![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by suebirds on August 26, 2008, at 20:54:08
My p-doc just added 25mgs of a beta blocker twice a day to my cocktail now im taking cymbalta along with klonopin and now a beta blocker does any one have advice on this please give me some advice
I sure hope this works im tired of being on a roller coaster of emotions.Thank You Suebird
Posted by Phillipa on August 26, 2008, at 23:19:47
In reply to ANY ADVICE ON BETA BLOCKERS, posted by suebirds on August 26, 2008, at 20:54:08
Hi Suebirds when I was on when they help anxiety especially short term for special events. What Is Your Pdoc adding it for? Phillipa
Posted by suebirds on August 27, 2008, at 9:52:08
In reply to Re: ANY ADVICE ON BETA BLOCKERS » suebirds, posted by Phillipa on August 26, 2008, at 23:19:47
Phillipa, he added it to my meds hoping it would help with the anxiety he was going to add lamicatal but he wanted to try this first to see if it would help first before he added that. Im hoping it will work What is your in put on this. Thank You suebird
Posted by Phillipa on August 27, 2008, at 19:12:59
In reply to Re: ANY ADVICE ON BETA BLOCKERS, posted by suebirds on August 27, 2008, at 9:52:08
Suebird should help. I know when I was on lopressor for same thing made me tired. Phillipa
Posted by yxibow on August 28, 2008, at 2:21:20
In reply to ANY ADVICE ON BETA BLOCKERS, posted by suebirds on August 26, 2008, at 20:54:08
> My p-doc just added 25mgs of a beta blocker twice a day to my cocktail now im taking cymbalta along with klonopin and now a beta blocker does any one have advice on this please give me some advice
> I sure hope this works im tired of being on a roller coaster of emotions.Thank You SuebirdWhich one... only the non-cardioselective beta blockers are of any interest in psychiatry, and of those, propranolol is the most time tested.
There are other non-cardioselective, but I haven't heard of them used much -- sotalol, timolol, nadolol, etc.
You shouldn't be (my opinion) on a cardioselective agent -- that is the realm of a GP or a heart doctor.
Anyhow, what a non-cardioselective beta-blocker does is stop some of the peripheral shaky hands and the fight or flight system to some degree. It does not intrinsically stop anxiety in any degree like benzodiazepines do, but it stops the symtoms, racing pulse, etc.
Speaking of pulse, your doctor should advise you to get a cuff monitor from a drug store because if you're not used to a beta blocker, you can faint. If your pulse is much below 60 or so, you should not be taking a beta blocker. On the other hand, Cymbalta may artificially raise your pulse as much as to 90 (at least my experience) so that may not be as much concern.25 mgs must be some other beta blocker because propranolol only comes in even numbers.
To conclude a long story, they can also cause slight depression, but not in everyone, just a side population. They can also cause a headache, mainly from the pulse differences I think in your head.They can be of benefit if you are shaky and all but I can't really see the wisdom of combining two CNS depressants (klonopin) and whatever beta blocker you are taking, since the klonopin should address anxiety and if it doesnt you should be slowly taken off of it and try another agent. But thats for your doctor, I don't want to advise you of your business, I'm just conjecturing.
So that's the story
-- best wishesJay
Posted by Phillipa on August 28, 2008, at 21:30:36
In reply to Re: ANY ADVICE ON BETA BLOCKERS » suebirds, posted by yxibow on August 28, 2008, at 2:21:20
Suebirds is it lopressor as my dose was 25mg also. No didn't have to take pulse or blood pressure and was taking it with xanax no problems. When started to feel better was back to jogging and all my weightlifting at a the time pulse just didn't climb as high. Phillipa
Posted by yxibow on August 29, 2008, at 2:23:10
In reply to Re: ANY ADVICE ON BETA BLOCKERS » yxibow, posted by Phillipa on August 28, 2008, at 21:30:36
Posted by yxibow on August 29, 2008, at 20:15:52
In reply to Re: ANY ADVICE ON BETA BLOCKERS (nm), posted by yxibow on August 29, 2008, at 2:23:10
Hmm... not sure how this got to be a nm... anyhow... metoprolol is more used for patients who need a steady heart rhythm, like my father.
Wikipedia can't make up its mind, but scientific sites all point to it being cardioselective, which is not the best choice I think for an off label, but that's up to your doctor I guess.
Posted by desolationrower on August 29, 2008, at 21:36:31
In reply to ANY ADVICE ON BETA BLOCKERS, posted by suebirds on August 26, 2008, at 20:54:08
I really think pindolol should be the first option for someone who is anxious+on an sri.
Posted by suebirds on August 30, 2008, at 12:32:45
In reply to Re: ANY ADVICE ON BETA BLOCKERS, posted by desolationrower on August 29, 2008, at 21:36:31
My p-doc put me on aternol 25mgs 2 times a day and it seems to b working pretty good other then i'm tired durning the day but the p-doc said I should get over that. Thank You Suebird
Posted by Zyprexa on September 3, 2008, at 1:40:16
In reply to ANY ADVICE ON BETA BLOCKERS, posted by suebirds on August 26, 2008, at 20:54:08
They say it reduces anxiety. It didn't do this for me.
Posted by suebirds on September 5, 2008, at 9:31:43
In reply to Re: ANY ADVICE ON BETA BLOCKERS, posted by Zyprexa on September 3, 2008, at 1:40:16
yeah so far its working a little but not a lot but my p-doc told me I can go up to 100mgs and im only at 50 so we shall c, and he lowerd my cymbalta back down to 60 mgs every morning because it was making me sweat so much. I just want to feel good. Thank You Suebird
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.