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Re: ADDERALL,SEROQUEL, XANAX, TEMAZEPAM, PAXIL, LEXAPR » Sarah28

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 :-)


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