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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by joe f on December 6, 2015, at 20:45:41
phillipa talked to my family dr and says it could be the possible effect on the addition of tegretol that is the problem....because it lowered the klonopin from 3.o to about 2.0 quickly.....I think I might roll the dice and taper thr tegrtol ..I believe at such a low dose 400 and such a low level its at 5.0 the range is 4-12 ...whats the worse that can happen .....crisis....I believe this is the problem also and its time for a new dr....I am waiting for a PA to call
Posted by Phillipa on December 7, 2015, at 9:50:54
In reply to phillipa, posted by joe f on December 6, 2015, at 20:45:41
Joe I thought of you this weekend and knew that you would do has you said and contact your doctor. Has a medical doctor ben prescribing all your psychiatric meds for you? You say waiting for PA call. Meaning Physicians Assistant is this correct? I don't think I make changes on my own unless advised to. Anyway to see a psychiatrist as to me your case is both medical and physical? A Consult between the two? How do you feel today? Phillipa
Posted by joe f on December 7, 2015, at 11:54:06
In reply to Re: phillipa » joe f, posted by Phillipa on December 7, 2015, at 9:50:54
no here psych drs and med drs don't communicate ....my psych dr would not even call the other psych dr for an apt for me ....unfortunately the other dr can't see me for 2 weeks......I feel a little better for I am dosing my klonopin 3 times daily as prescribed....so went from 3 to 2 (because of tegretol) still believe some residual withdrawals speaking w an educated pharmacist and friend 2 morrow....would like to hang in there until appt....have lost faith in my current dr. maybe things will work out....if feel real badwill go to crisis....trying not to obsess....remember it was my current dr who told me to cold turkey off 60 Cymbalta for 2 weeks...thoughts.....and it could be something else going on
Posted by joe f on December 7, 2015, at 15:15:03
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 11:54:06
phillipa....opinion
Posted by Phillipa on December 7, 2015, at 17:21:16
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 15:15:03
Joe you must understand that I am no doctor and have no authority to advise you on what she should and should not take. Or even changes in the meds. When changing psychiatrists I always had to call another one myself especially to see if they accept your insurance. And if they have appointments. Getting close to Holidays is not ideal time to find a new doctor. Can the hospital give you a list of names to call or even the Crisis Center? Glad you feel somewhat better today. Phillipa
Posted by joe f on December 7, 2015, at 18:06:02
In reply to Re: phillipa » joe f, posted by Phillipa on December 7, 2015, at 17:21:16
well I got an appointment but it is 2 weeks from now
Posted by Phillipa on December 7, 2015, at 19:09:01
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 18:06:02
Excellent!!! Good job. Will you be okay for two weeks? What is your plan for the next two weeks? Phillipa
Posted by joe f on December 7, 2015, at 19:28:28
In reply to Re: phillipa » joe f, posted by Phillipa on December 7, 2015, at 19:09:01
honestly phillipa not sure I can hold it off that long...trust be won't hurt myself....if need to will go to crisis and swallow my pride....I know you are not a dr.....but maybe wrong med mix?Withdrawal? need different diag?
Posted by SLS on December 7, 2015, at 19:56:49
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 19:28:28
I am still concerned that your changes in mood, anxiety, and suicidal ideation might be side effects of Tegretol (carbamazepine), which you began taking only recently and coincides with your worsening.
- Scott
Posted by joe f on December 7, 2015, at 20:02:51
In reply to Tegretol side effects? » joe f, posted by SLS on December 7, 2015, at 19:56:49
I've taken tegretol for years at higher doses...all I wonder is if this time the tegretol was added after the klonopin and it would have dropped the klonopin from 3 to 2...
Posted by SLS on December 7, 2015, at 20:03:27
In reply to Tegretol side effects? » joe f, posted by SLS on December 7, 2015, at 19:56:49
> I am still concerned that your changes in mood, anxiety, and suicidal ideation might be side effects of Tegretol (carbamazepine), which you began taking only recently and coincides with your worsening.
http://www.rxlist.com/tegretol-side-effects-drug-center.htm
"Report any new or worsening symptoms to your doctor, such as: sudden mood or behavior changes, depression, anxiety, insomnia, or if you feel agitated, hostile, restless, irritable, or have thoughts about suicide or hurting yourself."
- Scott
Posted by SLS on December 7, 2015, at 20:14:57
In reply to Re: Tegretol side effects?, posted by joe f on December 7, 2015, at 20:02:51
> I've taken tegretol for years at higher doses...all I wonder is if this time the tegretol was added after the klonopin and it would have dropped the klonopin from 3 to 2...
Okay.
I hope you feel better soon.
- Scott
Posted by joe f on December 7, 2015, at 20:17:19
In reply to Re: Tegretol side effects?, posted by SLS on December 7, 2015, at 20:03:27
have....he says get another opinion...and see me in 3 weeks...its depression
Posted by joe f on December 7, 2015, at 20:18:29
In reply to Re: Tegretol side effects?, posted by joe f on December 7, 2015, at 20:17:19
what do you think sls.......drop in klonopin ...or maybe other issues
Posted by SLS on December 7, 2015, at 20:49:42
In reply to Re: Tegretol side effects?, posted by joe f on December 7, 2015, at 20:18:29
> what do you think sls.......drop in klonopin ...or maybe other issues
I think your idea needs to be considered by your doctors as a possibility. You might have to increase the dosage of Klonopin higher than 3.0 mg/day in order to compensate for the Tegretol.
Questions:
- When did you start taking Tegretol again?
- How did you feel before you started taking Klonopin for the first time? In what ways did it help?
- Why did you need to raise the dosage to 3 mg/day? How did you feel at 1 - 2 mg/day?
- Have you ever been suicidal before?
- When did you take your last dose of Cymbalta?
- When did your current suicidal symptoms appear?
Sorry for all of the questions. The answers might help your doctors figure things out. Perhaps you are suffering withdrawal from both Cymbalta and Klonopin at the same time. Cymbalta withdrawal can last for several weeks.
- Scott
Posted by Phillipa on December 7, 2015, at 20:50:25
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 19:28:28
Joe I feel time for crisis as too long to wait. Now before the Holidays. Please? Drug levels will be taken if you explain about the tegretol and lowering the dose of klonopin you are now on. Please keep me posted. Having medical conditions also means to me that the meds may effect you differently. Phillipa
Posted by SLS on December 7, 2015, at 20:58:55
In reply to Re: phillipa » joe f, posted by Phillipa on December 7, 2015, at 20:50:25
> Joe I feel time for crisis as too long to wait. Now before the Holidays. Please? Drug levels will be taken if you explain about the tegretol and lowering the dose of klonopin you are now on. Please keep me posted. Having medical conditions also means to me that the meds may effect you differently. Phillipa
I agree with Phillipa.
- Scott
Posted by Phillipa on December 7, 2015, at 21:05:15
In reply to Re: phillipa, posted by SLS on December 7, 2015, at 20:58:55
Scott makes the most sense and Joe will be monitored and kept safe. And all necessary lab work will be done. Glad you agree with me. Phillipa
Posted by joe f on December 7, 2015, at 21:19:38
In reply to Re: phillipa » SLS, posted by Phillipa on December 7, 2015, at 21:05:15
you guys are great....Cymbalta was stopped in may.....when I was an inpatient I was on 3 mg of klonopin along with low dose Prozac 20 mg ..dr added latuda and upped Prozac to 40 within 5 days felt great for about a week..then went manic Prozac raised Prozac to quick..and latuda did not seem to work...went back..dr put me back on low dose of Prozac 15 tegretol 400 lamictal 200 klonopin 2.5felt great for a week.seroquil 100for sleep slept best I slept in months was on seroquil as in patient no problem...then about 2 weeks later started.tegretol would have dropped klonopin dose was at three down to 2...dr says that's not it..was taking 50 Benadryl at nite also..STOPPED THAT..mix not strong enough?..i am dosing the 3 klonopin now as prescribed still only is 2.0 with tegretol and I may be dwelling on klonopin to much. Also bumped Lexapro to 20 5 weeks ago....do not think lex the best for ocd...thoughts...am talking with avery good pharma tomorrow....in a quandary...thoughts
Posted by joe f on December 7, 2015, at 22:55:51
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 21:19:38
please any thoughts.....i'm paranoid...but if it is klonopin how will they get me off of it without going crazy
Posted by cadett on December 7, 2015, at 23:00:10
In reply to Re: phillipa, posted by joe f on December 7, 2015, at 21:19:38
Has anyone tried botox for depression? Could this be a new treatment or just a fad. I see a lot of opinions about it and have considered it. Insurance won't pay but need relief!
Posted by joe f on December 7, 2015, at 23:22:44
In reply to Re: phillipa, posted by cadett on December 7, 2015, at 23:00:10
what could they possibly do inpatient to get me off klonopin if that's the culprit......that's what scares me
Posted by SLS on December 8, 2015, at 6:55:48
In reply to Re: phillipa » SLS, posted by Phillipa on December 7, 2015, at 21:05:15
> Scott makes the most sense and Joe will be monitored and kept safe. And all necessary lab work will be done. Glad you agree with me. Phillipa
Sometimes less is more...;-)
- Scott
This is the end of the thread.
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