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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by jono_in_adelaide on November 5, 2012, at 22:30:30
Going to tell him that I need Xanax three times a day up from twice a day for a while, and also see about a referal to a local shrink - I'd like to discuss with a psychiatrist changing from alprazolam to clonazepam, and also discuss changing the Zoloft for nardil (because of its effect on GABA as well as the mono-amines)
Anyway, small steps
Posted by Phillipa on November 5, 2012, at 22:45:21
In reply to Doctor this afternoon, posted by jono_in_adelaide on November 5, 2012, at 22:30:30
Jono why the switch to an Maoi? I know you know your meds so curious. Thanks Phillipa
Posted by jono_in_adelaide on November 5, 2012, at 23:00:56
In reply to Re: Doctor this afternoon » jono_in_adelaide, posted by Phillipa on November 5, 2012, at 22:45:21
Well..... my depression is realy well controlled atm, but the anxiety isnt, I am taking Xanax 1mg 3 times a day to keep it in check.
I have read that as well as being an MAOI, nardil has an extra effect in increasing GABA in the brain, so can be especialy good for anxiety.
I guess its my option of last resort, if the anxiety doesnt improve
Posted by rjlockhart37 on November 5, 2012, at 23:29:29
In reply to Doctor this afternoon, posted by jono_in_adelaide on November 5, 2012, at 22:30:30
clonazepam is more mind slowing...xanax is good sometimes for the mood and anxiety..its used for some depression in stuff i've came across. I've been on klonopin for years and realized that it will definetly relieve anxiety but it made me so depressed. I've read a couple times in medical places that its an antimanic...slows down nuerotransmitters, its wierd...you know all these benzos have their own unique effects, when really there just suppost to work like the general term benzodiazepine.
Seriously...check out lorazepam, its less mind sedating than klono but diffrent from alprazolam. And also look into GABA reptake inhibitors like Gabitril and Depakote which are used both as antisiezure stuff and mood disorders. They will increase the effect of benzos....actually may prevent tolerance because of increase in gaba in the synapse. Who knows..
i don't know much on MAOIs...its a bit difficult with my doctor because she views them outdated, but like 60percent of people here on babble are on mao's
hope the appointment was successful
r
Posted by SLS on November 5, 2012, at 23:35:18
In reply to Re: Doctor this afternoon, posted by jono_in_adelaide on November 5, 2012, at 23:00:56
Bupropion and risperidone are capable of producing anxiety.
I have taken bupropion in combination with Parnate. It is usually safe. Perhaps the same is true of bupropion and Nardil.
Maybe you can dig this one up:
Pierre J, Gitlin M: Bupropion-tranylcypromine combination for treatment-refractory depression (letter). Journal of Clinical Psychiatry 2000;61 (June):450451. From UCLA Neuropsychiatric Institute, Los Angeles, Calif.
As I recall, John Feigner advocated the use of this combination 20 years ago.
http://www.dr-bob.org/babble/20001012/msgs/46966.html
- Scott
Posted by jono_in_adelaide on November 6, 2012, at 0:38:14
In reply to Re: Doctor this afternoon » jono_in_adelaide, posted by SLS on November 5, 2012, at 23:35:18
I found that the low dose of risperidone releived my anxiety and depression - literaly took 1mg at bedtime, and work up the next morning feelinh significantly better.
Bupropion and Reboxetine have never had any effect on my anxiety, positive or negative, but they are very effective in releiving the depression - thanks to them, I am euthymic and have been for 2 years or so
Posted by maryjay on November 6, 2012, at 3:30:21
In reply to Doctor this afternoon, posted by jono_in_adelaide on November 5, 2012, at 22:30:30
ANXIERTY, on its own should be well covered by 3mg xanax on its own without any AD unless deeply depressed, or break it up to the same valium dose an take 10mg valium 6 times a day. 1 xanax equals 20mg valium.
Posted by SLS on November 6, 2012, at 5:43:54
In reply to Re: Doctor this afternoon, posted by maryjay on November 6, 2012, at 3:30:21
> ANXIERTY, on its own should be well covered by 3mg xanax on its own without any AD unless deeply depressed, or break it up to the same valium dose an take 10mg valium 6 times a day. 1 xanax equals 20mg valium.
"Anxiety" is but one symptom of many different medical conditions. It is often the case that treating the causative condition is a better strategy than treating the anxiety symptom palliatively. Generalized anxiety disorder (GAD) - a condition that can occur in the absence of depression - is often better treated with serotonin reuptake inhibitors than with benzodiazepines.
- Scott
Posted by neuroscience on November 6, 2012, at 7:40:08
In reply to Re: Doctor this afternoon » maryjay, posted by SLS on November 6, 2012, at 5:43:54
> > ANXIERTY, on its own should be well covered by 3mg xanax on its own without any AD unless deeply depressed, or break it up to the same valium dose an take 10mg valium 6 times a day. 1 xanax equals 20mg valium.
>
> "Anxiety" is but one symptom of many different medical conditions. It is often the case that treating the causative condition is a better strategy than treating the anxiety symptom palliatively. Generalized anxiety disorder (GAD) - a condition that can occur in the absence of depression - is often better treated with serotonin reuptake inhibitors than with benzodiazepines.
>
>
> - ScottPropranolol is a really great drug for anxiety. But I have to proprano-LOL at the fact that it's not given out that much for it.
Posted by SLS on November 6, 2012, at 8:21:15
In reply to Re: Doctor this afternoon, posted by neuroscience on November 6, 2012, at 7:40:08
> > > ANXIERTY, on its own should be well covered by 3mg xanax on its own without any AD unless deeply depressed, or break it up to the same valium dose an take 10mg valium 6 times a day. 1 xanax equals 20mg valium.
> >
> > "Anxiety" is but one symptom of many different medical conditions. It is often the case that treating the causative condition is a better strategy than treating the anxiety symptom palliatively. Generalized anxiety disorder (GAD) - a condition that can occur in the absence of depression - is often better treated with serotonin reuptake inhibitors than with benzodiazepines.
> >
> >
> > - Scott
>
> Propranolol is a really great drug for anxiety. But I have to proprano-LOL at the fact that it's not given out that much for it.Does propranalol treat all of the symptoms of anxiety, or only the peripheral ones like heart palpitations and elevated heart rate?
How would you describe your anxiety state?
- Scott
Posted by jono_in_adelaide on November 6, 2012, at 8:59:27
In reply to Re: Doctor this afternoon » neuroscience, posted by SLS on November 6, 2012, at 8:21:15
"ANXIERTY, on its own should be well covered by 3mg xanax"
It should be, but it isnt, hence, i am consulting a physician
Posted by maryjay on November 6, 2012, at 12:22:49
In reply to Re: Doctor this afternoon, posted by jono_in_adelaide on November 6, 2012, at 8:59:27
The sertraline is a great anxierty killer, but it can take months to be of any help, depression it help,s a lot quicker.A good ssri an a benzo till it kicks in , its useual enought to bring anxierty down to a livable level. Then have benzo,s ready for break through anxierty an there you go, If you have the problem of being born with anxierty you will take it with you to the grave . MANAGE IT YES, KILL IT NEVER.
Posted by phillipa on November 6, 2012, at 20:30:50
In reply to Re: Doctor this afternoon, posted by maryjay on November 6, 2012, at 12:22:49
Manic you still here?
Posted by neuroscience on November 19, 2012, at 6:52:53
In reply to Re: Doctor this afternoon » neuroscience, posted by SLS on November 6, 2012, at 8:21:15
> > > > ANXIERTY, on its own should be well covered by 3mg xanax on its own without any AD unless deeply depressed, or break it up to the same valium dose an take 10mg valium 6 times a day. 1 xanax equals 20mg valium.
> > >
> > > "Anxiety" is but one symptom of many different medical conditions. It is often the case that treating the causative condition is a better strategy than treating the anxiety symptom palliatively. Generalized anxiety disorder (GAD) - a condition that can occur in the absence of depression - is often better treated with serotonin reuptake inhibitors than with benzodiazepines.
> > >
> > >
> > > - Scott
> >
> > Propranolol is a really great drug for anxiety. But I have to proprano-LOL at the fact that it's not given out that much for it.
>
> Does propranalol treat all of the symptoms of anxiety, or only the peripheral ones like heart palpitations and elevated heart rate?
>
> How would you describe your anxiety state?
>
>
> - ScottIt worked very well for elevated heart rate and tension in my body. But I couldn't keep taking it because I have asthmatic issues.
Metoprolol is a different story and maybe worth trying...
This is the end of the thread.
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