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Re: Nuedexta, Ketamine, cannibas, Please?

Posted by ed_uk2010 on January 27, 2015, at 6:46:28

In reply to Re: Nuedexta, Ketamine, cannibas, Please?, posted by b2chica on January 26, 2015, at 18:01:34

Hi B2,

Did you get the Zyprexa?

>she said' i dont think you understand that i cant rx anything if you...." i cut her off and very succinctly said. "no, i dont think you understand. i have been asking for WEEKS for help...

It's easy to say 'you shouldn't have taken that' etc when she's feeling normal herself.

I think you'll be able to reduce your use of other meds very soon, once you're feeling better.

>other meds

I'm not sure how long you've taken the other meds for.

How long have you been taking hydrocodone and gabapentin? If it's for more than a week (or so) you should probably reduce and then stop over a few days. For example, by taking 300mg gabapentin twice a day for 2-3 days then once (at night) for 3-4 days and then stop.... and by taking 5mg hydrocodone twice a day for 2 days then half a tablet twice a day for 3 days then stop. I'd strongly advise avoiding higher doses or longer tapers since your use has been short term. Hydrocodone use can lead to rapid dependence, and gabapentin could contribute to your memory loss. If you drive, it would be best not to do so at the moment.

If (on the other hand) you've only taken the above meds for a few days, I think you should just stop abruptly. There's no point in extending the use of these meds and hence risking dependence if you've only been taking them for a few days.... but if there's any chance you've taken them for long enough to develop a mild dependence you should probably reduce over a few days. It's not a good time to risk withdrawal symptoms while you feel so unwell.

Let us know how you do with the Zyprexa. You shouldn't need many PRN doses of haloperidol or perphenazine if you're taking regular Zyprexa. If you do take either drug (not both!) as needed, keep the dose nice and low. Excessive PRN doses of antipsychotics may have the opposite effect and make you feel worse. For example, 2-3mg haloperidol PRN might be calming, 5mg might give you a muscle spasm or restlessness.

Take care B2.




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