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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 21 of 21. This is the beginning of the thread.
Posted by qbsbrown on September 22, 2006, at 14:41:37
Just curious how they work or don't work together when taken in conjunction. I've heard some say that a benzo can squash serotonin, thus making your ssri not as effective.
Brian
Posted by Phillipa on September 22, 2006, at 21:56:27
In reply to how does a benzo affect a SSRI?Positive or negativ, posted by qbsbrown on September 22, 2006, at 14:41:37
No to me they compliment each other. Love Phillipa
Posted by bassman on September 23, 2006, at 19:06:44
In reply to Re: how does a benzo affect a SSRI?Positive or negativ » qbsbrown, posted by Phillipa on September 22, 2006, at 21:56:27
I agree with Phillipa...the benzo seems to have an adjunctive effect on SSRI's for me.
Posted by yxibow on September 23, 2006, at 23:18:52
In reply to Re: how does a benzo affect a SSRI?Positive or negativ, posted by bassman on September 23, 2006, at 19:06:44
> I agree with Phillipa...the benzo seems to have an adjunctive effect on SSRI's for me.
I would also say adjunctive. Now the definition is how much benzodiazepine(s). Moderate dosage to reduce anxiety spikes that are created initially by SSRIs in people who have both anxiety and depression is a valid and oft used practice until one becomes accustomed to an SSRI and reduces or eliminates the benzodiazepine. High dosage, there may be some mild serotonin interaction but the real issue there isn't with 5HT, it is simply cognitive issues and central nervous system depression.
Posted by Phillipa on September 24, 2006, at 19:28:02
In reply to Re: how does a benzo affect a SSRI?Positive or neg » bassman, posted by yxibow on September 23, 2006, at 23:18:52
Jay the two times I responded to an SSRI I still needed the benzos they didn't relieve the anxiety. Love Phillipa
Posted by yxibow on September 24, 2006, at 21:12:51
In reply to Re: how does a benzo affect a SSRI?Positive or neg » yxibow, posted by Phillipa on September 24, 2006, at 19:28:02
> Jay the two times I responded to an SSRI I still needed the benzos they didn't relieve the anxiety. Love Phillipa
Well 1) you may have not had enough of a dose of benzodiazepine(s) -- the dosages I've heard you take are relatively low. 2) You just may be sensitive to (X) SSRI. 3) One can also try propranolol / nadolol / etc instead to relieve symptoms but not the underlying cause.
But again, I'm only posturing.-- tidings
Jay
Posted by qbsbrown on September 24, 2006, at 21:19:04
In reply to Re: how does a benzo affect a SSRI?Positive or neg » Phillipa, posted by yxibow on September 24, 2006, at 21:12:51
I used to love long scenic drives, even by myself. Now these days thoughts are going so fast, it is a pain in the butt to attempt. Even no matter how many benzos i pop down.
Doc thinks this could partially be BP II and wants to throw in lamictal. What do you think?
Brian
Posted by Phillipa on September 24, 2006, at 21:40:13
In reply to racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 21:19:04
Works for a lot of others . I'd try it. Wish it had worked for me. Love Phillipa
Posted by qbsbrown on September 24, 2006, at 21:49:46
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 21:40:13
It once lifted my 3 yr depression in one week!!!!!! Only prob was bad headaches and terrible insomnia.
Posted by Phillipa on September 24, 2006, at 21:55:39
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 21:49:46
In a week? Wasn't the titration normal? Now it's 25mg for two weeks then 50mg for two weeks then l00mg and onward till around 200mg. Love Phillipa
Posted by qbsbrown on September 24, 2006, at 21:56:44
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 21:55:39
i started at 50mgs a day.
Posted by Phillipa on September 24, 2006, at 22:20:21
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 21:56:44
And that lifted your depression in a week? alone? Love Phillipa
Posted by qbsbrown on September 24, 2006, at 22:22:42
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 22:20:21
Yes. But it faded shortly after. I chased it upwards, but i think my downfall was not being on an AD during that time. Wasn't a great monotherapy for me.
Brian
Posted by Phillipa on September 24, 2006, at 22:25:15
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 22:22:42
Darn I thought you were on to something. But try it with an ad that you think will work for you. Love Phillipa
Posted by qbsbrown on September 24, 2006, at 22:27:02
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 22:25:15
only obstical is horrible insomnia. I just switched from celexa to effexor, i slept great on celexa, and now terrible on effexor so far. I wonder if i should go back to celexa and try the lamictal.
My doc wanted to try a different class of ADs
Posted by Phillipa on September 24, 2006, at 22:29:34
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 22:27:02
Why not go back to the celexa and add the lamictal? you can always change the class. What class is he thinking? Love Phillipa
Posted by qbsbrown on September 24, 2006, at 22:30:07
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 22:29:34
ssnri
Posted by Phillipa on September 24, 2006, at 22:34:19
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 22:30:07
Two choices effexor or cymbalta. Love Phillipa
Posted by qbsbrown on September 24, 2006, at 22:37:03
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 24, 2006, at 22:34:19
right, just started effexor. Don't know if i want to let it go solo for a while, or add the lamictal now.
Brian
Posted by Phillipa on September 25, 2006, at 19:50:32
In reply to Re: racing thoughts/driving, posted by qbsbrown on September 24, 2006, at 22:37:03
I don't know what to tell you what does your pdoc think? A low dose of lamictal shouldn't hurt? Love Phillipa
Posted by qbsbrown on September 25, 2006, at 19:57:34
In reply to Re: racing thoughts/driving » qbsbrown, posted by Phillipa on September 25, 2006, at 19:50:32
I'm going to ask her. My guess is that she'll want to give cymbalta a trial solo, before lamictal, so we can tell what is what. That's my guess.
Brian
This is the end of the thread.
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