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Dr. Bob is Robert Hsiung, MD,
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Posted by ed_uk on October 29, 2006, at 10:46:07
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » ed_uk, posted by lukeds on October 27, 2006, at 19:53:13
Hi Luke
>O_O Yes. I live in Spain, but how did you know that? Tell me it please, It's amazing that you targeted Spain, when in Europe there must be more than fifty or sixty countries.
Impressed?! You mentioned Rexer. It's a Spanish brand name for mirtazapine eg. Rexer Flas comprimidos bucodispersables. I recognised the brand name Rexer from work. I work in a pharmacy in England. We use medicines imported from various other European countries.
Why did you stop paroxetine? It sounds like it was working well for you.
Ed
Posted by lukeds on October 29, 2006, at 12:23:56
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by Phillipa on October 28, 2006, at 21:28:22
How did you obtain so much of the long acting xanax?
The other psych of my zone, prescribed me xanax xr 3mg before and I have some prescriptions of the drug.
I have severe agoraphobia, and I will not go to Madrid again that is 500km far from my home, so when I improve enough to exit from home, I will go to other psychiatrist, but this time of my zone, that is only 20km far from my home. In my situation I can't go far to Madrid (500km.). If I have such agoraphobia and phobia social, that I have fear of talk by phone to the medic.
Do you understand me? I have SEVERE ANXIETY. So I need help from Internet like these forums.
Even I would like that Dr. Bob would treat me, or at least give me some indications.THE TRAVEL TO MADRID DESTROYED ME. Before I had much more less anxiety, and I was taking only 4mg of Xanax xr, and I didn't have panic attacks.
In the travel I suffered a lot of tension and stress and I exploded in severe anxiety and very strong panic attacks.lukeds.
Posted by lukeds on October 29, 2006, at 12:50:56
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by ed_uk on October 29, 2006, at 10:46:07
Why did you stop paroxetine? It sounds like it was working well for you.
Because the paxil after the first year of taking it, the follower years it begun to was less efficient, slowly, but less efficient, and from 1998 to 2006 are 8 years.
The side effects begun to be extreme, in example:
I went to an total anhedonia (total lost of feel sexual pleasure) I didn't feel nothing, and others like erectile disfunction. The depression was going worst slowly in the eight follower years until a moment that I decided to went to the psych and explain him the situation, then he changed me the medication, but since the end of March of this year, the psycs have prescribed me Nardil (6 weeks) didn't work, the Nardil developed in me the horrible insomnia, so even worst, the psyc put me back on paxil and trazodone 50mg to sleep. I stayed waiting two months, but I didn't kick in, in September I went again to the psyc, and he put me on Effexor xr, 6 weeks and nothing, so I decided to change of psych, and he put me in Anafranil, Ludiomil, Librium, and Xanax xr. But it went very bad, my anxiety upped to brutal levels, so I decided to make some changes in the treatment by myself.
Leave the librium, take more Xanax xr, for sleep trazodone, but still taking the Anafranil and the Ludiomil.lukeds.
Posted by Phillipa on October 29, 2006, at 19:28:08
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » ed_uk, posted by lukeds on October 29, 2006, at 12:50:56
How does Spain feel about benzos? The USA has a lot of docs that won't prescribe them. What is Spain like. Love Phillipa ps I think a forum is excellent for you now but you still new a pdoc to regulate your meds. Is there a close one that is good? Have you called the one in Madrid? I know how frustrating finding a good combo is in 11 years I've yet to find one and yes I have agoraphobia too. But not as bad as yours.Can you call or have someone call the one in Madrid for you? Does he take e-mails? Love Phillipa
Posted by FredPotter on October 29, 2006, at 20:34:38
In reply to Re: Taking 12mg of Xanax cr per day and still pani » Squiggles, posted by Phillipa on October 26, 2006, at 21:23:32
Yes they gave me Librium in the 1960s (not quite mediaeval) but it did NOTHING
Posted by Phillipa on October 29, 2006, at 21:54:43
In reply to Re: Taking 12mg of Xanax cr per day and still pani » Phillipa, posted by FredPotter on October 29, 2006, at 20:34:38
Fred same here and I was new to benzos but it was the 70's. Valium worked better. Love Phillipa
Posted by lukeds on October 29, 2006, at 22:50:42
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by Phillipa on October 29, 2006, at 19:28:08
In Madrid I had to give the prescription to the guy of the Pharmacy. But in my zone I have to show the prescription, and then they make a photocopy of it.
When I'd feel better, I will go to a psychiatrist of my zone. I went one year ago, but the treatment that he prescribed me didn't go well, but I think he is a good medic, so I will go to see him when I get better.
I am considering the psychosurgery, in special the Anterior Cingulotomy or the Limbic leucotomy.
http://neurosurgery.mgh.harvard.edu/Functional/psysurg.htm
How would much cost one surgery in the Hospital of Massachusetts? Please I need information about the money that I would need to do it.
Regards. lukeds.
Posted by Phillipa on October 29, 2006, at 23:02:49
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » Phillipa, posted by lukeds on October 29, 2006, at 22:50:42
Lukeds are you talking about a lobotomy? No, No, No, you don't need this. Is not the answer. Other than the xanax and paxil and shoot I forget what other meds have you been on? I'm sure there is a med combo that will work for you. Love Phillipa it's late here now
Posted by FredPotter on October 30, 2006, at 13:46:32
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » Phillipa, posted by lukeds on October 29, 2006, at 22:50:42
Ola Lukeds please don't have a lobotomy. Things are happening in neuroscience. Please see my thread on "a switch for depression". I imagine the same technique would work for anxiety Fred
Posted by ed_uk on October 30, 2006, at 14:10:41
In reply to Taking 12mg of Xanax cr per day and still panic!, posted by lukeds on October 26, 2006, at 17:31:00
Hi Luke
You're taking a lot of medication, it's getting very complicated but you don't seem to be benefitting very much. I think you need to simplify your medication a lot.
Here are some suggestions....
Stop the Ludiomil, I don't think it will help you very much.
Stop the trazodone.
Anafranil can be very effective for anxiety, although it takes several weeks to work. Anafranil is usually best taken as a single daily dose in the evening - which should help you sleep. Ask your doctor whether you can increase your Anafranil, and take it as a single dose at bedtime.
Contact your doctor to discuss the Xanax. The dose you are taking is extremely high, and could easily end up causing more harm than good.
Ed
Posted by lukeds on October 30, 2006, at 21:27:57
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by ed_uk on October 30, 2006, at 14:10:41
I am on Anafranil for 13 days, until the 12 day I was taking 75mg per day in three doses, but today I have added one pill of 25mg in the morning, so I am taking 100mg at this moment.
Do you recommend me to up the dosage of Anafranil?Without trazodone I can't sleep.
About ludiomil, it is an antidepressant that inhibits the reuptake of the norepinephrine, and I have read that is very good for sleep, but you must wait until it kicks in.
The strategy is to stay in 12mg of Xanax xr, (but I will intent to reduce to 9mg), until the Anafranil begins to act, and then reduce the Xanax xr slowly to 4mg or 2mg per day. Like with paxil, that I only needed 2mg to be without anxiety. You must understand that I have been taking xanax since 1998 and I have developed a lot of tolerance to the drug.
I thank you very much your help, but we have different opinions.
I have the fear of the effect of high dosage of Xanax xr in my liver. But I have read that it hasen't develop hepatotoxicity. I have read is a drug that is prescribed to old men for its less accumulation, and even to patients with liver disorders cause it is easier metabolized.
Please read this document.
http://meds.queensu.ca/~clpsych/orientation/Benzodiazepine%20comparison%20chart.pdf
What's your opinion about high dosage of Xanax xr and the liver damage after read the document?
About to talk to the med, I will call by phone to him tomorrow, and let's see what says him.
Regards. lukeds.
Posted by lukeds on October 30, 2006, at 22:00:35
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by ed_uk on October 30, 2006, at 14:10:41
I am sorry. I was wrong. The short acting benzos are those that have less accumulation, and they are easier metabolized. Like xanax, but not Xanax xr.
May you find some files or posts in the Internet, or in the Psychobabble forum, about Xanax xr and people who take high doses?
And if I try to reduce the dosage to 9mg, how take the pills of 3mg? Two in the morning and one at night, or one in the mornign and 2 at night?
Regards. lukeds.
Posted by ed_uk on November 1, 2006, at 14:10:51
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » ed_uk, posted by lukeds on October 30, 2006, at 22:00:35
Luke,
I don't think you need to worry about your liver. I am a lot more concerned about the potential for withdrawal symptoms when you reduce your Xanax.
Clomipramine's major metabolite potently inhibits the reuptake of norepinephrine. Clomipramine is also an antihistamine. Combining clomipramine with maprotiline would seem potentially dangerous, and the logic for such a combination is dubious. I am concerned that the risk of having a seizure may be especially high when clomipramine is combined with maprotiline, particularly if your Xanax dose was being reduced.
Given that you suffer from anxiety, clomipramine is a more logical treatment than maprotiline. This is why I suggested that you stop the maprotiline. The clomipramine + maprotiline + trazodone combination concerns me. It is a very unusual combination of antidepressants.
Regards
Ed
Posted by ramsea on November 5, 2006, at 9:40:42
In reply to Re: Taking 12mg of Xanax cr per day and still panic! » lukeds, posted by ed_uk on October 30, 2006, at 14:10:41
do you think that benydryl can help qualm withdrawal from lorazepam at day 7? do you know how long it will last--i know abrubt stopping is bad, have not had seizure as yet, but much agitation, panic and anxiety and other things.
my doctor can't help. so will OTC benydryl do anything at all? and at what dose? i hope someone can help. thank you.
ramsea
Posted by ed_uk on November 5, 2006, at 16:54:01
In reply to Re: benydryl and benzos eduk? anyone?, posted by ramsea on November 5, 2006, at 9:40:42
Hi Ramsea
I don't think Benadryl would be particularly helpful. Why did you stop lorazepam suddenly?
Ed
Posted by yxibow on November 7, 2006, at 2:35:27
In reply to Re: benydryl and benzos eduk? anyone?, posted by ramsea on November 5, 2006, at 9:40:42
> do you think that benydryl can help qualm withdrawal from lorazepam at day 7? do you know how long it will last--i know abrubt stopping is bad, have not had seizure as yet, but much agitation, panic and anxiety and other things.
>
> my doctor can't help. so will OTC benydryl do anything at all? and at what dose? i hope someone can help. thank you.
> ramsea
I think this has been discussed in another thread -- essentially, no. You'll first be hyped minorly (maybe) and then a zombie if you take it continuously the entire day. You will dry up your insides considerably and in the end, its not going to touch GABA.Kava might touch GABA but its not something with todays potential knowledge of liver issues with the agent, to take continuously.
I really can't believe that your doctor would not taper down the Ativan to zero. 7 days on it is already a steady state though if you have a low amount I guess your doctor thinks you can get away with cold turkey, but I really don't think that is a terribly rational idea with any benzodiazepine that is taken continuously and not as needed.
-- Jay
Posted by Squiggles on November 8, 2006, at 13:20:45
In reply to Re: benydryl and benzos (again ?) » ramsea, posted by yxibow on November 7, 2006, at 2:35:27
(and shivering, cold hands, weight loss
and depression);Unless there is a new virus going around
I think this person I know is suffering
from a drug-induced soup complication.
I would guess, possibly- drug interaction or
- brain injury from drug switches or
- drug dosage
- drug injury (e.g. hepatitis)If it's not drug-related, a neurologist
--cross our fingers, will be able to
pick something up; the person is generally
too young for Parkinson's -- unless of course
it is drug-induced.Has hypersomnia (oversleeping and fatigue)
been going around the population recently?Tx
Squiggles
Posted by Phillipa on November 8, 2006, at 19:55:32
In reply to Back to hypersomnia » yxibow, posted by Squiggles on November 8, 2006, at 13:20:45
Chronic Fatigue Syndrome. Has this person ever been tested for lymes disease? I didn't know I'd had it and it was still active til I mentioned to my pdoc that I'd had a tick on me. Well that wasn't the one that gave it to me. But it does cause chronic fatigue. And I've had MRI's that would pick up Parkinsons and they were looking for MS didn't know it was implicated with all the autoimmume things I have. Love Phillipa
Posted by Phillipa on November 8, 2006, at 19:57:22
In reply to Back to hypersomnia » yxibow, posted by Squiggles on November 8, 2006, at 13:20:45
Squiggles also hasimotos thyroiditis. Love Phillipa
Posted by Squiggles on November 8, 2006, at 20:06:21
In reply to Re: Back to hypersomnia » Squiggles, posted by Phillipa on November 8, 2006, at 19:55:32
> Chronic Fatigue Syndrome. Has this person ever been tested for lymes disease? I didn't know I'd had it and it was still active til I mentioned to my pdoc that I'd had a tick on me. Well that wasn't the one that gave it to me. But it does cause chronic fatigue. And I've had MRI's that would pick up Parkinsons and they were looking for MS didn't know it was implicated with all the autoimmume things I have. Love Phillipa
No. And this would have been two years ago
that it started, at which times other medical
incidents (such as post-surgery and drug switches) could have played a role. However, let's hope the scans and MRIs are thorough and cover many possibilities. Personally, i think it is just a bad medication history, including the possibility of Serzone liver damage.Squiggles
Posted by Squiggles on November 8, 2006, at 20:07:56
In reply to Re: Back to hypersomnia » Squiggles, posted by Phillipa on November 8, 2006, at 19:57:22
> Squiggles also hasimotos thyroiditis. Love Phillipa
Huh? She does? Where did you get that?
Squiggles
Posted by Phillipa on November 8, 2006, at 20:44:12
In reply to Re: Back to hypersomnia » Phillipa, posted by Squiggles on November 8, 2006, at 20:07:56
Not sure what you meant by the last post but I have the hasimotos which is autoimmune. Is that what you meant? Love Jan
Posted by Squiggles on November 8, 2006, at 20:53:31
In reply to Re: Back to hypersomnia » Squiggles, posted by Phillipa on November 8, 2006, at 20:44:12
I have asked Dr. Bob (Administration)
to take Phillipa off the board (at least
for a while); this assertion goes beyond
politically incorrect.Squiggles
Posted by gardenergirl on November 8, 2006, at 21:31:28
In reply to Re: Back to hypersomnia » Phillipa, posted by Squiggles on November 8, 2006, at 20:07:56
> > Squiggles also hasimotos thyroiditis. Love Phillipa
>
> Huh? She does? Where did you get that?
>
> SquigglesI'm guessing here, but I believe Phillipa was saying that *she* has hashimoto's thyroiditis. I've seen her disclose info about herself in the same manner several times before. I can see how it could be interpreted as relating to you given the missing second "h", though.
Hope this helps,
gg
Posted by gardenergirl on November 8, 2006, at 21:42:53
In reply to Re: Back to hypersomnia » Phillipa, posted by Squiggles on November 8, 2006, at 20:53:31
> I have asked Dr. Bob (Administration)
> to take Phillipa off the board (at least
> for a while);Hi Squiggles, first a friendly reminder about how to report posts. Dr. Bob asks us that we use the "notify administration" form at the bottom of each post to report posts of concern in lieu of posting on the board about it.
From the relevant section of the FAQ: "How can I help enforce these policies? ...
If you'd like to notify me and the deputy administrators, please don't do so in a post, that might lead them to feel accused. Instead, contact us directly." http://www.dr-bob.org/babble/faq.html#enforceAlso,
> this assertion goes beyond
> politically incorrect.Keeping in mind that the idea here is support and not posting anything that could lead others to feel accused or put down, would you please rephrase the above so that it reflects your feeling in an "I-statement"?
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#civilFollow-ups regarding these issues should be directed to Admin and should of course be civil. Dr. Bob has oversight over deputy decisions, and he may choose a different action. In addition, you can always appeal this decision to him.
Thanks,
deputy gg
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