Posted by Quintal on April 13, 2008, at 21:09:22
In reply to Re: Lorazepam, posted by undopaminergic on April 13, 2008, at 4:12:46
>Wby would they be opposed to dothiepin, if that has been used safely and effectively before?
I noticed it's now on the BNF blacklist (along with MAOIs) as being 'less suitable for prescribing', citing the 'high rate of fatality' in what I suppose are dothiepin overdoses. It's the only TCA in the BNF that carries the 'less suitable for prescribing' warning symbol. I don't think this was the case back when I was 17. It used to be my GPs favourite antidepressant. It did actually cause problems with my heart - chest pains and palpitations, so I wouldn't be all that entheusiastic about going back on it, but it did work pretty well at the time.
http://www.bnf.org/bnf/bnf/55/3311.htm>Yes, low doses of amisulpride are stimulating and generally inappropriate in anyone suffering from too much energy.
The doses they were giving me in hospital did actually make me hypomanic, but one of the staff nurses came along with a 1mg lorazepam tablet to calm me down, because they'd noticed how energetic I'd been compared to Zyprexa... It was actually the lorazepam and zopiclone that was keeping me together in the hospital, but the pdoc and the staff did seem to see them as genuine medication - more like luxury items that I shouldn't ask for too often. Their preception of what was doing what was totally screwed. I saw zopiclone and lorazepam as the backbone of my medication regimen, wheas they just didn't seem to recognise them at all - in fact I was given home leave for two days without any, and I just didn't sleep; not only because I'd become mildly dependent on them and was suffering rebound insomnia and mild withdrawal symptoms, but because the amisulpride they *had* given me was still making me hypomanic, but now I was left for two days without anything to counteract it. I was very anoyed, putting it mildy. Could have been a recipe for disaster considering I'd been full-blown manic only weeks earlier.
Thank you, I will bear 5-HTP in mind for the next time I'm feeling hypomanic.
Q
poster:Quintal
thread:822365
URL: http://www.dr-bob.org/babble/20080412/msgs/823146.html