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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Phillipa on October 19, 2005, at 19:43:28
Hi all, saw my pdoc today for the last time before the move. And she prescribed trileptal l50mg twice a day to help with anxiety she said. I had taken l50mg in the past and then pdoc stopped it. Does this med help with anxiety? Ruminations, depression. Along with this I still have l5mg valium and now up to luvox 50mg. All comments appreciated about this new combo. Fondly, Phillipa
Posted by med_empowered on October 19, 2005, at 20:15:27
In reply to Saw Pdoc Today New Med Regime, posted by Phillipa on October 19, 2005, at 19:43:28
hey! Trileptal **can** help with anxiety but..if you're taking a benzo, I'm a little confused as to why she didn't just bump that up. I mean, the anti-anxiety effects of trileptal aren't as fast or potent as those of valium, and 15mgs/valium isnt very much at all (in the 70s, the standard dose was 30-40mgs). I dont know how you feel about other benzos but..for some reason, when docs prescribe drugs like Ativan or Klonopin, they'll RX more than they will of valium. For instance, lots of people take 2,3,4 mgs of Klonopin...thats the equivalent of 20,30,40mgs valium respectively. I think Valium just makes some docs nervous. Good luck!
Posted by rjlockhart98 on October 19, 2005, at 20:55:03
In reply to Saw Pdoc Today New Med Regime, posted by Phillipa on October 19, 2005, at 19:43:28
My stepdad takes Trileptal 450mg in morning and night. For Siezures. It has a mood stablizing effect, but you stay "in that" mood. It does help with sleep. Are you dianosed BP?
Posted by Phillipa on October 19, 2005, at 21:04:45
In reply to Re: Saw Pdoc Today New Med Regime, posted by rjlockhart98 on October 19, 2005, at 20:55:03
Matt, No I'm not but these doctors just like to prescribe mood stablizers instead of benzos. Maybe I need to see your doctor? Fondly, Phillipa
Posted by Maxime on October 20, 2005, at 7:51:22
In reply to Saw Pdoc Today New Med Regime, posted by Phillipa on October 19, 2005, at 19:43:28
Hi Phillipa -
Trileptal? That is an odd med to prescribe for anxiety. It's not a calming med ... it's not stimulating either. I use it as a mood stabiliser. I guess it will help with racing thoughts, but not depression.Give it a go. Start at 150 first at night. This med can make you a little dizzy and nauseous.
I hope it helps.
Maxime
> Hi all, saw my pdoc today for the last time before the move. And she prescribed trileptal l50mg twice a day to help with anxiety she said. I had taken l50mg in the past and then pdoc stopped it. Does this med help with anxiety? Ruminations, depression. Along with this I still have l5mg valium and now up to luvox 50mg. All comments appreciated about this new combo. Fondly, Phillipa
Posted by rjlockhart98 on October 20, 2005, at 19:26:24
In reply to Re: Saw Pdoc Today New Med Regime » rjlockhart98, posted by Phillipa on October 19, 2005, at 21:04:45
You can find my doctor on the Web, go the the Mirnith Clinic, on google. Its dr. Noe Neaves. Look under doctors.
He is old, you are right, when i went to the mental hospital they didnt belive that i was on Clonazpem and Restoril at dosages, they referred me to a Lithium Treatment Center... i never went. But they did tell me that i had symptoms of severe anxiety, with possibity of hypomania, which i do belive. A hypomanic-panic attack is the worst.
If i was your doctor i would be taking care of you ;) with Xanax and Valium.
My doctor can be an *sshole, do not argue with him. But explaining what im going through he understood, he is slow on treatments, but it actaully turned out ok. I hope he doesnt die... or retire.
Phillipa do you think Dexedrine or Adderall would help?
I'll give you advice.
Posted by CK1 on October 20, 2005, at 20:10:12
In reply to Re: Saw Pdoc Today New Med Regime, posted by rjlockhart98 on October 20, 2005, at 19:26:24
Hey Phillipa,
Neither Luvox nor Trileptal are supposed to be that great for anxiety but they might work very well for you. Luvox is supposed to be a great med for OCD/Ruminations, but it's seldomly used today so I wonder why she chose that one. I think Lamictal would have a been a great add-on for your depression. It's supposed to be great for that. I don't know anything about Trileptal, but I know using it for anxiety is pretty far "off-label". Let us know how it works out with these and get an awesome pdoc in Charlotte. I'd try to find someone very good there instead of some "joe schmo". I've been going to a mediocre pdoc for a year and my new one who I've only seen once totally contradicts everything the other one said and I agree. Good pdocs = (potentially) quicker, better results.
Posted by ravenstorm on October 20, 2005, at 22:02:48
In reply to Re: Saw Pdoc Today New Med Regime, posted by CK1 on October 20, 2005, at 20:10:12
let us know how you like the trileptal and what side effects you have!
Posted by Phillipa on October 20, 2005, at 22:23:35
In reply to Re: Saw Pdoc Today New Med Regime, posted by ravenstorm on October 20, 2005, at 22:02:48
Thanks guys, it's really my fault. The reason I'm on luvox is because it's the only AD I never had side effects from years ago. And the reason she prescribed trileptal was because when she suggested lamicatal I mentioned the rash and Steven Johnson's syndrome. So actually I'm the one proscribing my meds. And CKl I hope you still have my E-mail address. If not I'll give it to you again. And Matt maybe you should become a pdoc. As they say you have to walk in the shoes before you understand what someone is going through. I will definiely keep you all posted. but just Babblemail me for my e-mail address. Won't post it on the internet for obvious reasons. CKl you have a knack for finding good pdocs. Maybe you could get a referral for me in the area? Thanks again guys you all mean so much to be. I love you all dearly. Love your friend Jan/Phillipa
Posted by CK1 on October 21, 2005, at 10:53:42
In reply to Re: Saw Pdoc Today New Med Regime, posted by Phillipa on October 20, 2005, at 22:23:35
Hey Philipa,
<So actually I'm the one proscribing my meds.>
This happened with my old pdoc. At first I enjoyed making my own decisions but this is not the way it should be. So she's a pushover, eh?
Posted by Phillipa on October 21, 2005, at 17:35:23
In reply to Re: Saw Pdoc Today New Med Regime, posted by CK1 on October 21, 2005, at 10:53:42
Hi CK. No I found out today she's not a pushover. She only gave me 30pills of valium til I find a pdoc in Charlotte. And I take l5mg a day. And right now the stress is intolerable. Why do pdocs worry so much about tolerance and addiction? If it wasn't for the first one I saw I never would be on valium. What does she think I'm going to do? Open the phonebook and pick anyone? And I've never abused the valium bofore. But if you're sleeping in a stange house and a dog busts into your bedroom at 3am and leaps on the bed. I think I was justified in taking more valium to go back to sleep. Love your friend, PJ/Jan
Posted by Maxime on October 21, 2005, at 22:48:30
In reply to Re: Saw Pdoc Today New Med Regime » CK1, posted by Phillipa on October 21, 2005, at 17:35:23
I think pdocs don't like to prescribe benzos for exactly the type of scenario you have described. You have become dependant on it. Your body has. If you run out you are at risk of having a seizure.
Keep in mind this is coming from someone who was taking 4 mg of Klonopin a night. I am now down to 3.25 and it has been hard. Many, many nights of not sleeping. I have the pills if I want to take more than 3.25, but unless I feel like I am going to seizure, I don't. I haven't. I won't.
I think that if you startled in the night (in a strange house & bed) and get really anxious that learning some techniques to reduce that anxiety without pills would be of greater benefit than taking more valium. I know it's not something that will happen overnight, but you should start. Learn to meditate. Take a yoga class. Try self-hypnosis. Find a new way to deal with your startle response. It can be done. I know you can do it.
Maxime
> Hi CK. No I found out today she's not a pushover. She only gave me 30pills of valium til I find a pdoc in Charlotte. And I take l5mg a day. And right now the stress is intolerable. Why do pdocs worry so much about tolerance and addiction? If it wasn't for the first one I saw I never would be on valium. What does she think I'm going to do? Open the phonebook and pick anyone? And I've never abused the valium bofore. But if you're sleeping in a stange house and a dog busts into your bedroom at 3am and leaps on the bed. I think I was justified in taking more valium to go back to sleep. Love your friend, PJ/Jan
Posted by theo on October 22, 2005, at 15:38:06
In reply to Saw Pdoc Today New Med Regime, posted by Phillipa on October 19, 2005, at 19:43:28
Along with this I still have l5mg valium and now up to luvox 50mg. All comments appreciated about this new combo. Fondly, Phillipa
Phillipa,
Do you take your 50mg Luvox at bedtime?
Posted by Phillipa on October 22, 2005, at 17:57:24
In reply to Re: Saw Pdoc Today New Med Regime » Phillipa, posted by theo on October 22, 2005, at 15:38:06
Theo yes I do and she has added trileptal. Been taking 75mg at bedtime and the other 75mg in early am when I awaken too early. Fondly, Phillipa
Posted by fuchsia on October 22, 2005, at 21:15:09
In reply to Saw Pdoc Today New Med Regime, posted by Phillipa on October 19, 2005, at 19:43:28
I think it's good not to increase the valium as it could make the depression worse. Like Maxime I think that tolerance can be an issue too.
It'll be interesting to see if the trileptal reduces your anxiety at all. It might alleviate withdrawal symptoms if you ever wanted to reduce the valium.
Maybe it could reduce anxiety if some of it was due to tolerance to valium. I'm not sure how common it is for people to get anxiety as a result of being on valium (and being tolerant to it) but some do tell of this happening.
This is the end of the thread.
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