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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 becksA on July 30, 2004, at 12:42:41
I have a pdoc meeting on monday...Currently I am on 2mg Xanax XR twice daily plus 15mg Dexadrine Spansules twice daily.
Firstly I want to up my Xanax XR dosage. I feel about 75% and believe 3 would probably be pretty close to perfect in that regard. However if you've been reading my previous posts at all, my social anxiety such as being around strangers, or many people at any given time has been greatly reduced, but I still struggle with what I've called "happy anxiety". When things stay relatively calm and business like, I feel great. However when things loosen up and peopple start laughing, goofing around and just making jokes...especially with me, my anxiety shoots way up and I feel it hardcore, sometimes unable to smile. So suggestions on thatt would be appreciated.
This could be related to my other question I'm going to bring up, I'm not sure if it's depression or a very unstable mood. For example, a girl tells me she'll call me one night, I don't get a call, I freak out, get really depressed, think she doesnt like me anymore, and I feel awful, and she could call the next day and just say she fell asleep or something that simple, and I will feel fine. Today I locked my keys in my car and I was late getting to work on a very important day and I started to freak again, stress levels through the roof...so I'm basically on a constant emotional rollercoaster, which leads me to believe I should try some sort of mood stabalizer in addition to the Xanax?
PLEASE any suggestions would be very very appreciated.. Thanks so much.
Posted by chemist on July 30, 2004, at 19:02:12
In reply to Xanax + What else??? PLEASE HELP!, posted by becksA on July 30, 2004, at 12:42:41
hello there, chemist here...i am confused, and would offer my take if you could clarify.....your post above
http://www.dr-bob.org/babble/20040724/msgs/371851.html
indicated that your pdoc appointment was today (7/30/04) while in this post, you indicate you are going to see your pdoc on monday, (8/02/04). in the previous post, you were interested in the equivalence of 3 doses of xanax XR being equivalent to 3 1 mg doses. in this post, we learn that you are taking a total of 4 mg of xanax XR/day.
before moving onward with a (potential) answer to your question(s), can you please provide closure on what your current dose is (amount, type, drug) and what you seek (dose, drug, type). then we can work from there. it is rather confusing, and some clarification would benefit those of us who might be able to offer some constructive suggestions. all the best, chemist
> I have a pdoc meeting on monday...Currently I am on 2mg Xanax XR twice daily plus 15mg Dexadrine Spansules twice daily.
>
> Firstly I want to up my Xanax XR dosage. I feel about 75% and believe 3 would probably be pretty close to perfect in that regard. However if you've been reading my previous posts at all, my social anxiety such as being around strangers, or many people at any given time has been greatly reduced, but I still struggle with what I've called "happy anxiety". When things stay relatively calm and business like, I feel great. However when things loosen up and peopple start laughing, goofing around and just making jokes...especially with me, my anxiety shoots way up and I feel it hardcore, sometimes unable to smile. So suggestions on thatt would be appreciated.
>
> This could be related to my other question I'm going to bring up, I'm not sure if it's depression or a very unstable mood. For example, a girl tells me she'll call me one night, I don't get a call, I freak out, get really depressed, think she doesnt like me anymore, and I feel awful, and she could call the next day and just say she fell asleep or something that simple, and I will feel fine. Today I locked my keys in my car and I was late getting to work on a very important day and I started to freak again, stress levels through the roof...so I'm basically on a constant emotional rollercoaster, which leads me to believe I should try some sort of mood stabalizer in addition to the Xanax?
>
> PLEASE any suggestions would be very very appreciated.. Thanks so much.
Posted by Glydin on July 30, 2004, at 21:04:56
In reply to Xanax + What else??? PLEASE HELP!, posted by becksA on July 30, 2004, at 12:42:41
Pardon me if you've covered this, but do you have an additional diagnosis to your anxiety disorder? While I realize your anxiety issues are paramount right now, if you have additional diagnoses there may be other factors to consider in your treatment. Anxiety is a symptom as well as a disorder and there are causive processes. I don't remember you mentioning the stimulant before, but I'm certainly am not the best at memory.
Also, do you see a therapist? Chemicals can certainly be a good treatment but sometimes they aren't the entire answer. While I'm not a huge fan of extended therapy, it can be a good adjunct for insight and can provide some stategies that might be of help.
Posted by chemist on July 30, 2004, at 21:51:30
In reply to Re: Xanax + What else??? PLEASE HELP!, posted by Glydin on July 30, 2004, at 21:04:56
> Pardon me if you've covered this, but do you have an additional diagnosis to your anxiety disorder? While I realize your anxiety issues are paramount right now, if you have additional diagnoses there may be other factors to consider in your treatment. Anxiety is a symptom as well as a disorder and there are causive processes. I don't remember you mentioning the stimulant before, but I'm certainly am not the best at memory.
>
> Also, do you see a therapist? Chemicals can certainly be a good treatment but sometimes they aren't the entire answer. While I'm not a huge fan of extended therapy, it can be a good adjunct for insight and can provide some stategies that might be of help.hello there, chemist here...i tip my hat to glydin, as i have blinders on most of the time in re: not asking the question posed above (and focusing on meds alone), which is more than appropriate......thank you, glydin, and all the best to becksA and you, chemist
Posted by Viridis on August 1, 2004, at 19:14:02
In reply to Xanax + What else??? PLEASE HELP!, posted by becksA on July 30, 2004, at 12:42:41
Have you tried Klonopin (clonazepam)? It's chemically related to Xanax (also a benzodiazepine, although a different group) and is very powerful, yet subtle for most people. It can be very effective, and lasts much longer than Xanax. It's worth a try.
I find Lamictal a helpful mood stabilizer in addition to Klonopin, and quite calming, although opinions/reactions vary. With Lamictal, you have to increase the dose very gradually, so you get a chance to see how you react without diving in headfirst.
Good luck!
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