Posted by med_empowered on March 26, 2006, at 16:13:37
In reply to Just can't decide what to do with meds ???, posted by blueberry on March 26, 2006, at 15:39:50
hi! sorry you're going through a rough patch. I wouldnt re-start zyprexa. Its rough stuff and the weight gain is usually a bad thing--its accompanied by cholesterol and blood sugar increases, and there's a risk of long-term metabolic problems. Xanax to me seems less problematic, but what about Klonopin? Or..valium, librium, tranxene...any longer-acting benzo? Xanax tapers are hell b/c xanax lasts for such a short time and dose escalation is hard to avoid b/c of the short half-life..maybe if you can try something that lasts longer, you'll have fewer problems. The good thing about longer-acting benzos is that you can use them for sleep AND anxiety...example: 1.5mgs/Klonopin spread out over the day, plus an extra .5-1mgs at dinner to help with sleep. Valium: 30mgs over the day, 10mgs at night. So on and so forth. Xanax XR might also be a good option, if that works for you.
Maybe a TCA would be good? I don't know how your cardio health is, but if that checks out they can cause weight gain and sedation, which could actually be pluses for you. One option--Limbitrol, the elavil/librium combo--stands out; it seems to work fast on anxious depression and helps with sleep...plus you usually need less of both the AD and the benzo, so your overall intake is reduced. I think you can take it all at night, but im not sure.
poster:med_empowered
thread:624837
URL: http://www.dr-bob.org/babble/20060322/msgs/624850.html