Posted by ed_uk on June 16, 2005, at 7:42:16
In reply to ADDERALL,SEROQUEL, XANAX, TEMAZEPAM, PAXIL, LEXAPR, posted by Sarah28 on June 16, 2005, at 6:52:36
Dear Sarah,
Please get a new doctor ASAP. He seems to have put you on very high doses of many drugs all at once.
>The he wrote out scripts for Xanax 1mg (#120 - 6 a day)..........
6mg/day Xanax is an extremely high starting dose - not appropriate at all. 0.25mg-0.5mg three times a day would be a suitable starting dose for the treatment of severe anxiety.
>Adderall (30mg - 4 a day)
120mg/day is also an extremely high dose. No one should ever be started on such a high dose. In fact, most long-term users of Adderall never take such a high dose.
>He gave me a sample bottle of Paxil 20mg (#30 -1 a day) and samples of Lexapro 10mg (#46 - 2 a day.....
Paxil and Lexapro are not generally taken together. Paxil is usually started at 10-20mg/day. Lexapro can be started at 5-10mg/day. Both Paxil and Lexapro can induce manic episodes in susceptible individuals.
>Temazepam 30mg (#60 - 2-4 at night).....
10mg temazepam at night is a suitable starting dose. Doses in excess of 40mg are not commonly prescribed. Most patients take 10-30mg at night. Adderall can cause causing severe insomnia. The dose in much too high.
>Doctors are supposed to know what they are doing, right?
I am not convinced that your doctor knows what he's doing.
>By the way, I do not have ADD, he just gave it to me for energy.
You might not need it at all........
You need a doctor who will not start you on more than one (at most two) drugs at a time. You need a doctor who will carefully adjust the dose(s) of any drugs prescribed. You need a doctor who cautiously monitors the effects of the drugs that s/he prescribes. You need a doc who waits much more than 10 minutes before writing a prescription. In short, you urgently need a new doctor.
>I don't want to go anywhere unless I absolutely have to.
Adderall can make people paranoid.
>I don't eat but maybe when I force myself every 3 or 4 days, and that usually consists of a piece of bread. I have lost 40 pounds in two months.
That's the Adderall (amphetamine).
>Also, the Adderall keeps me up for days at a time, usually anywhere from 2-7 days, with seven being the longest.
Yep, that's probably the Adderall too. Unless, of course, the antidepressants have induced a manic episode.
>If you can tell, I am writing just like I would be talking...incessantly!
Which antidepressant are you taking at the moment? Antidepressants can sometimes induce mania.
.........120mg amphetamine (Adderall) could quite easily cause these symptoms though.
Kind regards,
Ed.PS. I hope I haven't scared you :-)
poster:ed_uk
thread:513584
URL: http://www.dr-bob.org/babble/20050611/msgs/513597.html