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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Pal on July 18, 2001, at 9:18:58
Hi all,
I have GAD, SAD, Panic Attacks, and Dsythymic, with major depressive periods.
I recieve a disabled veteran compensation.
Currently I have been prescribed by my General MD and Med Doc, and am taking each day the following: Paxil 40mg in morning, augmented with Wellbutrin SR 150mg, 1mg Klonopin 3xday, Ritalin 10mg 2xday, 0.5mg Ativan as needed, and Inderal for Performance or Anticipatory anxiety.
Any thoughts on this particular blend? So far I have not had any major side effects that did not go away within a week.
I have only been at the target dosage of 40mg of Paxil for three weeks. Often it can take six weeks at the target dosage for GAD treatment. We used a three week build up to the 40mg dose. So I believe that you have to stay the course with Paxil for twelve weeks before for switching to another med. Unless the side effects are to severve to continue of course.
So far I have been with this course for eight weeks.
Eric
Posted by Else on July 18, 2001, at 14:15:41
In reply to Dr's RX: Paxil, Klonopin, Ritalin, Ativan, Inderal, posted by Pal on July 18, 2001, at 9:18:58
What's your doctor's name and where does he live?
> Hi all,
>
> I have GAD, SAD, Panic Attacks, and Dsythymic, with major depressive periods.
>
> I recieve a disabled veteran compensation.
>
> Currently I have been prescribed by my General MD and Med Doc, and am taking each day the following: Paxil 40mg in morning, augmented with Wellbutrin SR 150mg, 1mg Klonopin 3xday, Ritalin 10mg 2xday, 0.5mg Ativan as needed, and Inderal for Performance or Anticipatory anxiety.
>
> Any thoughts on this particular blend? So far I have not had any major side effects that did not go away within a week.
>
> I have only been at the target dosage of 40mg of Paxil for three weeks. Often it can take six weeks at the target dosage for GAD treatment. We used a three week build up to the 40mg dose. So I believe that you have to stay the course with Paxil for twelve weeks before for switching to another med. Unless the side effects are to severve to continue of course.
>
> So far I have been with this course for eight weeks.
>
> Eric
Posted by SalArmy4me on July 19, 2001, at 1:00:44
In reply to Dr's RX: Paxil, Klonopin, Ritalin, Ativan, Inderal, posted by Pal on July 18, 2001, at 9:18:58
I say give the Paxil 3 more weeks and if it doesn't work change to a new med:
"A more recent placebo-controlled study by Quitkin et al (1996) reported on 693 patients treated prospectively with a variety of antidepressant regimens. A response criterion was a sustained score on the CGI of much improved or very much improved. All patients were rated weekly. They concluded that those patients with some improvement in depressive signs/symptoms by week 4 should have their antidepressant regimen continued until week 6. This was based on the observation that 39% (versus 8% of placebo) of patients at week 4 that had minimal improvement were responders at week 6. However, if at week 4 the patient has had no improvement, then the treatment should be changed. This was based on the observation that for drug and placebo only 13% and 6%, respectively went on to respond at week 6..."
This is the end of the thread.
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