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Re: Gabapentin

Posted by theomastix on January 7, 2012, at 14:43:57

In reply to Gabapentin, posted by markwell on January 7, 2012, at 11:58:31

> My last visit to the pdoc concluded with a script of gabapentin, for anxiety and agitation. So far it has done nothing and it seems to add to my depression. I haven't read anywhere where this is a side effect. I think I'm just so depressed that the normal depression wouldn't notice the subtle but I do. I'm continuing to take it but it is not helping. What about a small dose of abilify for agitation? I tried 5mgs once but I couldn't buckle my pants after a week and I panicked and went off it. I would gladly put up with a little weight gain for some relief. Thoughts?
> Mark

Gabapentin might not be ideal for you. Every person is genetically a genome unto themselves, and respond differently to different medicines. What was your Dr.'s rationale in prescribing the Gabapentin?

I would ask your Dr. about Pregabalin ("Lyrica") if he/she is into unconventional anxiolytic treatments. Pregabalin is similar to Gabapentin, and it is considered by many to be its superior, and having less side effects.

Since you suffer from agitation, anxiety and depression, the pharmaceutical options for you are quite expansive.

Trazodone is a "serenic" antidepressant, but not to the liking of every one. Citalopram ("Celexa") is putatively another "serenic" antidepressant...

Topiramate ("Topamax") is a decent option for agitation.

Benzodiazepines are available, but the secret prerequisite is very strong behavioral self-control and moral self-mastery. Alprazolam ("Xanax") and Clonazepam ("Klonopin") have been proposed by some as BZD anxiolytics with antidepressant properties simultaneously...but if that road is traveled, self-discipline of the most rigorous sort is vital.

Antiadrenergics like alpha-blockers and beta-blockers are there for the severest agitation, but do nothing for depression.

Using atypical antipsychotics for mixed anxiety/agitation/depression is certainly possible, but know the science well and tread carefully in that realm. Neuroleptic malignant syndrome, extrapyramidal symptoms, cardio-toxicity, etc. be well-read on...


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Psycho-Babble Medication | Framed

poster:theomastix thread:1006590
URL: http://www.dr-bob.org/babble/20111226/msgs/1006610.html