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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 33. This is the beginning of the thread.
Posted by Blackbird on October 2, 2005, at 15:16:36
Hello what is a good drug for social anxiety
Does deprenyl or modafinil work?
Thanks
Posted by med_empowered on October 2, 2005, at 16:03:18
In reply to Social anxiety, posted by Blackbird on October 2, 2005, at 15:16:36
Hey! There are **lots** of options for social anxiety. Standard practice lately seems to be giving an SSRI first; a benzo is used if the anxiety is severe or has proven treatment-resistant (to an SSRI). But...MAOIs are good; they're just not first-line in most cases...I imagine most docs would prefer to give Klonopin or something before an MAOI b/c of the potential complications. Modafinil can work from a stimulant angle, but a lot of docs still seem to buy into the stimulant=anxious, sedative=calm theory of anxiety...its way oversimplified, as anyone who has anxiety can tell you, but...it persists nonetheless. Buspar is a worth while add-on for some people; if it works, it can be very helpful...on the other hand, the side-effects can suck and it doesn't help everyone, and it takes a couple weeks to start working full-strength. The tricyclics are an option but...if you can take an SSRI, or Effexor, Remeron, or Cymbalta, you might want to try one of those first; tricyclics can be kind of hardcore in terms of side-effects. Mood-stabilizers help some people...trileptal, keppra, etc. can help with anxiety. In my experience...its not that great. Overall anxiety levels go down a bit, but at the dosages required for an anxiolytic effect, drug-induced stupidity becomes a big problem. Anyway, good luck, and please do keep us all posted.
Posted by zeugma on October 2, 2005, at 16:27:37
In reply to Re: Social anxiety, posted by med_empowered on October 2, 2005, at 16:03:18
I did not find buspirone helpful for social anxiety. Strattera, nortriptyline, modafinil: not helpful. Clonazepam IS helpful, but as many have observed, it is not a 'pro-social' drug (whether it is desirable to have a drug that alters one's propensity for socialization is debatable,however).
Ritalin: increased general anxiety, tremendously. But strangely, made me more interested in social interaction, and made such interaction less anxiety-provoking. I became much more extroverted and assertive on Ritalin. Too bad it worsened general anxiety, caused anorexia, made me irritable and disorganized. I still am unsure it is desirable to have one's personality parameters reset by a drug. But personality disorders are included in the DSM, so they are officially a valid target for psychiatric intervention. I don't know.
-z
Posted by blueberry on October 2, 2005, at 16:40:27
In reply to Social anxiety, posted by Blackbird on October 2, 2005, at 15:16:36
Kind of like treating depression, treating social anxiety is kind of hit and miss, trial and error. Some people find stimulants helpful while others find benzos helpful. Total opposites. Most doctors would probably say SSRI antidepressants are the first to try, and later on MAO inhibitors. Low dose zyprexa or other antipsychotics can be good. Benzos, stimulants, or antipsychotics should work real fast, if they are going to work, while antidepressants take weeks.
In years gone by, trying to treat my depression, I accidentally discovered some things that worked real good for making me comfortable in a crowd. One was the antipsychotic amisulpride. Another was the nootropic smart drug adrafinil. And an herb that worked real good for me, for a while, was st johns wort.
Too many choices. We all respond so differently that I think trial and error is the only way to find out what works.
Posted by Phillipa on October 2, 2005, at 18:54:47
In reply to Re: Social anxiety, posted by blueberry on October 2, 2005, at 16:40:27
I don't understand why pdocs think that an SSRI can help anxiety, panic. I've tried them all and am currently trying to take lexapro low dose 5mg. But valium too. Fondly, Phillipa
Posted by tizza on October 3, 2005, at 1:52:38
In reply to Re: Social anxiety, posted by Phillipa on October 2, 2005, at 18:54:47
I find that ativan or valium work for me in social situations when I suffer from social phobia but if you choose this line of approach don't drink or you'll be staring at the floor all night. good luck, Paul
Posted by RobertDavid on October 4, 2005, at 0:01:28
In reply to Re: Social anxiety, posted by tizza on October 3, 2005, at 1:52:38
I have battled with Social Anxiety all my life. In my teens I self medicated with alcohol. I was on a life long search for the answers, tried all kinds of therapy, then after little help resorted to meds. I tried every anti depressant out there. None worked, just side affects. Finally settled on Klonopin and have been on it for 11 years. Changed my life, but my mood was always a bit down. I have been looking for a better alternative for years, searching, reading and talking with my doc (one of the best anxiety dr's in the world). He told me 6 months ago about Lyrica. It has just been approved and in 1.5 weeks am at half way to being totally off Klonopin and solely on Lyrica. My anxiety is low and my mood is up. Klonopin did help me, but it I was never better than 70% and wanted to be 100%. There is always hope, new meds, new information. I'm really keeping my eye on EMSAM, the MAOI patch that my doc tells me should be out in the next 6 months or so. I've always wanted to try one, but never wanted to gain the weight, loose my libido and have the food restrictions. It appears that the patch will resolve those issues. I plan to stay with Lyrica and when the patch comes out, blend them (unless I'm close to my 100%). My doc says Lyrica will be okay to take with the patch. Anyway, sorry for the long babble. I hope it's useful to someone out there.....
Posted by JaneB on October 4, 2005, at 11:37:11
In reply to Re: Social anxiety, posted by RobertDavid on October 4, 2005, at 0:01:28
Posted by JaneB on October 4, 2005, at 11:47:58
In reply to Tell me more about lyrica please (nm) » RobertDavid, posted by JaneB on October 4, 2005, at 11:37:11
Posted by RobertDavid on October 4, 2005, at 14:43:27
In reply to Whoops! Found your other posts below. Thanks (nm) » JaneB, posted by JaneB on October 4, 2005, at 11:47:58
I took Neurontin once as a blend, but it didn't work and I had side affects. I have taken Klonopin for 11 years. It made me functional, I could leave the house and actually work again. But I always seemed to lack a "zest" and seemed a bit depressed. I was also kind of flat if you will. Some refer that feeling to the "benzo buzz".
So through the years I tried everything. I read about everything. Nothing worked. The only med I didn't try was a MAOI which I believe would work and work great, but never could get myself to go with gaining 10% of my body weight, most likely lose my libido not to mention the issues with certain foods.
So I have kept on with Klonopin and have played with the dose. The high end was 3mgs once a day at bedtime. It worked okay for my anxiety, but I was otherwise feeling kind of out of it. I finally made a decision to drop down to a lower level, but found how hard that was to do. It took me 4 months to get from 3 to 2 mgs to minimize the withdrawals.
I have been at 2mgs for 3 years and been functional. It never really helped me sleep and I have always suspected it affected my mood. I have been fortunate to be able to work with a dr. that is one of the leading researchers and experts in the world regarding anxiety and depression. He told me 6 months ago that Lyrica could be an answer for me to get off Klonopin and improve my mood.
Finally it's out. I was shocked when he laid out a plan to have me completely off Klonopin and 100% on Lyrica in about 3 weeks. I was so concerned about withdraws not to mention my lack of response (or side affect profiles) of the other meds. Anyway, day by day I'm feeling so much better, no anxiety and my mood is soaring. I'm down to 1mg on Klonopin and at 100mg of Lyrica. Every three days I drop down .25 on the Klonopin and go up 50mg on the Lyrica.
My doctor says that Lyrica is in application with the FDA for anxiety disorders. He really likes the studies he's seen and seems to understand exactly how it works on the GABA receptors. GABA is what Klonopin works on, but it works on it in a different way. Lyrica is not a benzo so getting off of it, should I choose to will be much easier. And should I want to try the upcoming MAOI "EMSAM" that he tells me will be out in about 6 months (which will apparently eliminate the major side affects and the food issues) I will be able to take them both at the same time.
There is lots of info on Lyrica by doing web searches. You mentioned sleep and pain. It's ironic that pain and helping people with pain sleep is what Lyrica is approved for by the FDA. For me, those are just positive side affects. I am sleeping much better. It also improves moves and studies report that it acts as an anti depressant. Sounds even better for you.
Basically what my doctor says (and again, he is one of the few that really knows these meds) that Lyrica delivers a very potent drug similar to Neurontin, but at low low doses. It's somewhat different in other ways. It will be a replacement drug for those that take Neurontin, but unlike Neurontin will be more affective for people like me (and perhaps you). The side affect profile is small and any dizziness or that sort of thing disappears within a few days, at least for me.
Like you I am so tired of searching for answers. I've tried it all. The SRI's don't work for me and I believe really only works good for about 25% of the people that take it for anxiety. I've tried everything else, all kinds of blends, psycho tropic meds and have just stuck with Klonopin and have just been waiting for new meds to come out. The two I have been waiting for have been Lyrica and EMSAM as mentioned.
This is the first time every I have had a positive affect so quickly. And while I'm withdrawing from Klonopin too. Hard for me to believe. I'm feeling so good I pray this won't change. My doc says it will just get better as when I'm off Klonopin I'll be at 300mg of Lyrica. May need to go to 450mgs, but he believes in taking the lowest dose that's effective.
From what you tell me, though I'm not a doctor (but feel I know more about meds and this lousy disorder than most) you sound like a prime candidate for Lyrica, with your pain, sleeping issue, anxiety and depression, all things this single drug improves.
But if you go on it, you'll need to taper off Klonopin as you go up on the Lyrica. If you take both it will be a bit much and you will feel that sedated feeling as it's like doubling up on the Klonopin.
Anyway, how's that for a short answer. Sorry to rattle on. I hope you find some of this helpful. I so understand how you feel. I'm 49 and have dealt with this all my life. I even went back to school and got a degree in psych because at that time, 20 years ago there were so few people that knew how to treat this curse of a disorder.
It's really working for me. Nothing else has with the exception of Klonpins partial benefits. I just hope it continues....
Posted by Tom Twilight on October 4, 2005, at 16:30:09
In reply to Re: Social anxiety, posted by RobertDavid on October 4, 2005, at 0:01:28
Sorry to be negative, but I thought I'd just offer an alternative perspective on Lyrica/Pregabablin for Social Anxiety
I had high hopes for Lyrica, and it did seem to work well intially, unfortunatly tollerance developed within days, and higher doses just made me more anxious!
Tolerance to Lyrica didn't really reverse with time either, unlike Benzo's.Having said that I'm a fairly hard case to treat, although I did respond to Klonopin it made me quite depressed.
SSRIs, TCAs Diazepam e.c.t haven't worked for me, perhapse others will be luckier
Posted by RobertDavid on October 4, 2005, at 16:42:30
In reply to Social Anxiety-Lyrica didn't work for me!, posted by Tom Twilight on October 4, 2005, at 16:30:09
May I ask how long you tried Lyrica? What dose were you on? Once a day?
Posted by Tom Twilight on October 5, 2005, at 15:50:25
In reply to Re: Social Anxiety-Lyrica didn't work for me! » Tom Twilight, posted by RobertDavid on October 4, 2005, at 16:42:30
Hey Robert
I started off on 900mgs a day
Perhapse my starting dose was to high?
It still seems odd that tolerance hasn't reversed over time, I would have thought that would happen with all Drugs
Posted by RobertDavid on October 5, 2005, at 16:41:48
In reply to Re: Social Anxiety-Lyrica didn't work for me!, posted by Tom Twilight on October 5, 2005, at 15:50:25
Tom:
I started at 50mgs. Every 4 days go up 50mgs. At the same time I started this while taking 2mgs of Klonopin. Each time I go up on the Lyrica I go down .25 on the Klonopin. My doctor want me to end up somewhere between 300 and 450mgs of Lyrica and be off the Klonopin. Sounds like an extreamly high dose you started on. I guess every doctor has their thoughts on this stuff. Good luck with it!
Posted by JaneB on October 5, 2005, at 17:29:47
In reply to Re: Social Anxiety-Lyrica didn't work for me!, posted by RobertDavid on October 5, 2005, at 16:41:48
If Neurontin gave me headaches does that mean Lyrica would also?
Exactly what is the reason for replacing Klonopin with Lyrica? Is it that Lyrica will help more with depression yet have the same anxylotic results as Klonopin? Is there enough benefit to justify the increased cost? Especially if Lyrica is not even on my plans formulary?
I forget, did you ever try Lamictal?
When I tried Lamictal I was also on Effexor and they didn't do well together but I was under extreme stress.
Now I am not under extreme stress and cannot understand why I can't function optimally. My brain needs something. And a few months ago I celebrated on the withdrawal board that I was off Zoloft and Klonopin. I have restarted the Klonopin (.50/day) but debating what to ask Dr. for to help returning depression. Zoloft made my cholesterol levels go sky high and gave me severe stomach distress.
I am open to suggestions.
Jane> Tom:
>
> I started at 50mgs. Every 4 days go up 50mgs. At the same time I started this while taking 2mgs of Klonopin. Each time I go up on the Lyrica I go down .25 on the Klonopin. My doctor want me to end up somewhere between 300 and 450mgs of Lyrica and be off the Klonopin. Sounds like an extreamly high dose you started on. I guess every doctor has their thoughts on this stuff. Good luck with it!
Posted by RobertDavid on October 5, 2005, at 18:59:10
In reply to Re: Social Anxiety-Lyrica didn't work for me!, posted by JaneB on October 5, 2005, at 17:29:47
Jane:
I've spent 20 years screwing with these damn meds to try to get my anxiety under control. All I've had from anti depressants and other psycho tropic meds were side affects. I've spend years searching, reading trying meds. Seems I'm not the only one whos been doing that. Anyway, I did try Neurontin, but it didn't work. My understanding is that Lyrica is replacing Neurontin for disorters such as pain, trouble sleeping and epilepsy. But my dr. who I pay a ton to see and who is one of the leading reaserchers in the world has told me that Lyrica is much "cleaner" and much more potent than Neurontin and and significantly lower doses. That there are studies (just do a web search for Lyrica and Anxiety/Depression) that suggest that it works well for GAD/SAD and has anti depressant properties. I also believe it has some other chemical differences. So for your headaches it would seem highly possible that Lyrica may not have the same effect (as you will not be taking anywhere near the same dose). My reason for replacing the Klonopin is that after 11 years I'm not real happy, seem down, flat and have lost my zest for life. The Klonopin did help with the anxiety I'd say a 70% benefit, but 70% just isn't good enough anymore. I have known Lyrica was coming out 6 months ago and my doctor and I waited to try it until it's recent release. He believes I may have a very positive response (which is true so far) and can not only tackle my Social Anxiety, but treat my depression as well. I have tried before to get off the Klonopin and did go down from 3mgs a day to 2, but that was hell with the withdrawls. Now I'm going down fast on the Klonopin and up on the Lyrica and to my surprise (as I really feel the side affects of most meds) am tolerating it well. It's amazing to me that I may get off the Klonopin in less than a month. I am expecting that I will go through some tough moments as my body adjusts, but I want to give this my best shot. I have had a few days that I feel better than I can remember and some where I'm a little edgy, but know that my mind/body must be going through a lot of chemical changes. So as for Lyrica, I love the fact that it not only works well for anxiety my number one problem, but also seems to work as an anti depressant. Also I love the fact that it is supposed to imporove sleep quality and releaves pain for those that it's current approved for (I'm hoping that will help some of my aches and pains). Regarding Lamictal and Effexor, nothing but side affects, zero help. I've tried them all (execept the MAOI's - but would love to try the EMSAM MAOI patch that will be out in 6 months or so). If you are under stress the Klonopin should help. .5 would seem to be a very small dose, but I believe you should take the smallest dose possible that works. As for you're depression I feel the typical SRI's are over rated. At least they did nothing to help me. If the EMSAM patch was out I'd say give that a try. For those that are treatment resistant they say (my doctor too) that Nardil typical gives a very good response (but you'll gain weight, probably have an affect on your libido and will have to avoid certain foods). I have read many stories and heard my doctor say that Nardil is a marvelous drug for those of us out there who are otherwise treatment resistent for depression. Otherwise perhaps you might try other meds to treat your depression not related to the SRI's such as Zoloft such as Wellbutrin, Remeron, etc. On the other hand perhaps Lyrica may handle it all. Everyones chemistry is different and I suppose that's why there are so many different meds to choose from. I'm certainly not a doctor and sorry if I sound like one here, I'm just giving you my thoughts based on my own research and experience. I hope some of it was helpful!
Posted by zero on October 6, 2005, at 10:34:58
In reply to Re: Social anxiety, posted by RobertDavid on October 4, 2005, at 0:01:28
Interesting post.
My experience w. Klonopin and Social Phobia is very similar to yours. Have taken Klon. for over 10 yrs. Started at 3mgs./day, lowered (easily) to 2mg./day after a year or so. Klon. helps a good deal, but makes me depressed. It's a compromise, and the best I've been able to find so far. Antidepressants make me hypomanic (even w. a mood stabilizer), so that route is out for me. I tried Neurontin, which helped both SP and depression for about 6 months, at which point its effects started to fade.
I'm very interested in your continuing experience with Lyrica (I'd bet others here are too - SP/SAD seems to be a common problem). Hoping you'll keep us updated.
Thanks for your post, and best of luck.
zero
Posted by RobertDavid on October 6, 2005, at 13:56:50
In reply to Re: Social anxiety, posted by zero on October 6, 2005, at 10:34:58
zero:
Sounds like we've had the same experience. None of the other meds worked for me, not even close. None of the anti depressants and I've tried them all. If the Lyrica will hang in there for me and get me off klonopin, I'll be happy. I'm looking down the road at EMSAM (the MAOI patch) as what I believe will be the solution for me for both the social anxiety as well as depression. Those of us that are treatment resistant to other meds seem to be great candidates for the MAOI's. I just could never get myself to try Nardil or Parnate with all the side affects and food restrictions. I have tried to come down from the Kolonpin before without any other medication. Each .25 dose reduction was hell for 10 days. Right now I'm down 1mg in a few weeks and up to 150mgs on Lyrica. Some days seem better than others and I think a lot of it is certainly not only introducing a new drug to my system, but the withdrawl of klonopin. That being said, I never could have dropped down on the klonopin so quickly. In my opinion klonopin is a very good medication for anxiety. I improved about 70 to 80% while taking it. I'd like to improve that, but as important want to start to enjoy life again as nothing seemed fun, not much quality of life while taking it. I also found that at times I seemed to be more daring and do things I'm not sure I would have otherwise. Anyway, I've got an appointment with my doctor today to discuss this agressive plan I'm on getting off klonopin while going up on the lyrica. For now, one day at a time, I'm hopefull when I'm done the Lyrica will be the answer for the anxiety while lifting my mood. We'll see.....
Posted by JaneB on October 9, 2005, at 12:07:31
In reply to Re: Social anxiety, posted by RobertDavid on October 6, 2005, at 13:56:50
I took your advice and did a google search on Lyrica. I came up with a most distressing discussion board with pharm reps discussing Lyrica and the money it was going to make them and the 7% weight gain and it decreasing male rats fertility.
http://www.cafepharma.com/ubbthreads/showthreaded.php?Cat=0&Number=1027332&page=&vc=1
Posted by RobertDavid on October 9, 2005, at 12:35:51
In reply to Lyrica » RobertDavid, posted by JaneB on October 9, 2005, at 12:07:31
Jane:
I read your post and link to info on Lyrica. Though I like the insight of all, I'm not going to base conclusions from what one anonymous pharm rep had to say. The other posts I saw there did not go into any detail. I have read so many other positive web posts regarding studies, etc. More importantly to me my doctor read and was involved with some of the studies on it (as he is involved with drug development and research for anxiety) and he said that weight gain should not be a problem for me, that some gain weight at high doses. I'm keeping an eye on that. As far as infertility in rats, I'm guessing that was at higher doses than humans take, but not sure though. I would speculate to say that if that side affect was significant I would have seen it on the info on side affects when I picked up my perscription. I just know that all these drugs affect people differently, some will have certain side affects, some will not. It will work for some, not for others. For me, it's too soon to tell. At the very least it is proving to be affective in getting me off klonopin at a much faster and easier pase than I could without medication. Then if I don't like Lyrica, getting off it will be very quick and easy (my doctor says) vs klonopin. All that being said I don't think it's a cure all for anxiety, but perhaps another option to try if everything especially when everything else has failed for SAD or GAD. Klonopin worked the best, but just not good enough for me. I've tried just about everything else excluding the MAOI's with would probably work great, I just never wanted to go with all the significant side affects. That being said I'm definatly trying EMSAM (the MAOI patch-my doctor thinks very highly of it)as soon as it's available. Lastly I would just recomend looking at other web posts for Lyrica and anxiety. There's lots of other info out there.
Posted by JaneB on October 9, 2005, at 14:28:24
In reply to Re: Lyrica, posted by RobertDavid on October 9, 2005, at 12:35:51
Thanks for getting my mind back on the right track. A week ago when I read those posts I had the right perspective but today after a poor night's sleep my mind is not functioning with good reasoning.
I am quite frustrated. I do not have a doctor to talk to right now. Just a family practice doctor who is very busy, big on exercise as the cure-all, quick to write the Klonopin script but not perceptive about needing to treat the depression also.
I don't know how to ask for the right med.
I am glad Lyrica is working for you.
Can you compare it to Neurontin? If you already did that please forgive the repeat question.
Thanks for your kind answer to my unhelpful post.
Jane
Posted by RobertDavid on October 9, 2005, at 15:02:01
In reply to Thanks » RobertDavid, posted by JaneB on October 9, 2005, at 14:28:24
Jane:
I hear you when it comes to family type doctors. You've got to get someone with experience with treating the disorter. As far as doing well on Lyrica, to soon to tell. I've had a bad cold this week and have not felt great, been tired, heavy headed, difficulty concentrating, etc. I'm hoping it's just the cold, but if not, then I'm not sure how long I'll hang in there if things don't improve. I understand that I should expect to be a little groggy at first and that it is supposed to get better. Plus I'm still coming off the klonopin while going up on the Lyrica. I didn't really have much experience with Neurotin so I can't help you with that, just know that Lyrica is it's replacement. It is supposed to deliver the drug at much lower doses, otherwise I don't think there is much difference. If had really given Neurotin a good try before without success, I don't think I would give Lyrica a try. If Lyrica fails I think I'll try Nardil and see what happens. Nothing else has worked better than Klonopin for me and that just didn't work quite well enough. I wish there were better answers for all of us....
Posted by JaneB on October 20, 2005, at 21:43:44
In reply to Re: Thanks, posted by RobertDavid on October 9, 2005, at 15:02:01
Robert,
how is the trial with Lyrica going? Hope it is working for you.
Jane> Jane:
>
> I hear you when it comes to family type doctors. You've got to get someone with experience with treating the disorter. As far as doing well on Lyrica, to soon to tell. I've had a bad cold this week and have not felt great, been tired, heavy headed, difficulty concentrating, etc. I'm hoping it's just the cold, but if not, then I'm not sure how long I'll hang in there if things don't improve. I understand that I should expect to be a little groggy at first and that it is supposed to get better. Plus I'm still coming off the klonopin while going up on the Lyrica. I didn't really have much experience with Neurotin so I can't help you with that, just know that Lyrica is it's replacement. It is supposed to deliver the drug at much lower doses, otherwise I don't think there is much difference. If had really given Neurotin a good try before without success, I don't think I would give Lyrica a try. If Lyrica fails I think I'll try Nardil and see what happens. Nothing else has worked better than Klonopin for me and that just didn't work quite well enough. I wish there were better answers for all of us....
Posted by RobertDavid on October 20, 2005, at 21:57:18
In reply to Re: Lyrica » RobertDavid, posted by JaneB on October 20, 2005, at 21:43:44
Jane:
I've gone from 2mgs klonopin to .5 in a little over 3 weeks. I've never been able to get off klonopin on my own, so tough dropping even .25 at a time. Right now I'm on .5 klonopin and 200mgs Lyica. The last week has been real hard with increased anxiety. I don't know how much of it is getting off the klonopin so fast and how much it is adjusting to the lyrica. I was supposed to go up to 300mgs lyica, but i was groggy for a while (my doc said because of the interaction of the 2 meds). Now that I'm almost off the klonopin I don't really know what I'll do. I'm not right for sure. I'm trying to decide if I sould take the 200 mgs of lyrica at night and add 50 mgs at lunch (as I seem to fade after lunch - I think due to the shorter half life of Lyrica) or if I'll try taking the .5 klonopin in the morning (instead of night) and slowly get off the lyrica, then see how I'm doing. I don't ever want to go back up on the klonopin, so hard to get off of and a little depressing. Anyway, I have an appointment with my doc a week from monday to discuss what to do from here. I guess the jury's not out yet on lyrica for me, but I'm not where I want to be yet.....
Posted by JaneB on October 21, 2005, at 10:41:02
In reply to Re: Lyrica, posted by RobertDavid on October 20, 2005, at 21:57:18
Robert,
Thanks for the reply.
I have found that .5 K works for me and never went up on it. It controls pain for me and night time panic during sleep. I went off for 3 months but it works better than NSAIDs for pain and better than anything else for sleep. So I went back on it. It is less expensive than the newer meds.
Maybe a low dose K would be just right for you. Why did you go to such a high dose? Was it for anxiety/panic/sleep/pain issues?
Take care.
Susan
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