose of galantamine bid-tid will eliminate all benzodiazepine sedation/cognitive impairment/muscle relaxation if that bothers you.
Posted by chess on March 1, 2006, at 14:02:24
In reply to Re: best med for GAD? » chess, posted by Chairman_MAO on March 1, 2006, at 11:43:30
but does neurontin work as well as an anxyliotic as the benzos?
and what is galantamine?
Posted by sdb on March 1, 2006, at 16:52:40
In reply to Re: best med for GAD? » chess, posted by Chairman_MAO on March 1, 2006, at 11:43:30
>>10mg diazepam at bedtime is enough for many >>cases of GAD (nordiazepam accumulates).
nordazepam tolerance is common.
>>Alprazolam is the least sedating for me
interesting. There are differences in similarity.
buspirone is an alternative. Some individuals have success.
~sdb
Posted by corafree on March 3, 2006, at 10:48:12
In reply to Re: best med for GAD? » corafree, posted by ed_uk on February 28, 2006, at 14:32:24
Sorry late getting back.
Are you thinking morph sulfate or oxycontin are a better idea?
I've been to a handful of pain docs who do not prescribe.
My PCP is the only one who is helping me. He isn't specifically knowledgable re pain mgt. My pocketbook is closed! I'm 'falling thru' the cracks' out here in this new location. I keep thinking I should move?!!
I don't know what else to do Ed. Let me know what you have known to be helpful or effective.
All I know is a cap needs to be put on top of your reg pain med. What cap would you put on Perc? Or, should my reg pain med be diff'?
I did not like the 'messing w/ my mind' that morphine seemed to do, so never stayed on it very long.
bw, cf
Posted by corafree on March 3, 2006, at 11:14:59
In reply to Re: best med for GAD?, posted by sdb on March 1, 2006, at 16:52:40
Whoa Nellie! You're losing me!
Diazepam only in eve' would never stay in my system long enough to last 24 hrs.
Nor? You mean Val extended relief (or whatever)? That gets eaten up in fast metabolizers such as I, and I end up needing two doses a day.
Clonazepam .. Klonopin, right? In my experience, good for low stress maintenance, but not high stress .. inducing high anxiety.
I would love to go back to, and stay on alprazolam, rather than diazepam, but doc's take me off it as my tolerance to it builds rapidly and I require about 8 a day.
Where did I miss the answer to 'what is galantamine'?
I'm being helped quite a bit by a magnesium citrate w/ silica and B3.
Whoa .. what if I were w/o my narcotic?
I must admit that val (diazepam) keeps me a little 'sad'. But then I'd rather be a bit sad than 'dead to any emotion' or 'running about and screaming 'I can't take this anymore!'
Can't see a new P now until a month from now.
Thank goodness 'my spine is all torn up' (sarcasm) and I'm allowed Percocet. Can't imagine I could go on at this point w/o it.
Are any of you w/ GAD also thrown into the borderline file?
Tks for helping me make some sense of the prior posts and 'this jumbled-up post'
bestwishes, cf
Posted by ed_uk on March 3, 2006, at 15:33:15
In reply to Re: best med for GAD? » ed_uk, posted by corafree on March 3, 2006, at 10:48:12
Hi CF
>All I know is a cap needs to be put on top of your reg pain med. What cap would you put on Perc? Or, should my reg pain med be diff'?
Are you asking what you can take on as 'as required' basis on top of your Percocets? The answer would be oxycodone (on its own ie. without acetaminophen). Oxycodone is available as several different brand names.
Ed
Posted by corafree on March 5, 2006, at 1:01:09
In reply to Re: best med for GAD? » corafree, posted by ed_uk on March 3, 2006, at 15:33:15
But Ed, Percocet is oxycodone??? You mean there is an oxycodone w/o acetaminophen in it? bw,cf
Posted by SLS on March 5, 2006, at 14:42:06
In reply to Re: best med for GAD?, posted by corafree on March 5, 2006, at 1:01:09
> But Ed, Percocet is oxycodone??? You mean there is an oxycodone w/o acetaminophen in it? bw,cf
Sorry for butting in without reading the rest of the thread...
Have you thought to use Neurontin for pain management?
- Scott
Posted by ed_uk on March 5, 2006, at 16:23:51
In reply to Re: best med for GAD?, posted by corafree on March 5, 2006, at 1:01:09
Hi CF
Percocet is oxycodone + acetaminophen. There are tablets which contain oxycodone alone.
Ed
Posted by corafree on March 7, 2006, at 1:33:39
In reply to Re: best med for GAD? » corafree, posted by SLS on March 5, 2006, at 14:42:06
Yes tried Neuronton; believe one of bad side effects was night terrors. Discontinued. bw, cf
Posted by corafree on March 7, 2006, at 1:34:41
In reply to Re: best med for GAD? » corafree, posted by ed_uk on March 5, 2006, at 16:23:51
Ed - Do you mean Percodan? Tks&Bw, cf
Posted by ed_uk on March 7, 2006, at 13:53:34
In reply to Re: best med for GAD?, posted by corafree on March 7, 2006, at 1:34:41
Hi CF
>Do you mean Percodan?
No, Percodan is a combination of oxycodone and acetylsalicylic acid (aspirin).
Oxycodone is available *on its own*. Brands include OxyIR, Percolone and Roxicodone. Oxycodone is also available as a controlled release tablet called OxyContin.
Regards
Ed
Posted by jms600 on March 8, 2006, at 19:15:35
In reply to best med for GAD?, posted by chess on February 16, 2006, at 14:02:36
I've taken 2000mg per day Neurontin and didn't find it beneficial, - it didn't help my GAD all that much.
I would also recommend Valium - it's certainly been a life saver for me. I think I would have commited suicide from the 'depressive panic attacks' I used to get. I take 10mg at a time, but find the effect diminishes and so you may have to raise the dose over time. Also be wary of dependence.
50 - 100mg of Promazine is also very good, but be warned it makes you very drowsy & groggy.
Posted by chess on March 8, 2006, at 20:11:56
In reply to Re: best med for GAD?, posted by jms600 on March 8, 2006, at 19:15:35
you take valium once a day and it lasts the whole day?
> I've taken 2000mg per day Neurontin and didn't find it beneficial, - it didn't help my GAD all that much.
>
> I would also recommend Valium - it's certainly been a life saver for me. I think I would have commited suicide from the 'depressive panic attacks' I used to get. I take 10mg at a time, but find the effect diminishes and so you may have to raise the dose over time. Also be wary of dependence.
>
> 50 - 100mg of Promazine is also very good, but be warned it makes you very drowsy & groggy.
Posted by ed_uk on March 9, 2006, at 12:33:35
In reply to Re: best med for GAD?, posted by jms600 on March 8, 2006, at 19:15:35
Hi
It's interesting that you've taken promazine. What country do you live in?
Ed
Posted by ed_uk on March 9, 2006, at 12:35:30
In reply to Re: best med for GAD? » jms600, posted by chess on March 8, 2006, at 20:11:56
Hi Chess
When taken occasionally, the effects of diazepam (Valium) usually only last a few hours. After daily use for a couple of weeks or more, diazepam is long acting and often only needs to be taken once daily.
Ed
Posted by corafree on March 9, 2006, at 15:25:18
In reply to Re: best med for GAD? » corafree, posted by ed_uk on March 3, 2006, at 15:33:15
Tks Ed, I'll keep in mind when get to a pain management doc.
Meanwhile, my visit to a new P is next week; forget what to tell him about the Val re: paradox, yet now seems to be working o.k., seems I need less?!
I have so much fear of another NB though. I can't take any chances!!
I'm thinkin' P will want throw me on an AD .. seems some of you recommended maybe Elavil or Pamelor, .. maybe Abilify. I've never tried Abilify. Any other ideas?
Since want off trazodone for sleep, asked PCP for help. He gave me Rozerem 8mg. Took night before last, about an hour after 10mg Val, for sleep. Slept good. Next day 'hung over' tho 'interestingly calm'! I think tonight I'll take half (yes, told doc). It's 'nonaddictive' & supposed to not 'hang you over'(sp?) so may be just early symptom that will dissipate.
You've been throwing around lots of diff' add-ons to the benzos here. I've printed some.
Wonder how to present to P w/o offending him or seeming to want to take control?
bestwishes,cf
Posted by Ljoltof on March 9, 2006, at 19:57:26
In reply to Re: best med for GAD?, posted by corafree on March 9, 2006, at 15:25:18
Hey! Just caught up on the thread quickly after being away from the computer. I had to get out more and challenge myself now that I'm down to 1mg Klonopin. I'm hanging in there, and at that point where I really feel as if the Valium is definitely working as intended. Sorry that I'm feeling no energy towards going back and filling in some questions up above in the thread. Pain has been building up all day - nothing I can do but let it do it's thing. I caught your quote below and want to offer my best advice as this is an issue I struggled with for far too long, especially being a male going through late teens and early 20's.
Eye Contact! It can be really hard for a lot of us because of anxiety, but we all know that it conveys our honesty.
Find the right time to ask the Doc if he/she believes it would be helpful for the both of you if you were to take up some research on meds yourself. (1st visit sometimes is not the best time for this.)
Voice your concerns. You are your best advocate. Doctors can study and work in their practices for a lifetime but they will never know how it feels to be you. Make your symptoms the focus, not the diagnosis/labels.
my best to all,
-Lj
> Wonder how to present to P w/o offending him or seeming to want to take control?
>
> bestwishes,cf
Posted by corafree on March 11, 2006, at 1:20:54
In reply to Re: best med for GAD? » corafree, posted by Ljoltof on March 9, 2006, at 19:57:26
L:
Sounds like one of the best la..(however you spell it) plans of mentally-ill mice and men! I have a tendency to 'act as if I'm feeling better than I am'. I'll be sure to keep a lid on that from the onset. Tks, cf
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