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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by tepi on September 23, 2010, at 22:46:56
Please tell me what I can take similar to Alcohoool !! . There has to be something
similar , It cant be impossible right?Im gonna became an alcoholic and I know that its not good , but I need relief
maybe a combo med would do it?
Posted by Phillipa on September 23, 2010, at 23:53:35
In reply to Pls tell me the drug most similar to Alcohol !, posted by tepi on September 23, 2010, at 22:46:56
Tepi I don't know of one. Phillipa ps but you can't drink a lot or you surely will. What does the alchohol do for you?
Posted by morgan miller on September 24, 2010, at 0:47:42
In reply to Pls tell me the drug most similar to Alcohol !, posted by tepi on September 23, 2010, at 22:46:56
Ketamine and GHB both act very similar to alcohol on the brain.
What you really need to do is get some good old therapy and get to the bottom of why you are using alcohol as an escape. Also, you may want to go to some alcoholics support group, I'm just not too crazy about AA.
Posted by SLS on September 24, 2010, at 16:31:57
In reply to Pls tell me the drug most similar to Alcohol !, posted by tepi on September 23, 2010, at 22:46:56
> Please tell me what I can take similar to Alcohoool !!
What is it about alcohol that appeals to you?
What is your illness and what are its symptoms? How does your illness make you feel? How does alcohol affect the way you feel?
> Im gonna became an alcoholic and I know that its not good , but I need relief
Relief from what?
> maybe a combo med would do it?Do what?
I think you will receive more focused feedback if you provide some more information.
- Scott
Posted by sigismund on September 24, 2010, at 16:55:00
In reply to Pls tell me the drug most similar to Alcohol !, posted by tepi on September 23, 2010, at 22:46:56
You could bear these in mind.....
Gabapentin
Baclofen
Acomprosate (Campral)
Lyrica (too toxic,IMO)
theanine
GABA under the tongue
and benzos, as you know.If you drink too much (or even any amount) it will probably have an adverse effect on your sleep.
Posted by SLS on September 24, 2010, at 17:15:37
In reply to Re: Pls tell me the drug most similar to Alcohol ! » tepi, posted by sigismund on September 24, 2010, at 16:55:00
I was thinking that gabapentin would be a good choice if social anxiety is an issue.
> Lyrica (too toxic,IMO)
In what ways is Lyrica too toxic?
- Scott
Posted by Zyprexa on September 24, 2010, at 17:16:51
In reply to Pls tell me the drug most similar to Alcohol !, posted by tepi on September 23, 2010, at 22:46:56
Benzo's are the most like alcohol. Thats what they give you in the hospital when in alcohol withdraw. Not sure exactly which one, but think its atavan.
Posted by sigismund on September 24, 2010, at 19:17:49
In reply to Re: Pls tell me the drug most similar to Alcohol !, posted by SLS on September 24, 2010, at 17:15:37
>In what ways is Lyrica too toxic?
It's just an impression, I have not taken it......(swelling, weight gain), and anyway gabapentin is strong enough.
Gabapentin may be a bit weird for SA.
It is useful for sleep, which is what I take it for.
Posted by SLS on September 25, 2010, at 5:12:58
In reply to Re: Pls tell me the drug most similar to Alcohol ! » SLS, posted by sigismund on September 24, 2010, at 19:17:49
> Gabapentin may be a bit weird for SA.
There is quite a bit conjecture and anecdotal descriptions that lend evidence to the successful use of gabapentin to treat social anxiety and social phobia. However, I found only one blinded trial using 64 subjects.
- Scott
--------------------------------------------J Clin Psychopharmacol. 1999 Aug;19(4):341-8.
Treatment of social phobia with gabapentin: a placebo-controlled study.Pande AC, Davidson JR, Jefferson JW, Janney CA, Katzelnick DJ, Weisler RH, Greist JH, Sutherland SM.
Parke-Davis Pharmaceutical Research, Division of Warner-Lambert Company, Ann Arbor, Michigan 48105, USA. atul.pande@wl.com
AbstractA randomized, double-blind, placebo-controlled, parallel-group study was conducted to evaluate the efficacy and safety of gabapentin in relieving the symptoms of social phobia. Sixty-nine patients were randomly assigned to receive double-blind treatment with either gabapentin (dosed flexibly between 900 and 3,600 mg daily in three divided doses) or placebo for 14 weeks. A significant reduction (p < 0.05) in the symptoms of social phobia was observed among patients on gabapentin compared with those on placebo as evaluated by clinician- and patient-rated scales. Results were similar for the intent-to-treat and week-2 completer populations. Adverse events were consistent with the known side effect profile of gabapentin. Dizziness (p = 0.05), dry mouth (p = 0.05), somnolence, nausea, flatulence, and decreased libido occurred at a higher frequency among patients receiving gabapentin than among those receiving placebo. No serious adverse events or deaths were reported. On the basis of these limited data, it seems that gabapentin offers a favorable risk-benefit ratio for the treatment of patients with social phobia. Further studies are required to confirm this effect and to determine whether a dose-response relationship exists.
PMID: 10440462 [PubMed - indexed for MEDLINE]
--------------------------------------------
Posted by tepi on September 25, 2010, at 21:56:08
In reply to Re: Pls tell me the drug most similar to Alcohol !, posted by morgan miller on September 24, 2010, at 0:47:42
> Ketamine and GHB both act very similar to alcohol on the brain.
What kind of drugs are those??
>
> What you really need to do is get some good old therapy and get to the bottom of why you are using alcohol as an escape.What do you mean by good old therapy?
-Also, you may want to go to some alcoholics support group, I'm just not too crazy about AA.
Well Im not an alcoholic in this moment , but is this pace i think i will be one
Posted by tepi on September 25, 2010, at 21:58:16
In reply to Re: Pls tell me the drug most similar to Alcohol ! » tepi, posted by sigismund on September 24, 2010, at 16:55:00
> You could bear these in mind.....
> GabapentinDo you know if u can take it with a Benzo?
> Baclofen
What is this???> Acomprosate (Campral)
and this??
> Lyrica (too toxic,IMO)
> theanine
> GABA under the tongue
> and benzos, as you know.
>
whici one is better for you? Benzos or GABA
Posted by tepi on September 25, 2010, at 22:07:14
In reply to Re: Pls tell me the drug most similar to Alcohol ! » tepi, posted by SLS on September 24, 2010, at 16:31:57
> > Please tell me what I can take similar to Alcohoool !!
>
> What is it about alcohol that appeals to you?
>
I need it to feel happy and to talk with people without fear> What is your illness and what are its symptoms? How does your illness make you feel? How does alcohol affect the way you feel?
>
A rare disease its a combination of depression , social phobia and mild psychosis i thinkI dont want to socialize with anybody , Im always alone , I dotn have friends , I have great fear of people , I feel everybody is watching me and I cant resist that , I dont like to talk nor to interact with the world
Im not living im just breathing air but I dont have feeling for anything
its very difficult to me to explain in words what I feel , Ive never been able to do it , nobody undertands me
Im layed on my bed watching tv , I dont want to do anything
I take Xanax 2 mg per day
Maybe PARNATE would help??
Posted by tepi on September 25, 2010, at 22:11:11
In reply to Re: Pls tell me the drug most similar to Alcohol ! » tepi, posted by Phillipa on September 23, 2010, at 23:53:35
> Tepi I don't know of one. Phillipa ps but you can't drink a lot or you surely will. What does the alchohol do for you?
I smile a little but its a different smile , its a real smile , I feel it deep . I feel alive
I enjoy a bit to be with somebody in that moment, I dont run or hide from people , I feel im a good people in those moments ,phillipa
Posted by SLS on September 26, 2010, at 6:02:25
In reply to Re: Pls tell me the drug most similar to Alcohol ! » SLS, posted by tepi on September 25, 2010, at 22:07:14
> > > Please tell me what I can take similar to Alcohoool !!
> >
> > What is it about alcohol that appeals to you?
> >
>
>
> I need it to feel happy and to talk with people without fearThat might explain the Xanax. It is possible that you are experiencing some behavioral disinhibition with both Xanax and alcohol, the consequences of which would make you feel more social and talkative with a reduction in fears and anxiety. In addition, Xanax is the BZD that produces the most robust antidepressant effect.
As you have already indicated, you may have comorbid depression (major depressive disorder or dysthymia) along with social anxiety that would be responsive to an antidepressant with or without gabapentin. If you are ready to take a MAOI, I would recommend trying Nardil before trying Parnate. There is more convincing data for the efficacy of Nardil for social anxiety and social phobia. If you should develop intolerable side effects, you might then go back and try Parnate. It seems that anhedonia comprises a large counterpart of your illnesses. Either MAOI is capable of addressing this.
- Scott
Posted by Jeroen on September 26, 2010, at 8:56:47
In reply to Re: Pls tell me the drug most similar to Alcohol !, posted by tepi on September 25, 2010, at 22:11:11
yes tepi i have it too, but now i got psychosises,and take hardcore medication so now i cant drink anymore
Posted by tepi on September 26, 2010, at 14:46:55
In reply to Re: Pls tell me the drug most similar to Alcohol ! » tepi, posted by SLS on September 26, 2010, at 6:02:25
> > > > Please tell me what I can take similar to Alcohoool !!
> > >
> > > What is it about alcohol that appeals to you?
> > >
> >
> >
> > I need it to feel happy and to talk with people without fear
>
> That might explain the Xanax. It is possible that you are experiencing some behavioral disinhibition with both Xanax and alcohol, the consequences of which would make you feel more social and talkative with a reduction in fears and anxiety. In addition, Xanax is the BZD that produces the most robust antidepressant effect.
>Yess , is that good Scott? I know alcohol is not good but I need something , can you think in something new? Ihavent go with psych doctor in years , I just talked with my first doc some time ago and he is always giving me these rare meds , like conventional AP together with SSRIS.
He has always sais Im a normal personal that must be able to have a normal life . Everybody look at me in that way , all people , all doctors , many think Im overeacting , that I just need to get distracted and live but I cant do it> As you have already indicated, you may have comorbid depression (major depressive disorder or dysthymia) along with social anxiety that would be responsive to an antidepressant with or without gabapentin. If you are ready to take a MAOI, I would recommend trying Nardil before trying Parnate. There is more convincing data for the efficacy of Nardil for social anxiety and social phobia. If you should develop intolerable side effects, you might then go back and try Parnate. It seems that anhedonia comprises a large counterpart of your illnesses. Either MAOI is capable of addressing this.
>
>
> - ScottScott maybe you dont remember be but Im the shy guy who has been complaining for years in this forum sorry . Yes I tried Nardil and it helped a little but its not enough, it has been the best but its not enough, so I quit it because I gained some weigth and now Im wondering what else to do , I want others med before keep the rest of my life in the way I was living
Regards Scott
Posted by tepi on September 26, 2010, at 14:48:51
In reply to Re: Pls tell me the drug most similar to Alcohol !, posted by Jeroen on September 26, 2010, at 8:56:47
> yes tepi i have it too, but now i got psychosises,and take hardcore medication so now i cant drink anymore
what is hardcore medication? .. I drink even with Nardil and never happended something wrong.
Im not an alcoholic , but when I go out I need to drink for sure to stay in calm and peace , othwerise I cant do it
Posted by Maxime on October 6, 2010, at 21:28:48
In reply to Re: Pls tell me the drug most similar to Alcohol ! » SLS, posted by tepi on September 26, 2010, at 14:46:55
> Scott maybe you dont remember be but Im the shy guy who has been complaining for years in this forum sorry . Yes I tried Nardil and it helped a little but its not enough, it has been the best but its not enough, so I quit it because I gained some weigth and now Im wondering what else to do , I want others med before keep the rest of my life in the way I was living
>Maybe you just need something to augment the Nardil like Abilify or something along those lines. I am on Parnate, but I still need Nortriptaline for my depression.
>
This is the end of the thread.
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