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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by gloryb on July 31, 2002, at 15:11:00
I was wondering if anyone took tranxene for either
anxiety or seizures. I take it primarily for seizures
but it helps my anxiety. Since a recent mess-up
of my dilantin level and an increase in seizures
my doc increased the tranxene. It relieved a lot
of anxiety I was going through. But my rheumatologist
suggests celexa for Fibromyalgia. I tried that and
got nervous the next day. I took 20mg. Has anyone
else been through this? I head feels like it's
a bit foggy and I don't know if the meds are involved.It seems a bit odd to take an anti-anxiety drug
and an anti-depressant together. Or am I wrong?
Thanks.
Posted by Mr. Scott on August 1, 2002, at 1:36:35
In reply to Tranxene and Celexa, posted by gloryb on July 31, 2002, at 15:11:00
Taking a benzo and an antidepressant together are almost a rite of passage on this web site at some point. It is very common amongst more complex cases. And of all the benzos Tranxene (Clorazepate Dipotasium) is supposed to be the least addictive and least cognitively impairing of them all. I find it easy to taper...about 1 million times easier than Xanax was. And easier still than Klonopin. No tolerance has developed either. Too bad all my meds aren't as easy to swallow.
Posted by Stan on August 1, 2002, at 2:07:38
In reply to Re: Tranxene and Celexa » gloryb, posted by Mr. Scott on August 1, 2002, at 1:36:35
>
>
> Taking a benzo and an antidepressant together are almost a rite of passage on this web site at some point. It is very common amongst more complex cases. And of all the benzos Tranxene (Clorazepate Dipotasium) is supposed to be the least addictive and least cognitively impairing of them all. I find it easy to taper...about 1 million times easier than Xanax was. And easier still than Klonopin. No tolerance has developed either. Too bad all my meds aren't as easy to swallow.interesting info, mr. scott -- have you (or anyone else) had any experience with either serax or centrax? the only benzos i've known are xanax and ativan -- i started with xanax but then found that it's cleared by the same liver enzyme as serzone (the AD i take) and thus blood levels of xanax rise markedly and unpredictably when they are coadministered....so i switched to ativan, which makes me more tired, it seems. i guess i'm looking for something that has a relatively short half-life (sort of like xanax and ativan -- i think they have 6-12 hr half lives), strong anti-anxiety effects, but minimal sedation when compared to others in the group. i have an ancient book about anxiety which includes a very brief summary of some benzos and despite the chapter's vagueness, serax and centrax sound like they *might* fit the bill. any comments or suggestions, personal experiences, etc. about these and other benzos?
thanks,
Stan
Posted by Mr.Scott on August 4, 2002, at 4:31:17
In reply to Re: Serax, Centrax, - minimal sedation benzos? » Mr. Scott, posted by Stan on August 1, 2002, at 2:07:38
Oh yes...Actually I took Serax for a while. It only comes in capsules these days (or at least at the Walgreens in my area). It is virtually non-sedating and was often considered the benzo of choice for depression and anxiety when mixed until Xanax came along. Read the PDR indication for Serax and you'll see it's a bit different. It is also commonly prescribed to elderly because of it's reduced sedation rate and theoretically reduced falls. Finally bacause it's gentle on the liver it is commonly used in patients with liver disease (as is Ativan). It's a metabolite of Valium. Centrax I've never had but have wanted to try it I forget if thats halazepam or paxipam. I don't think centrax is available in the US anymore because it is so uncommonly prescribed no one really stocks it. I always read about halazepam and paxipam but I don't think they are available anymore Walgreens doesn't stock them... (I forget which of those two is the generic name for centrax)
Serax sounds like it might be worth trying for you. My only issue, was that I preferred the long lasting Tranxene to Serax and not having to take pills 3 times daily.
Posted by gloryb on August 4, 2002, at 17:35:43
In reply to Re: Serax, Centrax, - minimal sedation benzos? » Stan, posted by Mr.Scott on August 4, 2002, at 4:31:17
I tried using Celexa again with 10mg instead of
20mg. Instead of trembling the next day it took
four days. I don't think this stuff is right
for me. Oh well, the tranxene is pretty good
stuff so I'm hoping that will be sufficient.
This is the end of the thread.
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