![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 25. This is the beginning of the thread.
Posted by NotSoSunny on September 17, 2005, at 1:46:00
Suppose I have Elavil, Klonopin, Effexor, Inderal, Imitrex, & home-grown passion flower. Can I get a lethal mix out of it???
Posted by junglebookmom on September 17, 2005, at 8:22:17
In reply to Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 1:46:00
> Suppose I have Elavil, Klonopin, Effexor, Inderal, Imitrex, & home-grown passion flower. Can I get a lethal mix out of it???
Why do you ask ? Are you looking for a lethal mix? I hope I didn't take this the wrong way but it sounds like your thinking of doing something bad. I hope I'v just misunderstood.
Posted by rod on September 17, 2005, at 8:45:47
In reply to Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 1:46:00
trying to kill yourself with such drugs is a bad idea, because it is very likely you end up in the ER. And in the end you might have permanent neuronal damage due to hypoxia and so on.... There are numerous reports about such things. I personally know 2 people who survived *massive* overdoses... they where found the next day by relatives and brought to hospital and after a few weeks in artificial coma they made their way back..
If you are really desperate about life and depressed why dont you go to hospital and tell them you want to kill yourself. they will for sure take care of you and will try their best to get you well again. Being on the right drugs can very well change your whole approach and thinking about life. even a single pill can chane it completely. I have been on both sides and know what I am talking about.
take care and please go and get professional help. they can really help.
Roland
Posted by Racer on September 17, 2005, at 12:44:31
In reply to Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 1:46:00
I'm sorry you're feeling so very desperate in your life right now, but posts asking for assistance in committing suicide are not allowed on this site.
For what it's worth, there's darn little chance that you could do anything lethal with any of the benzos, from what I know. They're among the safest drugs out there. You might make yourself very sick, but that's about the end of it.
I agree that the best thing you could do at this point is to head over to the ER and tell them that you're considering suicide. I know -- because I've been there -- that you don't think you want to do that, that you don't think they can do anything for you, but I know from that same teacher that they really can help you if you let them.
Sometimes, just being away from your life for a few days, which the hospital certainly gives you, is enough to help a lot.
Please call someone in your real life and get yourself to a place where you can get the help you deserve and need.
Posted by NotSoSunny on September 17, 2005, at 13:15:15
In reply to This sort of post is not allowed here » NotSoSunny, posted by Racer on September 17, 2005, at 12:44:31
Thanks for all the concern. It's nice to know that at least someone notices a cry for help even if they are a complete stranger. My MD and Psychologist work closely together to try to get me on the right combination. Unfortunately I'm pretty sure the Effexor is a dud. I don't really want to kill myself, I just want someone to notice. The Klonopin & Elavil certainly didn't do the trick last night obviously. I don't have time to go to a hospital, I'm a wife & mother who is supposed to have it all together. Besides I was in and out of psychiatric hospitals during my teens and that was a total waste of time and money, I'm just glad my step-dad had to foot the bill on those. I'm sorry if I violated any rules on the "illegal post" here, Mr. Racer boy...I just needed somebody, anybody to reach out to. Sorry I bothered you.
Posted by NotSoSunny on September 17, 2005, at 13:20:17
In reply to Re: Is there a lethal klonopin mix??? » NotSoSunny, posted by rod on September 17, 2005, at 8:45:47
> trying to kill yourself with such drugs is a bad idea, because it is very likely you end up in the ER. And in the end you might have permanent neuronal damage due to hypoxia and so on.... There are numerous reports about such things. I personally know 2 people who survived *massive* overdoses... they where found the next day by relatives and brought to hospital and after a few weeks in artificial coma they made their way back..
>
> If you are really desperate about life and depressed why dont you go to hospital and tell them you want to kill yourself. they will for sure take care of you and will try their best to get you well again. Being on the right drugs can very well change your whole approach and thinking about life. even a single pill can chane it completely. I have been on both sides and know what I am talking about.
>
> take care and please go and get professional help. they can really help.
>
> RolandThanks for all the concern. It's nice to know that at least someone notices a cry for help even if they are a complete stranger. My MD and Psychologist work closely together to try to get me on the right combination. Unfortunately I'm pretty sure the Effexor is a dud. I don't really want to kill myself, I just want someone to notice. The Klonopin & Elavil certainly didn't do the trick last night obviously. I don't have time to go to a hospital, I'm a wife & mother who is supposed to have it all together. Besides I was in and out of psychiatric hospitals during my teens and that was a total waste of time and money, I'm just glad my step-dad had to foot the bill on those. Thanks for the advice though. Mind if I ask why your user name is "Rod"???
Posted by NotSoSunny on September 17, 2005, at 13:24:36
In reply to Re: Is there a lethal klonopin mix???, posted by junglebookmom on September 17, 2005, at 8:22:17
> > Suppose I have Elavil, Klonopin, Effexor, Inderal, Imitrex, & home-grown passion flower. Can I get a lethal mix out of it???
>
> Why do you ask ? Are you looking for a lethal mix? I hope I didn't take this the wrong way but it sounds like your thinking of doing something bad. I hope I'v just misunderstood.
>
>No, you didn't misunderstand. Last night I was ready to go. Thanks for all the concern. It's nice to know that at least someone notices a cry for help even if they are a complete stranger. My MD and Psychologist work closely together to try to get me on the right combination. Unfortunately I'm pretty sure the Effexor is a dud. Most of the time I don't really want to kill myself, I just want someone to notice. The Klonopin & Elavil certainly didn't do the trick last night obviously. I don't have time to go to a hospital, I'm a wife & mother who is supposed to have it all together. Besides I was in and out of psychiatric hospitals during my teens and that was a total waste of time and money, I'm just glad my step-dad had to foot the bill on those. I'm sorry if I violated any rules on the "illegal post" here...I just needed somebody, anybody to reach out to. Thanks for the response.
Posted by wildcard on September 17, 2005, at 13:51:19
In reply to Re: Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 13:24:36
Hey there. u mentioned that u dont have time to go to a hospitol as ur a wife and mother so u DEFINATELY dont have time to die. i've been where u are and once i found what works, i look back and am so thankful i'm here today. what wld. my boys do w/o me? i wld have devastated so many lives. there is help and support and reaching out here was a start although u need professional help. please dont wait. u can feel better but allow urself that chance. (((((hugs)))))
Posted by rod on September 17, 2005, at 15:15:59
In reply to Re: Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 13:20:17
> > Thanks for the advice though. Mind if I ask why your user name is "Rod"???
well its toally unrelated what rod actually means in english. I just removed some letters from my real name Roland... Was just to "shy" at the beginning to use Roland as my username :-)
bye
Posted by gardenergirl on September 17, 2005, at 16:20:53
In reply to This sort of post is not allowed here » NotSoSunny, posted by Racer on September 17, 2005, at 12:44:31
Posted by gardenergirl on September 17, 2005, at 16:22:56
In reply to Re: This sort of post is not allowed here, posted by NotSoSunny on September 17, 2005, at 13:15:15
> I'm sorry if I violated any rules on the "illegal post" here,
Thanks. Feel free to check out the FAQ, where you can find site policies and information about civility guidelines.
Here's a link.
http://www.dr-bob.org/babble/faq.html#civilgg, acting as deputy for Dr. Bob
Posted by Phillipa on September 17, 2005, at 17:43:44
In reply to Re: This sort of post is not allowed here » NotSoSunny, posted by gardenergirl on September 17, 2005, at 16:22:56
This board is intended to help each other. If you're feeling suicidal even for one night you need to go to the hospital. Wildcard is right you have children. You need to concentrate on getting well and noone especially Racer meant you any harm. Trust me I've been here a while. Fondly, Phillipa
Posted by Declan on September 17, 2005, at 20:58:06
In reply to Re: This sort of post is not allowed here, posted by NotSoSunny on September 17, 2005, at 13:15:15
'It's nice to know that someone notices a cry for help even if they are a complete stranger'.
Yes, yes, yes.
In this world people die (slowly) in front of each other all the time. People don't notice, or they don't care, or they can't do anything anyway, or what?
Declan
Posted by Racer on September 18, 2005, at 1:01:57
In reply to Re: This sort of post is not allowed here, posted by NotSoSunny on September 17, 2005, at 13:15:15
You say that you don't have time to go to the hospital, and you say that it was worthless to you in your teens, but I have to tell you that the stresses in your every-day life are likely exacerbating your depression and desperation, and probably making it harder for the drugs to do their jobs. If you're really feeling as bad as you describe, you really should think again about that hospital.
As for your family, I'd venture to guess that they'd be a bit more relieved than you could ever know to have you go away for a week or two, and come back feeling better. I was hospitalized two years ago, and just being away from home -- even in a hospital contracted with the county, which was very much as described in "The Snake Pit" -- improved my condition hugely. The drugs would never have been able to kick in at home as fast as they did in the hospital. While there was no treatment of any real kind -- one group session, and one nutrition session (just because the nutritionist was the only staff member who had time and inclination) -- the simple fact that all the worries and stresses of my daily life were not there was so therapeutic. Frankly, about all I did most days was read, and I read a lot of things I had been promising myself I'd read ever since I was in high school -- Hawthorne, Melville, etc. {shrug} At least some good came of it, besides just getting me away long enough to relax.
Also, while I don't know how old your boys are, I promise you it's much, much harder on them than you think. I would give anything if my own mother had gotten help for herself when I was young. It would have saved me so much in my life, from sexual abuse, to much of my own mental illness. Think about doing it FOR your sons, rather than DESPITE them.
I hope you'll think again about the hospital. It sounds as though you need something more than the promise that at some point in the future these drugs will kick in and you'll feel better.
Posted by FredMD on September 22, 2005, at 2:48:15
In reply to Is there a lethal klonopin mix???, posted by NotSoSunny on September 17, 2005, at 1:46:00
This Web site is infamous for extremely poor pharmacological advice and for notoriously harmful approaches to those who expose suicidal thoughts. The responses offered in this thread seem to confirm the opinions of colleagues. Shame on the globe-trotting physician who runs this site, for censoring factual information from his ostensibly "educational" Web site.
Here's an idea. We can tell the truth while the professor and his needy sidekicks stick his holier-than-thou don't-mess-with-my-tea-party rules up his well-fed a$$.
The drugs you have on your shelf might kill you if you take them all at once. But you might not die quickly. You might survive only to later die slowly and painfully as a result of kidney or liver failure. Or you might continue to live but with severely damaged cognitive or neuromotor capacities.
Elavil, a branded compilation of amitriptyline, has toxic effects whether taken alone or in combination with other drugs. Deaths by deliberate or accidental overdosage have occurred with this class of drugs. Serontinin and norepinepherine reuptake inhibitors such as Effexor (branded venlafaxine ) are especially dangerous in combination with tricylics that "can increase the amount of a co-ingested drug reaching the systemic circulation if that co-ingested drug normally undergoes first pass metabolism via these CYP enzymes (P450 enzymes 1A2, 2C19, and 3A3/4) during its absorption phase."
http://www.preskorn.com/columns/0207.html?print=1"...over 10 years in the United Kingdom, 1512 fatal poisonings have been attributed to benzodiazepine with or without alcohol. Of drugs frequently prescribed, temazepam had the highest number of deaths per million prescriptions (fatal toxicity index) at 11.9, above that of some tricyclic antidepressants."
http://www.prn2.usm.my/mainsite/bulletin/1996/prn6.htmlDrummer and Odell: a blood-diazepam concentration of 5 g/mL might be a threshold value for drug toxicity and could result in a fatal outcome.
Excess blood concentrations of Inderal branded propranolol can result in congestive heart failure, which can also result from excess blood concentrations of amitriptyline. Two drugs with similar side effects and toxicity should be treated with caution and considered potentially dangerous when co-ingested.
Imitrex, a branded preparation of sumatriptan, has triggered serious heart problems in people with heart disease. Various cardial complications have been reported in reacton to therapeutic dosages of Imitrex, and the drug should be treated with caution when administered in combination with drugs that can trigger congestive heart failure.
Polypharmacacy with ethanol and any of the benzos is potentially fatal because ethanol opens chloride ion channels. Though Holmgren and Jones found no increased toxicity of ethanol with concurrent use of benzos, clinicians widely caution against the combination. Benzos otherwise are preferred because they do not reduce potentiation by increaseing influx of chlorine ions, but when co-ingested with ethanol, synergistic effects are widely believed to result in greater loss of neural potentiation than would result from either CNS depressant when taken alone.
Posted by sleepygirl on September 22, 2005, at 18:54:00
In reply to Re: Is there a lethal klonopin mix???, posted by FredMD on September 22, 2005, at 2:48:15
Is the purpose of your post to help settle a grudge or to reinforce that benzos are indeed potentially fatal? I don't know if you just want the "right" info posted or if you're just angry or both. I don't know that providing this info is necessarily helpful, and I am confused about the spirit with which it was intended.
Posted by chemist on September 23, 2005, at 2:14:35
In reply to Re: Is there a lethal klonopin mix???, posted by FredMD on September 22, 2005, at 2:48:15
hello there, chemist here...my comments delineated by asterisks, below...all the best, chemist
*** first of all, your posting name implies you hold an M.D. can you provide the requisite information to Dr. Hsuing (confidentially) to ensure that your input here is taken with the appropriate heft due to a practicing doctor of medicine? ***
> This Web site is infamous for extremely poor pharmacological advice and for notoriously harmful approaches to those who expose suicidal thoughts.
*** can you provide summaries - you use the words ``infamous'' and ``notorious,'' implying widely-known and documented - supporting this claim, addressing the items you note, specifically? ***
The responses offered in this thread seem to confirm the opinions of colleagues.
*** colleagues of whom? Dr. Bob? you? and if not Dr. Bob - which implies the psychiatric community, which as a whole is not known to endorse suicide or inapproriate use or dispensation of medication - then i assume you colleagues are te ones who agree with your assertions. is this correct? ***
Shame on the globe-trotting physician who runs this site, for censoring factual information from his ostensibly "educational" Web site.
*** Dr. Bob censors posts to threard by removing words considered vulgar (relacing letters with asterisks); or, in cases when a poster continues to post deliberately obscene and/or inflamatory nonsense as an internet ``troll'' might do. further, this is a publicly-viewable website and the advice and commentary provided herein is made by people who are simply posting opinion or information that can be ignored or heeded by the reader. ***
>
> Here's an idea. We can tell the truth while the professor and his needy sidekicks stick his holier-than-thou don't-mess-with-my-tea-party rules up his well-fed a$$.*** the statement above does nothing other than diminish the credibility of your assertions and especially confirms that you are not, in fact, a doctor of medicine. ***
>
> The drugs you have on your shelf might kill you if you take them all at once. But you might not die quickly. You might survive only to later die slowly and painfully as a result of kidney or liver failure. Or you might continue to live but with severely damaged cognitive or neuromotor capacities.*** these statements are correct. the use of the word ``might'' is of utmost importance, and highlights the fact that using prescription medication as directed - or not - does not invariably result in the patient's death or being irreversibly injured. ***
>
> Elavil, a branded compilation of amitriptyline, has toxic effects whether taken alone or in combination with other drugs. Deaths by deliberate or accidental overdosage have occurred with this class of drugs.*** Elavil - or, for that matter, amitriptyline - is not a ``class of drugs.'' further, Elavil is not a ``compilation'' of amitriptyline: it is the name brand (trade mark) of a formulation of the active tricyclic antidepressant ingredient (amitriptyline). the toxic effects are well-quantified and need not be repeated here. clarification of whether Elavil is a ``class of drugs'' or not or a ``compilation'' or amitriptyline or not does warrant addressing. ***
Serontinin and norepinepherine reuptake inhibitors such as Effexor (branded venlafaxine ) are especially dangerous in combination with tricylics that "can increase the amount of a co-ingested drug reaching the systemic circulation if that co-ingested drug normally undergoes first pass metabolism via these CYP enzymes (P450 enzymes 1A2, 2C19, and 3A3/4) during its absorption phase."*** well, FredMD, it's a good thing that venlafaxine is a substrate of isoenzyme 2D6 and 3A4 and not the others. it's also a good thing to do some research about metabolic pathways of drug delivery before making a post such as yours on a public website, in my opinion. ***
> http://www.preskorn.com/columns/0207.html?print=1
>
> "...over 10 years in the United Kingdom, 1512 fatal poisonings have been attributed to benzodiazepine with or without alcohol. Of drugs frequently prescribed, temazepam had the highest number of deaths per million prescriptions (fatal toxicity index) at 11.9, above that of some tricyclic antidepressants."
> http://www.prn2.usm.my/mainsite/bulletin/1996/prn6.html
>*** how many were with, how many without? and why are the data from 1996? and above all, it appears that tricyclics are looking good vs. benzodiazepines, from your reporting. ***
> Drummer and Odell: a blood-diazepam concentration of 5 g/mL might be a threshold value for drug toxicity and could result in a fatal outcome.
>
*** impossible. wrong. the mass of one mL of water is 1 gram. assuming that blood is, in fact, ``thicker'' than water but not more than a few tens of micrograms/mL, your claim states that one can actually dissolve 5 grams of diazepam in 1 g of blood. on a fundamental level, there simply is not enough solvent to accomodate the solute . on a practical level, the information you are providing is entirely incorrect. ***
> Excess blood concentrations of Inderal branded propranolol can result in congestive heart failure, which can also result from excess blood concentrations of amitriptyline. Two drugs with similar side effects and toxicity should be treated with caution and considered potentially dangerous when co-ingested.*** thanks, FredMD, for re-stating the mantra that drugs which interact unfavorably ought not be simultaneously ingested by the patient. and check again on congestive heart failure with propranolol...***
>
> Imitrex, a branded preparation of sumatriptan, has triggered serious heart problems in people with heart disease.*** who would have thought? did you know that sugar has triggered serious pancreatic problems in people with diabetes? ***
Various cardial
*** ``cardial'' is a made-up word, FredMD. cardiac is what you mean. ***
complications have been reported in reacton to therapeutic dosages of Imitrex, and the drug should be treated with caution when administered in combination with drugs that can trigger congestive heart failure.
>
*** more information from the PDR...***
> Polypharmacacy with ethanol and any of the benzos is potentially fatal because ethanol opens chloride ion channels. Though Holmgren and Jones found no increased toxicity of ethanol with concurrent use of benzos, clinicians widely caution against the combination.*** interesting. the opening of chloride ion channels by ethanol as well as drugs of the benzodiazepine class is the reason why concomitant use of both is potentially fatal? check your references. then again, don't: they appear to go on to state that despite this (erroneous) tidbit, that the toxicity of ethanol (which is the killer) is not enhanced whn used with benzos. ***
Benzos otherwise are preferred because they do not reduce potentiation by increaseing influx of chlorine ions, but when co-ingested with ethanol, synergistic effects are widely believed to result in greater loss of neural potentiation than would result from either CNS depressant when taken alone.
*** i cannot make any sense of the statement above. finally, your post is a great example of why one might label PB a source of information not founded in factual sources, in my civil opinion. thank you for stopping in.***
all the best, chemist
Posted by NotSoSunny on September 23, 2005, at 11:50:22
In reply to hello to all...., posted by chemist on September 23, 2005, at 2:14:35
Wow, I had no idea I had started this sort of conflict. I want to apologize for posting the original thread, I was obviously having a "low" moment. I am better now. I do have a question though. Between all of the doctors I'm seeing they're all aware of the other medications that each has prescribed for me. You guys make it sound like I'm on a fatal combination whether I want to be or not. Is this true??? Let me list them for you again. PS - I finally broke down and went to see a psychiatrist yesterday. He feels the Effexor is not working for me so he's weaning me off of it and switching me to Lexapro (sp?) So right now I'm on (daily): Elavil, 100 mg; Effexor, 300 mg; Inderal, 80 mg; Folic Acid; Xanax, .25 mg (as needed); klonopin, (I don't really like it but I take it if I need a quick "chill out"); and Imitrex, (also as needed). Thanks to all for such concern, I'm really sorry that I started such wars. ~Sunny
Posted by zeugma on September 23, 2005, at 15:52:28
In reply to Re: hello to all...., posted by NotSoSunny on September 23, 2005, at 11:50:22
> Wow, I had no idea I had started this sort of conflict. I want to apologize for posting the original thread, I was obviously having a "low" moment. I am better now. I do have a question though. Between all of the doctors I'm seeing they're all aware of the other medications that each has prescribed for me. You guys make it sound like I'm on a fatal combination whether I want to be or not. Is this true??? Let me list them for you again. PS - I finally broke down and went to see a psychiatrist yesterday. He feels the Effexor is not working for me so he's weaning me off of it and switching me to Lexapro (sp?) So right now I'm on (daily): Elavil, 100 mg; Effexor, 300 mg; Inderal, 80 mg; Folic Acid; Xanax, .25 mg (as needed); klonopin, (I don't really like it but I take it if I need a quick "chill out"); and Imitrex, (also as needed). Thanks to all for such concern, I'm really sorry that I started such wars. ~Sunny
>>No need to apologize.
Lexapro is OK with Elavil as far as i know. Prozac, Paxil and Luvox are much more dangerous, although the package insert for Lex does indicate caution when combining with a TCA. Klonopin is fine with Elavil; in fact, Limbitrol is a 'compilation' (to use the not-quite-perspicuous terminology of FredMD) of amitriptyline and chlordiazopxide, which is a benzodiazepine.
Chemist is much more knowledgeable about these meds than I am. But I do know that neither Effexor nor Lexapro nor Klonopin is contraindicated with Elavil.I am glad you went to see a psychiatrist. From my experience, psychiatric medications are not well understood by many general practitioners, and I have had to consult with my psychiatrist about meds, both OTC and prescription, that are intended to treat other conditions. Right now I am severely congested due to my doctor's contraindicating of decongestants with the meds I'm on, and I'll use the discomfort I am in as an excuse for the infelicities of my prose style, following the contribution of the redoubtable chemist. Plus, it's friday and my head is spinning anyway. But I am very happy to hear that you consulted again with a psychiatrist, and also that you have contributed to these boards.
-z
Posted by Dr. Bob on September 23, 2005, at 18:48:32
In reply to hello to all...., posted by chemist on September 23, 2005, at 2:14:35
> his needy sidekicks
>
> FredMDPlease don't post anything that could lead others to feel accused or put down. Also, are you a doctor of medicine? If so, please contact me. I'm going to block this name from posting unless I hear from you.
> your post is a great example of why one might label PB a source of information not founded in factual sources
>
> chemistThanks for the support, but please don't post anything that could lead others to feel accused or put down or be sarcastic.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
One possibility is to ask another poster to be your "civility buddy" and preview posts before you submit them.
Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above posts, should of course themselves be civil.
Thanks,
Bob
Posted by Phillipa on September 23, 2005, at 21:47:16
In reply to Re: please be civil » FredMD » chemist, posted by Dr. Bob on September 23, 2005, at 18:48:32
Dr. Bob thanks for asking for validation if this is indeed a real doctor. And please don't be harsh with chemist . He's looking out for the best of all of us in my opinion only. Fondly, Phillipa
Posted by SLS on September 25, 2005, at 9:58:00
In reply to Re: hello to all.... » NotSoSunny, posted by zeugma on September 23, 2005, at 15:52:28
Hi.
> > I'm really sorry that I started such wars.
> No need to apologize.
I agree. You are not responsible for the behavior of others. Besides, it is often through confrontation and debate that important inroads to understanding are made.
> Lexapro is OK with Elavil as far as i know. Prozac, Paxil and Luvox are much more dangerous,I can understand that one must be cautious when using Paxil and Luvox because they act as enzymatic inhibitors of Elavil metabolism. However, reducing the dosage of Elavil by 50% will usually compensate for this. One can always take blood-tests to monitor the levels of Elavil. What is the problem with Prozac when combined with Elavil?
Much success has been reported from using the combination of Prozac + desipramine. I have taken a combination of Paxil + desipramine without sequalae. I reduced the dosage of desipramine by 50%. Such dosage reductions are not necessary when combining tricyclics with Prozac.
Some people profit from combining Effexor with tricyclics. Here, no dosage adjustments are necessary. I feel that Effexor + Pamelor (nortriptyline) makes for a good combination. Neither drug affects the other's metabolism. I experienced a partial improvement with these two drugs.
Although serotonin syndrome is possible when combining an SRI with a tertiary tricyclic like Elavil, I doubt the risk is very high. I guess I would be more inclined to use nortriptyline than Elavil, though. Still, I had no problems combining Effexor with imipramine.
Off the top of my head, I think the order of serotoninergic potency of popular tricyclics looks something like this:
1. clomipramine
2. amitriptyline
3. imipramine
4. doxepin
5. nortriptyline
6. trimipramine
7. desipramine- Scott
Posted by AuntieMel on September 26, 2005, at 11:14:15
In reply to hello to all...., posted by chemist on September 23, 2005, at 2:14:35
*** who would have thought? did you know that sugar has triggered serious pancreatic problems in people with diabetes? ***
And the television advert for Ambien states that one of the side effects is drowsiness.
Posted by AbramX on September 26, 2005, at 21:32:01
In reply to Re: hello to all.... » chemist, posted by AuntieMel on September 26, 2005, at 11:14:15
> And the television advert for Ambien states that one of the side effects is drowsiness.
Are you being sarcastic? It is difficult for several of us reading your post to parse it any other way, unless it is seriously off topic. The topic as we are reading this thread is addressed in a best selling classic titled "Final Exit".
Posted by Dr. Bob on September 27, 2005, at 22:23:38
In reply to Re: sarcasm.... » AuntieMel, posted by AbramX on September 26, 2005, at 21:32:01
> Are you being sarcastic?
When you're blocked, you're not supposed to post, so I'm going to block this name, too.
If you or others have questions about this or about posting policies in general, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#enforce
Follow-ups regarding these issues should be redirected to Psycho-Babble Administration.
Thanks,
Bob
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.