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Re: Mitch: clonazepam » ed_uk

Posted by Ritch on March 28, 2005, at 14:26:21

In reply to Re: Mitch: clonazepam » Ritch, posted by ed_uk on March 28, 2005, at 11:32:13

> Hi Mitch,
>
> Do you think you'll start to need more clonazepam for your anxiety now you've come off citalopram?
>
> Btw, you mentioned that you used to take Thorazine or Mellaril. I think you took a low dose but I'm not sure. How did you respond? Were they effective for your anxiety, hypomania and irritability? Did you have a lot of side effects? I've tried Thorazine but not Mellaril, it's not used much anymore because of the cardiac risks. Have you ever taken any other typical APs like Haldol?
>
> Regards,
> Ed.

Hi Ed, yes-I have been concerned that I'm going to need more clonazepam after coming off citalopram. So far, so good, though. The panic thing really does happen the worst when I'm in the middle of a seasonal depression and I don't have that to worry about for at least two months or more. The first AP I took was Thorazine 25mg along with lithium about 25 years ago. I was using the Thorazine mainly to control my temper. It worked really well for *that*, but it made my depression clearly worse, and did *nothing* for panic. Then I went off it and was just taking lithium + benzo (for panic). The lithium wasn't getting a good enough handle on my euphoric manias and temper (dysphporic) so we started 10-20mg of Mellaril every day (with lithium + Valium). I say "manias" because although they didn't last nowhere near long enough to be considered manias (4+days), they often approached the intensity as some BPI manias I've seen in others. They often would just last a few hours. Not long enough to attract much attention-I've had to leave work a couple of times back then because I was just getting giddy -way over the top, got a lot of traffic tickets, etc. Anyhow, I really *liked* the low-dose Mellaril, it seemed to have an AD effect the Thorazine didn't have. I was on that one more than any others. But, I developed some retinal pigmentation and a cataract when on it. Never got rapid heartrate or EPS on that one-severe stuffy nose though. I tried Haldol *once*-severe EPS and esp. akathisia-horrible-never again. Mellaril was the most tolerable AP I've ever tried even compared to the newer ones.


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