![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 30 to 54 of 183. Go back in thread:
Posted by sukarno on April 15, 2005, at 21:30:25
In reply to Dopamine agonists as antidepressants, posted by sukarno on April 15, 2005, at 21:05:36
I forgot to mention that I remember taking dextromethrophan in the past for coughing years ago and it was quite strong. It made me feel drowsy, foggy-headed and a bit "spaced-out" like mild marijuana intoxication. That was with the standard dose...of course, I was also on Xanax at that time too (or Tranxene).
I wonder if this was a drug interaction with the benzo or because I could be a slow metaboliser.
Posted by sukarno on April 16, 2005, at 8:28:49
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
Heh. I was feeling pretty good most of the day but in the evening I started feeling anxious along with difficulty concentrating and a slowness of thinking... somewhat similar to what happens when one goes without a cigarette.
I took Stablon and then 30-45 minutes later felt a relaxation along with a restoration of my mental function.
I am guessing this is due to its short half-life.
Posted by ed_uk on April 16, 2005, at 19:54:06
In reply to Re: Panic, posted by sukarno on April 15, 2005, at 20:54:11
Hi Paul!
I've read your posts and also your email. I'll reply as soon as possible :-)
Ed.
Posted by ed_uk on April 17, 2005, at 18:23:56
In reply to Tianeptine withdrawal?, posted by sukarno on April 16, 2005, at 8:28:49
Hi Paul!
How are you doing???
>I wonder though, is it safe for Dave to take amineptine, a TCA, with selegiline, an MAO-b inhibitor?
I think he's been taking the combination for quite some time, I expect that if there was going to be an interaction he would have had symptoms shortly after combining :-)
>I've read that TCAs are contraindicated with MAO inhibitors. I know that my Stablon package insert says it is.
Some TCAs are contra-indicated with MAOIs, most notably clomipramine. Clomipramine + MAOI = serotonin syndrome because clomipramine is a potent serotonin reuptake inhibitor. Imipramine is rarely combined with MAOIs due to the risk of serotonin syndrome. Some TCAs such as desipramine do not usually appear to interact with MAOIs, desipramine is a norepinephrine reuptake inhibitor. There is no information on Stablon + MAOI, the manufacturer has therefore contra-indicated the combination.
>Have you heard of Parlodel? We have that here. What's your opinion of that drug?
Bromocriptine and other ergot alkaloids have (rarely) resulted in various fibrotic reactions after long-term use. As a result, many neurologists prefer the newer non-ergot dopamine agonists such as ropinirole.
>Do you have panic disorder?
No, I have multiple difficult-to-classify mental health problems!
>I suppose the stimulants such as amineptine and amphetamine could enable you to do multiple tasks?
Some people find that. Other people find that stimulants tend to make them 'hyper-focus' on one task for a long period of time.
>About the nortriptyline, since it is can inhibit the reuptake of serotonin, would that conflict with tianpetine, since it does the opposite? (accelerates/enhances the reuptake of serotonin)
Nortriptyline is predominantly a norepinephrine reuptake inhibitor, it has little effect on serotonin reuptake. I find it difficult to say what would happen if you combined it with Stablon.... AFAIK, no info is available on the interaction.
If you were to take nortriptyline again, do you think you would consult a cardiologist? I don't know whether the arrhythmias that you experienced on TCAs were serious- you didn't have an ECG done during the episode. If you were to take nort in future, I think you would need to be very closely monitored- possibly by a cardiologist. You could have your serum nort level monitored at each dose eg. 5mg, 10mg etc. Regular ECGs could be performed to monitor the QTc interval. You could have an ECG before treatment, several days after initiation of treatment, and a few days after each dose increase. I do think that you might find a low dose of nort very effective but there are risks involved..... considering your previous experience. I am concerned that you might experience serious ventricular arrhythmias on nort. Certain TCA-induced arrhythmias may be relatively benign but ventricular arrhythymias can be life-threatening.
I wonder how you would respond to a different NRI such as reboxetine. I know several people who have responded badly to reboxetine so I am cautious to recommend it. Nevertheless, you might find it effective. Although, reboxetine commonly causes sinus tachycardia, serious arrhythmias are unlikely.
>What do you think of the risks of amineptine with regards to hepatotoxicity?
I think you'd need to have regular monitoring of liver function- before treatment and at regular intervals during treatment. Make sure that your doc is knowledgeable about liver tests!
>If I am indeed a slow metaboliser (CYP2D6) does that put me at increased or decreased risk for hepatotoxicity from amineptine?
It probably doesn't make any difference. The only relevent study suggested that amineptine liver toxicity was *not* related to CYP2D6 status.
'These results show that hepatotoxicity of several drugs, including amineptine.........is related neither to an impairment in dextromethorphan oxidation capacity nor to an unusually high capacity to oxidize this drug.'
>Now, that bromocriptine (Parlodel) sounds good to me! lol. Is it good as an antidepressant too?
I think it's been found effective in a few case reports- it's not been well studied in depression.
>I forgot to mention that I remember taking dextromethrophan in the past for coughing years ago and it was quite strong. It made me feel drowsy, foggy-headed and a bit "spaced-out" like mild marijuana intoxication.
Dextromethorphan has been reported to be more sedating in poor metabolisers. It produces greater psychomotor impairment in PMs.
>I took Stablon and then 30-45 minutes later felt a relaxation along with a restoration of my mental function.
>I am guessing this is due to its short half-life.Do you take one tablet once daily? Can you cut the tablets and take it in divided doses? I'm not even sure
Kind regards,
Ed.
Posted by sukarno on April 18, 2005, at 2:09:34
In reply to Re: Many things! » sukarno, posted by ed_uk on April 17, 2005, at 18:23:56
Well, last night I was feeling just great. :-) Went to bed feeling fine and relaxed, then had the most intense dream of my life and woke up in a cold sweat and panicked. My wife really thought I was about to lose my mind.. her opinion of these drugs just keeps getting lower. The word "Stablon" already makes her cringe.
What is interesting is that I actually had a panic attack (hyperventilation attack actually) inside the dream.
I was quite shaken up by it and thought I would end up in a psychiatric hospital, but 5 hours later the trauma of the dream wore off.
I read that nightmares are a common side effect of Stablon. Perhaps I should switch to Survector. Does it cause nightmares too?
Seems like most antidepressants cause dream abnormalities. Maybe they interfere with REM sleep or increase the amount of time spent in REM sleep?
"Nortriptyline is predominantly a norepinephrine reuptake inhibitor, it has little effect on serotonin reuptake."
Ahh...no wonder I felt so motivated on nortriptyline! :-) I've been told that serotonin is not the key, but rather, norepinephrine when it comes to increasing ambition and drive/motivation.
I'm afraid to try it now though because of my reaction to Effexor (venlafaxine). Did Effexor raise my blood pressure because of its norepinephrine reputake inhibition or because of some other mechanism? I wonder if nortriptyline would do the same thing since it acts on NE.
I hope that Survector won't cause horrible dreams. Well, my dream wasn't horrible, but just too intense and I felt very shaken up by it.
Prior to being on drugs of any sort, I had a lot of panic attacks, but strangely enough, my dreams were just fine and I didn't have severe problems with depression or agoraphobia.
It could just be coincidence. Perhaps the panic disorder would have worsened in the future anyway. It did worsen after significant life events (marriage, divorce, moving to another city, etc).
Ed, are you sure you are not a doctor? lol.. you really know what you are talking about. Come on over to Dr. Shipko's website if you haven't already been there.Panic Disorders Institute
http://www.algy.com/pdi/ikonboard/ikonboard.cgi
Take care!
Paul :-)
Posted by sukarno on April 18, 2005, at 4:53:38
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
I've noticed that Xanax is not half as effective as it was prior to taking Stablon (tianeptine).
When I feel nervous from tianeptine, I usually don't take an extra Xanax, but I did a few days ago and also today and noticed very little additional anxiolytic effect from it.
Overall I'd say that for me, Stablon is not an anxiolytic, but is good for depression (in my case anyway).
I thought about adding or switching to Klonopin/Rivotril since it is very long-acting (one tablet seems to last about 12 hours) to counter the nervousness caused by Stablon.
Posted by ed_uk on April 18, 2005, at 11:17:07
In reply to Tianeptine decreasing effects of Xanax, posted by sukarno on April 18, 2005, at 4:53:38
Hi Paul!
>What is interesting is that I actually had a panic attack (hyperventilation attack actually) inside the dream.
I'm sorry to hear that :-(
I have heard of tianeptine causing nightmares. I've never heard of amineptine causing nighmares but I would imagine that it is possible!>I'm afraid to try it now though because of my reaction to Effexor (venlafaxine).
Was your BP normal when you tried nortriptyline before?
>Did Effexor raise my blood pressure because of its norepinephrine reputake inhibition or because of some other mechanism?
Possibly. Nortriptyline is more likely to decrease blood pressure because it blocks alpha-1 receptors.
>Come on over to Dr. Shipko's website if you haven't already been there.
I'd like to but I really mustn't- I already spend such a vast amount of time on the internet. If I go to a new site I will probably become addicted to it!!
>Xanax
Do you take the Xanax four times a day? Do you ever suffer from anxiety/withdrawal symptoms between doses? Do you have Xanax XR in Indonesia?
Kind regards,
Ed.
Posted by sukarno on April 18, 2005, at 21:54:19
In reply to Re: Tianeptine » sukarno, posted by ed_uk on April 18, 2005, at 11:17:07
Hi Ed! :-)
"Was your BP normal when you tried nortriptyline before?"
Back in those days I never checked my BP, but my psychiatrist did when I was on imipramine or nortriptyline (forgot which) and she said, "Your blood pressure could be a bit lower. You should take up some exercise."
I think she didn't want to scare me...maybe my BP was high.So I took up exercise and apparently it came down to normal, but that was back in the days when they didn't have BP machines in the supermarkets and shopping malls.
I'm still surprised how such a minute dose of Effexor could have raised my blood pressure and caused such symptoms. How did you like Effexor?
"Do you take the Xanax four times a day? Do you ever suffer from anxiety/withdrawal symptoms between doses? Do you have Xanax XR in Indonesia?"
Yep, four times a day, so I take it every 6 hours to keep the level as even as possible. At 0.5mg 4x/day I had rebound anxiety between doses, so I raised the dose gradually to 1mg 4x/day... at that point there was no more rebound anxiety.
Good thing about Xanax is that it's easy to reach steady-state! :-) Sometimes with Valium it takes a while to reach that "peak" and then "fine-tuning" the dose isn't easy as it can take days to feel any difference.
I wish there was Xanax XR here, but can't find it. I also asked a friend of mine up in Malaysia that works at Pfizer if they have it there, but she said there are no plans to market it in Malaysia.
Here in Indonesia we are further behind when it comes to meds (I think), so we probably won't ever see Xanax XR here.
What meds do you take now? Are they working well?
Posted by ed_uk on April 20, 2005, at 7:13:37
In reply to Re: Tianeptine, posted by sukarno on April 18, 2005, at 21:54:19
Hi Paul!!
>BP
I think you'd have to be sure to get your BP monitored regularly if you were to take nortriptyline again.
>reboxetine
It's possible that reboxetine might raise your BP quite a lot (considering your reaction to Effexor). It might actually be considerably worse than Effexor! - just a hypothesis....
>How did you like Effexor?
It made me drowsy and lazy like an SSRI. It didn't help my depression. I only took 150mg but I didn't want to increase the dose because of the side effects.
>At 0.5mg 4x/day I had rebound anxiety between doses, so I raised the dose gradually to 1mg 4x/day... at that point there was no more rebound anxiety.
Perhaps you'd have less side effects if you reduced your dose to 0.5mg six times a day. Hopefully this would avoid inter-dose anxiety.
>We probably won't ever see Xanax XR here.
I'm certain that we won't ever see it here either. 'Regular' Xanax isn't available on the National Health Service so it's virtually never prescribed.
>What meds do you take now? Are they working well?
I was taking lofepramine up until last week, I've been on it for about 2 years. I stopped taking it when I ran out! I'm not sure whether I'll get another prescription or not.
Kind regards,
Ed.
Posted by sukarno on April 24, 2005, at 9:51:19
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
This is scary. I hope it isn't that dangerous to take tianeptine, since it is metabolised by beta-oxidation? I've been on it for one month and have remained depression-free, and feel a more anxiolytic effect from it now, although in the morning I sometimes feel a bit "down"...I assume this is because of the short half-life of tianeptine.
1: Pharmacol Ther. 1995;67(1):101-54.
Inhibition of mitochondrial beta-oxidation as a mechanism of hepatotoxicity.Fromenty B, Pessayre D.
Institut National de la Sante et de la Recherche Medicale Unite 24, Hopital Beaujon, Clichy, France.
Severe and prolonged impairment of mitochondrial beta-oxidation leads to microvesicular steatosis, and, in severe forms, to liver failure, coma and death. Impairment of mitochondrial beta-oxidation may be either genetic or acquired, and different causes may add their effects to inhibit beta-oxidation severely and trigger the syndrome. Drugs and some endogenous compounds can sequester coenzyme A and/or inhibit mitochondrial beta-oxidation enzymes (aspirin, valproic acid, tetracyclines, several 2-arylpropionate anti-inflammatory drugs, amineptine and tianeptine); they may inhibit both mitochondrial beta-oxidation and oxidative phosphorylation (endogenous bile acids, amiodarone, perhexiline and diethylaminoethoxyhexestrol), or they may impair mitochondrial DNA transcription (interferon-alpha), or decrease mitochondrial DNA replication (dideoxynucleoside analogues), while other compounds (ethanol, female sex hormones) act through a combination of different mechanisms. Any investigational molecule should be screened for such effects.
Publication Types:
* Review
PMID: 7494860 [PubMed - indexed for MEDLINE]
Posted by ed_uk on April 24, 2005, at 12:00:30
In reply to Stablon (tianeptine) and hepatotoxicity, posted by sukarno on April 24, 2005, at 9:51:19
Hi Paul!
Take care not to combine tianeptine with other drugs which may increase it's hepatotoxicity- such as aspirin and the tetracycline antibiotics.
I think you should consider having regular LFTs, including a prothrombin time/INR, as is recommended for valproate.
Kind regards,
Ed.
Posted by sukarno on April 25, 2005, at 3:43:30
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
Seems like a few people have taken large doses, in some cases up to 240 tablets/day, of tianeptine without serious consequences.
Tricyclic antidepressants are well known for their toxicity in overdose with serious cardiac complications.
Why is this (supposedly) lacking in tianeptine? It is a TCA, eh?
I took 3 tablets yesterday and did notice a few heart palpitations and when I stood up I felt like I would faint (orthostatic hypotension), but nothing like imipramine or other classic TCAs.
Posted by sukarno on April 26, 2005, at 4:35:35
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
Seems like the longer I take this, the better I feel. The one thing I've noticed the past few days is a feeling like I am so "comfortable".. hard to describe and relaxed and want to hug everyone. Weird. Well, I read about Ecstasy and it has those effects.
Some sort of psychostimulant "hug-drug" effect.. I can definitely feel it. Mild euphoria. In the mornings I feel a bit down, but after taking Stablon I can feel it kick in about 30-60 minutes later.
Now I can see why a few people might abuse it. Very nice, clean drug. :) I just hope it continues to work!
:)
Posted by ed_uk on April 26, 2005, at 8:03:59
In reply to Stablon an entactogen? hehheh, posted by sukarno on April 26, 2005, at 4:35:35
Hi Paul!
>Why is this (supposedly) lacking in tianeptine? It is a TCA, eh?
Yes, it's a TCA. Most TCAs can cause arrhythmias in overdose because they block specific ion channels in the heart. Perhaps this effect is much less marked with tianeptine.
>Seems like the longer I take this, the better I feel. The one thing I've noticed the past few days is a feeling like I am so "comfortable".. hard to describe and relaxed and want to hug everyone.
Sounds good to me!
Regards,
Ed.
Posted by Declan on April 26, 2005, at 23:24:29
In reply to Stablon an entactogen? hehheh, posted by sukarno on April 26, 2005, at 4:35:35
Very interesting. Keep us posted.
Declan
Posted by sukarno on April 28, 2005, at 2:42:36
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
Hi, I have some Valium and Klonopin (Rivotril) which are 2 1/2 and 4 years old respectively.
Do these medications become toxic with age? I thought I had read that Klonopin can become toxic to the kidneys when it is expired, but a pharmacist I asked wasn't sure if it will become toxic or not.
What's the general consensus on expired benzodiazepines?
Reason I ask is because I'm almost out of Xanax and it isn't working well enough to stop my night terrors (nocturnal panic attacks), so I was thinking of substituting either Valium or Klonopin for my nighttime Xanax dose.
Thanks very much in advance! :)Paul
Posted by pro_social_soon on April 30, 2005, at 7:37:59
In reply to Expired medications... safe to take?, posted by sukarno on April 28, 2005, at 2:42:36
> Hi, I have some Valium and Klonopin (Rivotril) which are 2 1/2 and 4 years old respectively.
>
> Do these medications become toxic with age? I thought I had read that Klonopin can become toxic to the kidneys when it is expired, but a pharmacist I asked wasn't sure if it will become toxic or not.I used to take Valium which was 4 years expired and was working like normal Valium. Just my 2 cents.
Oh btw. what dose of Stablon are you on? Do you take any other meds?
Take care
Posted by sukarno on April 30, 2005, at 10:35:49
In reply to Re: Expired medications... safe to take? » sukarno, posted by pro_social_soon on April 30, 2005, at 7:37:59
Hi there. :-)
I'm back up to the manufacturer's recommended dose of 12.5mg 3x a day.
Other meds I take are Xanax 1mg 3x/day and 1.5 to 2mg at bedtime; famotidine (Pepcid) 20mg every 6 hours for acid reflux.
I've found Stablon to reduce the effectiveness of Xanax and have had headaches and nightmares which haven't gone away with prolonged use (of Stablon).
I'm about to give up on the Stablon "experiment" because of the headaches (a chronic, vascular headache in the temples and front part of the head that starts up after my 2nd pill of the day in the late afternoon and goes away by morning) and nightmares/vivid dreams.
It also hasn't lifted me out of my amotivational syndrome despite its antidepressant effect.The good side is that I feel better in terms of less anxiety/worry, less asthma symptoms and no depression whatsoever.
I think the headaches are just too much, so I'm going to try Survector (amineptine) next at a low dose (maybe 25 to 50mg to start) and have a liver function test.
I'm also contemplating a Xanax withdrawal via gradual Valium substitution and taper.
Xanax just isn't effective enough on Stablon. Even higher doses don't do much good. I feel I probably need a longer acting benzo if I'm going to be on antidepressants.
I just hope Survector doesn't give me headaches! :-)
Overall, I'd say Stablon is excellent for depression and also somatic complaints or accompanied excessive worrying..and possibly even good for panic attacks!
Has anyone else here had headaches on Stablon? You know how a caffeine withdrawal headache is eh? It's exactly like that, except I don't drink coffee or any caffeinated beverages.
Thanks for writing. I hope others can find Stablon useful. I don't think taking paracetamol or ibuprofen on a daily basis would be a good idea just to reduce the headaches caused by it.
Paul
Posted by ed_uk on April 30, 2005, at 14:07:30
In reply to Stablon experiment coming to an end., posted by sukarno on April 30, 2005, at 10:35:49
Hi Paul!
It's seems you've had a love-hate relationship with Stablon! I hope Survector works well :-) Did you ever find out whether it is still being manufactured in Indonesia?
When will you be starting Survector?
Kind regards,
Ed.
Posted by sukarno on April 30, 2005, at 15:14:10
In reply to Re: Stablon experiment coming to an end. » sukarno, posted by ed_uk on April 30, 2005, at 14:07:30
Hi Ed! :-) Great to see you back here again. How are you doing? Are you still on lofepramine?
Yeah, too bad about the headaches. The headache did seem to dissipate quite a bit when I took another Xanax. Maybe I should try taking more benzos if that will help the headaches and night terrors?
Maybe I should just go straight to Survector though.
I still haven't heard from that doctor friend of mine. She is so busy. I did call the pharmacy that she recommended, but just got voice mail, so I sent her an SMS (text message) to ask the pharmacist for some Survector.
I'll just try my best to speak the local language with the pharmacist and find out if it is being locally produced. That would be great if it was! :-)
Putting things into perspective, abuse and liver damage are quite rare when compared to the possible millions of prescriptions which were filled for Survector over a 20 year period.
I really need something to give me a healthy motivation. Survector seems to be good at doing that from what I've read.
I hate to be my own doctor, but the pdocs here, just as in the US, are all on the SSRI bandwagon. When it comes to panic disorder, they are even less knowledgeable.
I know what I'll do... I'll ask my wife to translate into Indonesian language what I need to ask the pharmacist about whether it is being produced locally. That oughta do the trick! Or just go there in person. :-)
I'm really looking forward to having a normal life for once... it has been 17 years of a somewhat non-existance. :(
Posted by ed_uk on April 30, 2005, at 16:14:25
In reply to Re: Stablon experiment coming to an end., posted by sukarno on April 30, 2005, at 15:14:10
Hi Paul!
>How are you doing? Are you still on lofepramine?
I'm ok thank you :-) I stopped the lofepramine a couple of weeks ago, I haven't had any withdrawal symptoms. I'm not taking any medication at the moment. I might go back on medication in the future but only if I find someone who is willing to prescribe something other than an SSRI or Effexor! A stimulant might help me but only if it didn't cause anxiety, obsessiveness or 'hyperfocusing'.
>Maybe I should try taking more benzos if that will help the headaches and night terrors?
You might have more side effects if you do :-(
Does paracetamol help the headaches?>I still haven't heard from that doctor friend of mine.
Keep texting! Do people even say 'texting' in other countries? I've been wondering whether it's a 'UK thing'.
>I'll ask my wife to translate into Indonesian language.......
Is your wife Indonesian?
Kind regards,
Ed.
Posted by sukarno on May 1, 2005, at 3:24:03
In reply to Developing side effects to tianeptine (Stablon), posted by sukarno on March 25, 2005, at 5:30:58
I have confirmed that Survector is manufactured locally here in Indonesia. The supply is not limited. Pharmacist said it is only being produced in Indonesia. I think it is still being made for Servier (the local pharmaceutical company has a license from Servier to produce it here...that's my guess). That's all I can say on Dr. Bob's site.
You'll have to email me if you want to know more. xxx
hehheh.. :-)
Posted by ed_uk on May 1, 2005, at 11:43:36
In reply to Survector, posted by sukarno on May 1, 2005, at 3:24:03
Hi Paul,
>I have confirmed that Survector is manufactured locally here in Indonesia. The supply is not limited.
Wow! Do you think you'll be starting Survector soon?
Ed.
Posted by sukarno on May 1, 2005, at 13:57:20
In reply to Re: Survector » sukarno, posted by ed_uk on May 1, 2005, at 11:43:36
Hi Ed! :-)
I'm not sure when I'll start taking it, but I just ordered 30 tablets (5 strips of 6 tablets each, 100mg) from the pharmacy and he should deliver tomorrow or the next day. He said he'll call me if there's a problem.
When I asked about diazepam, he didn't want to have anything to do with that and said, "diazepam is illegal drug." but after explaining that I could produce a prescription for it he said it is ok, but he doesn't stock that.
Funny thing is that he will sell me Xanax without a prescription. Weird...
At least I can get Survector from this guy without any hassles. I can get diazepam from another pharmacy I guess. I'm just afraid to go to a GP or pdoc and say, "Hey, well, you know I was thinking about quitting Xanax and Prof. Heather Ashton says 1mg Xanax is equivalent to 20mg diazepam for purposes of tapering...." Well, I think I would have a hard time finding a doc who would give me 80mg of Valium a day. *lol*
If I wasn't on Stablon or Survector then I would be ok with just Xanax, but Stablon has enough of a "stimulant" effect that Xanax can't keep away the night terrors caused by it (unless I take a double-dose at bedtime of 2mg) and it seems much more short-acting while I am on Stablon. Maybe my body will eventually adjust more to Stablon with time *shrugs* :-( I hope so!
It's just the headaches (they weren't so bad today) and the vivid dreams/night terrors which are the problem.
Xanax just won't cover for the nighttime anxiety in the prescribed dose of 1mg 4x/day.
I suppose I could remain on Xanax for daytime use and take something like Rivotril or Valium for nighttime to suppress night terrors? What would you do?
Is that a good idea? I hate to be my own doctor, but I've seen the psychiatrists here and they are equally or more clueless than the ones back in the states.So far, so good with the depression though! I feel happy! :-)
Take care!
Paul
Posted by ed_uk on May 1, 2005, at 15:48:06
In reply to Re: Survector, posted by sukarno on May 1, 2005, at 13:57:20
Hi Paul!
>When I asked about diazepam, he didn't want to have anything to do with that and said, "diazepam is illegal drug." but after explaining that I could produce a prescription for it he said it is ok, but he doesn't stock that.
It's strange how opinions are so different in different countries. Here, diazepam is THE benzo for anxiety. Lorazepam is the benzo which docs won't prescribe. To be fair, all benzos are stigmatised here. My old pdoc *never* prescribed any other benzos for anxiety apart from diazepam.
>I suppose I could remain on Xanax for daytime use and take something like Rivotril or Valium for nighttime to suppress night terrors?
You could try taking Xanax three times a day and Rivotril in the evening. Do you still have no motivation?
Kind regards,
Ed.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.