Psycho-Babble Medication | about biological treatments | Framed
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Re: Why Is Getting On a Med So Hard?

Posted by Hoopa1013 on October 6, 2019, at 17:46:23

In reply to Re: Why Is Getting On a Med So Hard?, posted by Christ_empowered on October 3, 2019, at 19:41:42

thanks. i got my appointment with my psych moved up to this week instead of next, in the meantime he is prescribing me lorazepam and says i can take it every day for now (meaning the next few days until i get in to see him) i took one this morning and it did help. 150 mg of effexor helped me a lot last time i went thru this, im at 75 now bc my doc doesnt want me to go up to 150 too fast but maybe this week we will see..thank you for your response really though, i appreciate it.

> hi. no doubt, benzodiazepine dependence can be an ugly beast. tapers can be rough. even people who stay on relatively low doses for long enough often report problems (new or exacerbated depression, anxiety between doses, cognitive and emotional dulling, etc.), but...
> generally speaking, it -seems- that short(ish) term, as needed use is not that big of a deal...except for the massive relief it can offer, of course. other than that...
> gabapentin, lyrica wouldn't be my 1st choices, but they do seem to help a lot of people. Lyrica has a reputation in some circles for the same sort of discontinuation problem, after steady usage at "therapeutic doses" that one sees with benzodiazepines. lame. gabapentin...I think is less potent, so it stands to reason there should be less of a problem with tapers and such (?). i take gabapentin, and stopping and starting has never been a problem for me, personally.
> low dose neuroleptics/antipsychotics have been used to soothe some people with some problems with antidepressant start up...with some success. LOL. I'd ask for something else, first, but...some of the newer neuroleptics can also help with response to antidepressants (I've read a number of studies showing faster response when low dose Abilify is added, for instance...but not improvement in overall remission), so its not like back in the day, when "antipsychotic" meant rough, chemical cosh pills.
> it dawned on me that buspar (buspirone) might, maybe, possibly help...but again, its also sometimes used to improve response to antidepressants, and it tends to be a long term treatment, not a quick fix. with full dose antidepressants on board, I think there's also a somewhat increased risk of serotonin syndrome to contend with (I could be wrong, obviously).
> hope this helps.




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