Posted by Rick on April 28, 2004, at 19:43:58
In reply to Re: One more try - Klonopin and Wellbutrin » anodyne, posted by Joe Schmoe on April 28, 2004, at 16:23:18
> Lately I have gotten prescriptions for 80 mg 1/day of Inderal LA to keep the physical anxiety symptoms under control on bad days, but my pdoc says I can develop a tolerance for it with a rebound effect (high blood pressure) if I stop using it, so I have been warned not to use it too often. I have never heard this about Inderal before - I have used it many times over the years like candy and no doctor ever said I could suffer a withdrawal if I discontinued it. Indeed I always considered it fairly harmless, but I am restricting my use of it to no more than once or twice a week.
This sounds pretty strange. As I'm sure you know, Inderal is a common cardiovascular drug, a beta blocker which is primarily used to treat high blood pressure and elevated heart rate. There *is* a warning that people who take beta blockers regularly shouldn't stop them abruptly for risk of a *sudden* (rather than gradual)jump in blood pressure or heart rate back to the pre-Inderal levels. That warning is more for people who have been taking them for cardiovascular treatment...but even if you wanted to err on the side of caution, it shouldn't require more than a few days to a week of tapering to very safely cease daily Inderal use. And there is certainly no "withdrawal" involved. BTW, there are some reports that beta blockers can reduce libido and/or sexual function in some people (though certainly not as much as an SSRI!), and possibly even predispose to depression. I wonder if you could possibly be seeing some of these effects?
Sorry to hear things aren't working out well for you. I haven't developed any tolerance to Klonopin at all for my severe social phobia (still at 1 mg/day for the last 4 years), but I guess everyone's different.
> I think Celexa has permanently damaged my libido, which was always very strong before.
I'd wager the libido will be back full force at some point, when you get your depression in check -- which *will* happen. Keep looking for a good pdoc!
Rick
poster:Rick
thread:68599
URL: http://www.dr-bob.org/babble/20040423/msgs/341090.html