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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by MrBrice on January 20, 2007, at 18:27:09
Hey guys,
I'm using rilatine now together with paroxetine and sulpiride.
The rilatine is great, meaning that it helps me cope with the pace of everyday life. It gives me an extra boost and that's exactely what i neededBUT
A problem i've allready had for a long time remains: i have this enormous anxiety. I can't chill down and watch TV with a friend or girlfriend, because I just can't focus on the darn tellie, there's allways a weird tension in the athmosphere that is really not pleasant at all.
Because of this tension, silences are allways avoided by me and i try to hide it by talking as much as I can and thus not letting the tension get the upper hand.Now the questions:
Is there a way to keep the dopamine that's caused by the rilatine, but loose the tension? In other words, is there a med that's pretty similar to rilatine, but that doestn't cause the inrease of adrenaline, so i can relax and still have the benefits of the dopamine...?
Are there people here that have had the same tension i am talking about, and that were able to overcome it somehow?Thanks a bunch!
greetings,
Brice
Posted by Quintal on January 20, 2007, at 18:50:43
In reply to Rilatine and dopamine, anxiety and tension., posted by MrBrice on January 20, 2007, at 18:27:09
You're taking two meds that increase dopamine transmission there MrBrice (Ritalin and sulpiride). Maybe dropping the sulpiride may help? A benzodiazepine will probably help calm the jitters and anxiety from Ritalin.
What happened to the dosulepin?
Q
Posted by MrBrice on January 20, 2007, at 19:42:17
In reply to Re: Rilatine and dopamine, anxiety and tension. » MrBrice, posted by Quintal on January 20, 2007, at 18:50:43
> You're taking two meds that increase dopamine transmission there MrBrice (Ritalin and sulpiride). Maybe dropping the sulpiride may help? A benzodiazepine will probably help calm the jitters and anxiety from Ritalin.
>
> What happened to the dosulepin?
>
> QI'm still taking it Quintal, forgot to mention it :) goes pretty well with the others btw, no side effects what so ever...
Posted by Phillipa on January 20, 2007, at 20:00:50
In reply to Re: Rilatine and dopamine, anxiety and tension. » Quintal, posted by MrBrice on January 20, 2007, at 19:42:17
I second the benzo. Love Phillipa
Posted by MrBrice on January 21, 2007, at 13:25:49
In reply to Re: Rilatine and dopamine, anxiety and tension. » MrBrice, posted by Phillipa on January 20, 2007, at 20:00:50
Hi Quintal,
what do you think the effect of dropping the sulpiride would be? I'm thinking of maybe going from 50mg's/ day to 50 mg's every two days...
and maybe ask my doc for some valium?
grtz
Posted by psychobot5000 on January 21, 2007, at 14:51:07
In reply to Re: Rilatine and dopamine, anxiety and tension. Q, posted by MrBrice on January 21, 2007, at 13:25:49
Sometimes paroxetine can cause anxiety. Ever consider dropping it? You could maybe try replacing it with Remeron/mirtazapine, which has some fairly powerful anti-anxiety effects, and is also a good antidepressant. It's likely to make you tired though, especially at the beginning--powerful antihistamine. Could increase appetite, too.
Also, have you tried dexedrine or adderall. Reaction varies from person to person, but a substantial portion of people find it has less anxiety than Ritalin. If Ritalin gives you a good benefit, but has side-effects that you don't like, dexedrine is a good alternative. You'd have to try it and see, to find whether it worked for you. As a side-note, if you had any desire to go that way, dexedrine and adderall are very similar, but dexedrine is a little less likely to cause anxiety.
You could maybe add Buspar, but it's not as effective as valium or other benzodiazepines at relieving anxiety.
Maybe lowering the dose of Ritalin would help?
Posted by Quintal on January 21, 2007, at 21:36:51
In reply to Re: Rilatine and dopamine, anxiety and tension. Q, posted by MrBrice on January 21, 2007, at 13:25:49
>what do you think the effect of dropping the sulpiride would be? I'm thinking of maybe going from 50mg's/ day to 50 mg's every two days...
I think you may feel less jittery if you have only one drug acting on dopamine. The Ritalin would be more likely to help with your ADHD than sulpiride. Why were you prescribed it?
Valium would probably help with the anxiety.
Q
Posted by MrBrice on January 22, 2007, at 13:57:00
In reply to Re: Rilatine and dopamine, anxiety and tension. Q » MrBrice, posted by Quintal on January 21, 2007, at 21:36:51
> >what do you think the effect of dropping the sulpiride would be? I'm thinking of maybe going from 50mg's/ day to 50 mg's every two days...
>
> I think you may feel less jittery if you have only one drug acting on dopamine. The Ritalin would be more likely to help with your ADHD than sulpiride. Why were you prescribed it?
>
> Valium would probably help with the anxiety.
>
> Qyeah, i'm probably just gonna go for the valium. Not to much changes in my cocktail, cause in fact it's working pretty well...
The sulpiride was prescribed to lessen the amount of toughts in my head, cause i really suffered from overthinking and paranoaļa...
and thanks for the reply psychoman, your toughts are really good, but i think i'm not going to change to much in my meds right now, i'm scared that i might go back the wrong way
never change a winning team right?:)
grtz
Posted by MrBrice on January 22, 2007, at 17:54:34
In reply to Re: Ritalin and dopamine, anxiety and tension. Q, posted by psychobot5000 on January 21, 2007, at 14:51:07
> Sometimes paroxetine can cause anxiety. Ever consider dropping it? You could maybe try replacing it with Remeron/mirtazapine, which has some fairly powerful anti-anxiety effects, and is also a good antidepressant. It's likely to make you tired though, especially at the beginning--powerful antihistamine. Could increase appetite, too.
>
Now that I think about it, Is it possible to just ADD the remeron to my medication? Is it combineable with the Paroxetine, Sulpiride, dosulepin and Rilatine?thanks
Posted by psychobot5000 on January 26, 2007, at 22:47:38
In reply to Re: Ritalin and dopamine, anxiety and tension. Q, posted by MrBrice on January 22, 2007, at 17:54:34
> Now that I think about it, Is it possible to just ADD the remeron to my medication? Is it combineable with the Paroxetine, Sulpiride, dosulepin and Rilatine?
>
> thanksHard to say...I'm not sure whether it's okay to add Remeron to Paroxetine or another SSRI. Probably okay, I would guess, but...I just don't know enough.
If your doc was willing to prescribe a small amount of valium or something, like it seemed like you were planning to ask, that seems like a more direct approach. Might have fewer side-effects, work more quickly, that sort of thing.
Hope ya work something out!
Posted by MrBrice on January 27, 2007, at 7:12:30
In reply to Re: Ritalin and dopamine, anxiety and tension. Q, posted by psychobot5000 on January 26, 2007, at 22:47:38
> > Now that I think about it, Is it possible to just ADD the remeron to my medication? Is it combineable with the Paroxetine, Sulpiride, dosulepin and Rilatine?
> >
> > thanks
>
> Hard to say...I'm not sure whether it's okay to add Remeron to Paroxetine or another SSRI. Probably okay, I would guess, but...I just don't know enough.
>
> If your doc was willing to prescribe a small amount of valium or something, like it seemed like you were planning to ask, that seems like a more direct approach. Might have fewer side-effects, work more quickly, that sort of thing.
>
> Hope ya work something out!Thanks man.
I've really given it some tought...The valium is actually just a screen behind wich you hide the problem. It's not the actual anxiety that it handles, just the effects of it.
I'm having a lot of benefit from my dolulepin now, after taking it for more then 1 year just like my docter told me. It really seems he was right (when i don't take my dosulepin for 1 evening, my following day really sucks:) )But when reading the effects of remeron, i'm thinking that it might have somewhat the same effect of dosulepin. Maybe it would be worth giving it a shot, and just cope with the first week of sleepiness (altough being a dj istn't axectely he best profession to be coping with sleepiness:) ).
Anyway, i'll keep you updated (seing my doc in 2 days)
grtz
Posted by psychobot5000 on January 27, 2007, at 12:38:46
In reply to Re: Ritalin and dopamine, anxiety and tension. » psychobot5000, posted by MrBrice on January 27, 2007, at 7:12:30
This is the end of the thread.
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