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Re: Need advice for brother w/ GAD, depression, HepC » cmcdougall

Posted by IsoM on January 15, 2002, at 14:32:58

In reply to Need advice for brother w/ GAD, depression, HepC, posted by cmcdougall on January 15, 2002, at 11:44:22

Cindy, I can't imagine him taking Serzone with his previous liver history. Does the doctor know? And if he/she does, why do they think it okay to use? That would definitely concern me too.

As for enjoying percodan, who wouldn't when it relieves the pain? I "enjoy" my codeine when I have to take it for pain. I'm also nervous about absuing it but responsibility doesn't make it less enjoyable.

Adrafinil works for me for motivation but with his Hep C history, I'd be leery of either adrafinil or Provigil. But then, I'd be sort of leery about how his liver would handle any meds. I assume he's going to have frequent liver tests done?

Sorry, I have no other comments about the rest of your questions. Not enough experience in those areas.


> Dear Friends,
>
> You have helped me so much over the past few months and now I ask help for my baby (43 yrs old) brother. He has Generalized Anxiety Disorder and also Major Depression.
>
> For about the last 6 months he was taking 2400mg Neurontin for both the anxiety and depression. This is the first time he has tried a prescription drug for his problems. Brother is a self-medicator who was addicted to cocaine, and has also enjoyed the effects of "downers" as well. He has been off cocaine for 10 years. The Neurontin seemed to help his anxiety, but I believe it might have worsened the depression.
>
> Now he is titrating off the neurontin and adding on Serzone. I am worried because he seems to be very emotionally fragile right now - a combination of worried and resentful, bitter and sad. Could this be withdrawal from the Neurontin?
>
> Now I learn that Serzone has been linked to liver problems. My brother in in remission from Hep C (after 4 straight years of Interferon) and I think he needs to quit taking the Serzone immediately. What do you think? Also, while he was taking the chemotherapy he was prescribed percodan for the painful side effects. I think he enjoyed the percodan a little too much, but if it relieved some of the pain from the Interferon and enabled him to continue working, the fact that he enjoyed it should be ok, right?
>
> What would be a good drug or combo to help w/ the GAD, depression, and lack of motivation? Maybe a tri-cyclic? Do those have the same sexual side effects as the SSRIs?
>
> I value your input and thank you all in advance.
>
> Carly
> A devoted and concerned sister...


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poster:IsoM thread:90282
URL: http://www.dr-bob.org/babble/20020110/msgs/90312.html