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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 43. This is the beginning of the thread.
Posted by Fred23 on March 7, 2004, at 16:00:13
Last year my GP found me to have high blood pressure (hypertension), and
put me on a beta-blocker. I'm a 47 year old male, who eats healthy, and
dislikes salt, so didn't need to be advised to keep my sodium intake low.Doing some research on hypertension found that stress and anxiety have been
found to play a role, and since I have been a "worrier" all my life,
wondered if that was a contributing factor, and hinted such to the doctor.In that same time period, a friend got prescribed Xanax that they don't
take, so I tried a few, and found that it eliminated the unproductive
anxiety I realized I had been experiencing all along. It made me feel more
"normal" than I have ever felt before.As I am also a non-practicing alcoholic, the Jan 2004 published discovery of that
genetic link for alcoholism having to do with the body's mishandling of
GABA made everything clear.That explains why I've got that "hyperexcited nervous system" and
"overactive brain circuits" that alcohol and Xanax relax so wonderfully.
I had tried herbal and nutritional methods over the years, but nothing
really helped. Now I know why. (A quote I saw from Dr. Andrew W. Saul
goes "You cannot tell someone to relax unless they have the chemistry to do
it.")(By non-practicing alcoholic, I mean that I inherited the gene that allows
me to drink without limit, and have no hangover afterword. The only nice
part is the wave of relaxation that passes over me with the first drink,
and only if done very infrequently. Since I am in a non-drinking
lifestyle, I can avoid the problems that would come from drinking. I
realized that Xanax has the same effect, but lasts all day, and doesn't
interfere with my ability to think, which is important, as I have a
mentally demanding job.)In looking at online health forums, I've seen how people on both
hypertension and anxiety forums have been prescribed both beta-blockers and
benzodiazepines, as a combination to slow down both the body and the mind.So, for the followup visit to my GP, to see how I'm doing, I'd like to ask
having Xanax be added to the beta-blocker I'm already taking.How can I present my research and experimentation in a way that doesn't
seem like drug-seeking behavior after a fad drug? That article about the
genetic mishandling of GABA in one's brain means that anxiety can have a
purely biological cause, that can't be cured by behavioral training. Some
drug abuse literature even admits that self-medicating to solve a problem
is a reason, in some cases.So far I've never told him that I had an alcoholic parent, and am aware that I do
have that "alcoholic gene," so have been careful to avoid letting it become
a problem. Would a GP understand the implications of that research about
GABA receptor genes, and that a benzodiazepine might be just what I need to
have my brain achieve their proper regulation? (My serotonin levels are
OK, so I don't need a SSRI.)I've seen the view expressed that one should never tell their doctor about
unapproved drug usage, as that just brands one as an addict seeking drugs.
Yet I've also seen advice that one should tell their doctor everything.Is a GP even authorized to prescribe a drug like Xanax, or would he have to
refer me to the mental health wing, as Xanax is generally considered a
psychiatric drug for Generalized Anxiety Disorder?My concern is that the more detailed an explanation I have, the more it may
seem like I am "up to something." Yet if I don't give enough detail, my
desire may seem more like a casual whim, that can be dismissed.### footnote listing that article's name:
Dick DM, Edenberg HJ, Xuei X, Goate A, Kuperman S, Schuckit M, Crowe R, Smith TL, Porjexa B, Begleiter H, Foroud T. Association of GABRG3 with alcohol dependence. Alcoholism: Clinical & Experimental Research, vol. 28:1, pp. 2042-2047, January 2004.
Posted by theo on March 7, 2004, at 17:21:58
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 16:00:13
I'm a recovering alcoholic and take Xanax XR (extended release) which is a once a day dosing. I would ask your doctor about it versus regular Xanax.
Posted by rod on March 7, 2004, at 17:42:57
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 16:00:13
A non addictive alternative would be the anticonvulstant Neurontin, in my opinion. It also "increases GABA activity" and works for anxiety for most individuals who try it. Thats a good way to slow a "hyperexcited nervous system" to a normal level.
> How can I present my research and experimentation in a way that doesn't
seem like drug-seeking behavior after a fad drug?I know the problem. I often heard a "I cant do that", even if my suggestion made sense and was backed up by reliable studies. I finally have found a doctor, who is open minded and knows how this drugs work (at least whats is known today) and what they can be used for (I am soooo glad I have found him). And whats most important, is that one can talk and discuss with him.
So I dont have any tips on how to do this. sorry.>Would a GP understand the implications of that research about
GABA receptor genes, and that a benzodiazepine might be just what I need to
have my brain achieve their proper regulation?I guess an GP will understand it, but will never prescribe a addictive drug like Xanax for this purpose in my opinion. Go for Neurontin, or an other gabbaergic anticonvulsant.
good luck
Roland
Posted by CareBear04 on March 7, 2004, at 18:29:33
In reply to Re: How to ask doctor for Xanax?, posted by rod on March 7, 2004, at 17:42:57
I personally think Xanax XR is a waste of money. I was on it briefly, and I didn't like it much; it was much too subtle and it didn't have the immediate relaxing effect that regular Xanax has. I guess that's what makes regular Xanax more addictive. In my view, it's much cheaper and probably better to ask for Klonopin. Doctors are more comfortable prescribing it over Xanax, it lasts almost as long as Xanax XR, and it's much cheaper. CB
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Posted by Sebastian on March 7, 2004, at 21:31:15
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 18:40:21
Sounds like you are drug seeking. Had the xanex and want more so bad that you think its the answer. You don't want to end up an addict do you?
Posted by Sebastian on March 7, 2004, at 21:31:15
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 18:40:21
Sounds like you are drug seeking. Had the xanex and want more so bad that you think its the answer. You don't want to end up an addict do you?
Posted by theo on March 7, 2004, at 21:33:13
In reply to Re: How to ask doctor for Xanax?, posted by rod on March 7, 2004, at 17:42:57
I tried Neurontin and it's high maintenance (take 3-4 times daily) and is a poor excuse for an anxiety reducer, just makes you flat and emotionless. If you try a mood stabalizer I would try something you can take once or twice daily if you really need a mood stabalizer. As for anxiety use I think they are a poor attempt to try and replace benzos.
Posted by theo on March 7, 2004, at 22:07:24
In reply to Re: How to ask doctor for Xanax?, posted by CareBear04 on March 7, 2004, at 18:29:33
Sounds to me like you are looking for a buzz rather than than something to take the edge off your anxiety. Subtle with less anxiety means the medication is working. I don't like to feel like I'm "on" something, I tried Klonopin and it made me very lethargic and a lot of folks agree that it makes you alot more sleepy than other benzos.
Posted by Fred23 on March 7, 2004, at 22:09:32
In reply to Re: How to ask doctor for Xanax? » Fred23, posted by theo on March 7, 2004, at 17:21:58
> I'm a recovering alcoholic and take Xanax XR (extended release) which is a once a day dosing. I would ask your doctor about it versus regular Xanax.
My belief is that 0.5 mg of the regular per day would be "enough."
Posted by Fred23 on March 7, 2004, at 22:12:04
In reply to Re: How to ask doctor for Xanax?, posted by rod on March 7, 2004, at 17:42:57
> guess an GP will understand it, but will never prescribe a addictive drug like Xanax for this purpose in my opinion.
Which is why I imagine he might send me to the mental health department of the clinic.
Posted by Fred23 on March 7, 2004, at 22:16:37
In reply to Re: How to ask doctor for Xanax?, posted by Sebastian on March 7, 2004, at 21:31:15
> Sounds like you are drug seeking. Had the xanex and want more so bad that you think its the answer. You don't want to end up an addict do you?
A Catch-22 is that those with that alcoholic gene tend to "like" Xanax more than others, so that could be a factor.
Yet, having to take a beta-blocker is also a life-long need, so the need for something like Xanax would be something similar.
Posted by Fred23 on March 7, 2004, at 22:16:37
In reply to Re: How to ask doctor for Xanax?, posted by Sebastian on March 7, 2004, at 21:31:15
> Sounds like you are drug seeking. Had the xanex and want more so bad that you think its the answer. You don't want to end up an addict do you?
A Catch-22 is that those with that alcoholic gene tend to "like" Xanax more than others, so that could be a factor.
Yet, having to take a beta-blocker is also a life-long need, so the need for something like Xanax would be something similar.
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Posted by Fred23 on March 7, 2004, at 22:59:57
In reply to Re: How to ask doctor for Xanax?, posted by theo on March 7, 2004, at 22:07:24
> Sounds to me like you are looking for a buzz rather than than something to take the edge off your anxiety. Subtle with less anxiety means the medication is working. I don't like to feel like I'm "on" something, I tried Klonopin and it made me very lethargic and a lot of folks agree that it makes you alot more sleepy than other benzos.
Well, I was looking for a "buzz" to be a substitute for alcohol's, but found that I wound up feeling simply normal, and more functional, since my nerves weren't like jangling keys anymore.
Then I saw that article, and realized why.
Posted by simus on March 7, 2004, at 23:50:20
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 18:40:40
Have you tried taking GABA? I have heard good things about it. And it isn't addicting like Xanax. It might be worth a first consideration.
Posted by simus on March 7, 2004, at 23:50:20
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 18:40:40
Have you tried taking GABA? I have heard good things about it. And it isn't addicting like Xanax. It might be worth a first consideration.
Posted by Fred23 on March 7, 2004, at 23:54:16
In reply to Re: How to ask doctor for Xanax? » Fred23, posted by simus on March 7, 2004, at 23:50:20
> Have you tried taking GABA? I have heard good things about it. And it isn't addicting like Xanax. It might be worth a first consideration.
I've read that it isn't really very effective.
(Not much makes it from the stomach, across the blood brain barrier and into the brain.)
Posted by Fred23 on March 7, 2004, at 23:54:16
In reply to Re: How to ask doctor for Xanax? » Fred23, posted by simus on March 7, 2004, at 23:50:20
> Have you tried taking GABA? I have heard good things about it. And it isn't addicting like Xanax. It might be worth a first consideration.
I've read that it isn't really very effective.
(Not much makes it from the stomach, across the blood brain barrier and into the brain.)
Posted by simus on March 8, 2004, at 0:08:47
In reply to Re: How to ask doctor for Xanax? » theo, posted by Fred23 on March 7, 2004, at 22:59:57
I am embarrassed for a post or two that you have received. We are supposed to be supportive, not accusitory. I understand about needing Xanax to feel "normal". I had to fall into such severe anxiety that I was having regular panic attacks before I was given Xanax and I suddenly felt normal - not drugged or high by any means. Just be aware that Xanax is addictive, and you need to take it under a physician's guidance.
Posted by rainyday on March 8, 2004, at 8:54:08
In reply to Re: How to ask doctor for Xanax? » Sebastian, posted by Fred23 on March 7, 2004, at 22:16:37
I am a recovering alcoholic and my psychiatrist has been as up front with me as I am with her. She put me on xanax after trying me on a non-benzo anti-anxiety drug called vistaril. It did not have the desired effect (made me sleepy and anxious). She sais that the dosage she has prescribed of the xanax is not high enough to be addictive, despite my fears. I had also been on beta blockers for both migraine and high blood pressure, and it induced depression in me after several months.
My opinion is that to be honest and up front with your doctor, including your suspicions about being an alcoholic. With careful monitoring and honesty (there's that word again) you should be able to bring the anxiety within control.
Posted by Laree on March 8, 2004, at 12:09:04
In reply to How to ask doctor for Xanax?, posted by Fred23 on March 7, 2004, at 16:00:13
Fred:
Have you only ever tried one type of benzodiazepine--Xanax? There are many types of benzos out there (that is the drug family that Xanax belongs to). Maybe there is one that would work better for you than Xanax. you may need one that works all day long as opposed to just a few hours. there are benzos that are better for "anxiety maintenance" (all day, every day) than ones designed for use when panic attacks occur (short-term; taken on more of an "as-needed" basis) that wear off within a few hours. I would definitely discuss possibilities with your doctor--and i think you may want to see someone who specializes in anxiety, such as a psychiatrist.
Best of luck,
L.
Posted by Joy on March 8, 2004, at 13:01:23
In reply to Re: How to ask doctor for Xanax? » Fred23, posted by Laree on March 8, 2004, at 12:09:04
Hi Fred,
I have a suggestion. I take Xanax [about .5 a day] mainly at night and rarely do I need it in the daytime, but I have it here in case I do. I get it from a psychiatrist who may be more likely to give it to you for anxiety than a GP. I have never raised my dose in 3 years, and in fact, stopped it for 2 or 2.5 months last year. the generic is very inexpensive, and mine comes from Greenstone labs. With my medical plan I get 90 tablets [I get 1 mg and break it in half] for $10. I asked my family doc if he would prescribe it for me, and he said he would though I know he's not thrilled about it, so I will just get it my the psychiatrist that I do not need. I initially tried it from a friend also, and it helped me a lot. I was always careful not to overuse it. I have lung problems also. If your GP won't prescribe it, get a referral or ask your friend whose doc prescribed it. I find Xanax extremely helpful and very inexpensive. Good luck to you. I apologize for some of the curt replies your received. Most folks on the Board are very helpful.
Joy
Posted by Fred23 on March 8, 2004, at 21:49:14
In reply to Re: How to ask doctor for Xanax? » Fred23, posted by rainyday on March 8, 2004, at 8:54:08
> I am a recovering alcoholic and my psychiatrist has been as up front with me as I am with her. She put me on xanax after trying me on a non-benzo anti-anxiety drug called vistaril. It did not have the desired effect (made me sleepy and anxious). She sais that the dosage she has prescribed of the xanax is not high enough to be addictive, despite my fears. I had also been on beta blockers for both migraine and high blood pressure, and it induced depression in me after several months.
>
> My opinion is that to be honest and up front with your doctor, including your suspicions about being an alcoholic. With careful monitoring and honesty (there's that word again) you should be able to bring the anxiety within control.The dosage I am thinking that would be effective enough would be 0.5 mg/day of Xanax, and obviously the doctor could monitor that as he'd have to up the prescription himself.
The first beta-blocker he put me on *caused* depression, along with diminished mental capacity.
I flatly refused to take it, and the next one he gave me worked out much better.The how to explain the alcoholic potential without having that be interpreted as being a potential drug abuser is what concerns me. Some literature suggests that doctors don't like to give benzos to alcoholic types.
(I'm aware that has been a discussion here.)
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