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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by SoS on January 21, 2002, at 14:19:04
Okay, I used to be MM on the old psycho-babble for anyone that knows me, and for those that don't, here are my stats:
DX's of BPII, Panic Disorder, Social Phobia, Agoraphobia, and possible PTSD. My biggest problem right now is Agoraphobia I guess.
I've tried paxil, prozac, zoloft, serzone, wellbutrin, effexor (is that the same thing?), and I'm now on Depakote and wellbutrin and paxil. I'm tapering off the paxil because of weight gain (from 112 to almost 150) and increasing the wellbutrin. My problem now is that I'm having trouble concentrating, I'm feeling kinda speedy, and I'm having some tremors. I know the wellbutrin is causing this. The Paxil is like a downer, and the wellbutrin is like an upper. Is ther any downer AD that doesn't cause weight gain (or other pretty bad side effects)? I need a calming agent and Pdoc won't give me anxiety meds because "my real problem is the bipolar", which I'm not sure I agree with, but anywho). I'd appreciate any ideas. Thanks.
Posted by TSA West on January 21, 2002, at 14:57:04
In reply to Need some help here, posted by SoS on January 21, 2002, at 14:19:04
I'm thinking of Neurontin** for you, considering how its efficacy in social phobia is comparable to SSRIs and its anti-anxiety/antipanic component is well documented. Weight gain with Neurontin in clinical trials was comparable to weight gain with placebo.
Also, a simple tetracyclic antidepressant may be effective for you (without weight-gain too), such as Maprotiline. Other ideas include buspirone or tranylcypromine.
**1. Pande AC, Placebo-controlled study of gabapentin treatment of panic disorder.
J Clin Psychopharmacol. 2000 Aug;20(4):467-71.
2. Brannon N. Gabapentin treatment for PTSD. Can J Psychiatry. 2000 Feb;45(1):84.
3. Greist JH. Treatment of social phobia with gabapentin: a placebo-controlled study. J Clin Psychopharmacol. 1999 Aug;19(4):341-8.
Posted by jimmygold70 on January 21, 2002, at 16:03:30
In reply to Need some help here, posted by SoS on January 21, 2002, at 14:19:04
Klonopin is calming and also helps bipolar (a mood stabilizer). Add it to the cocktail and you'll have better times.
Serzone,Effexor and Wellbutrin, Edronax (reboxetine) doesn't cause weight gain. Serzone is a 'downer', why did you stop it ?
Jimmy
Posted by SoS on January 21, 2002, at 17:40:21
In reply to Re: Need some help here » SoS, posted by jimmygold70 on January 21, 2002, at 16:03:30
> Klonopin is calming and also helps bipolar (a mood stabilizer). Add it to the cocktail and you'll have better times.
>
> Serzone,Effexor and Wellbutrin, Edronax (reboxetine) doesn't cause weight gain. Serzone is a 'downer', why did you stop it ?
>
> JimmyI can't remember why I stopped serzone. I think it might have been because I was having nightmares, but I did like it for some reasons.
BTW isn't Klonopin a benzo?
Posted by SoS on January 21, 2002, at 17:43:12
In reply to Re: Need some help here » SoS, posted by TSA West on January 21, 2002, at 14:57:04
> I'm thinking of Neurontin** for you, considering how its efficacy in social phobia is comparable to SSRIs and its anti-anxiety/antipanic component is well documented. Weight gain with Neurontin in clinical trials was comparable to weight gain with placebo.
>
> Also, a simple tetracyclic antidepressant may be effective for you (without weight-gain too), such as Maprotiline. Other ideas include buspirone or tranylcypromine.
>
> **1. Pande AC, Placebo-controlled study of gabapentin treatment of panic disorder.
> J Clin Psychopharmacol. 2000 Aug;20(4):467-71.
> 2. Brannon N. Gabapentin treatment for PTSD. Can J Psychiatry. 2000 Feb;45(1):84.
> 3. Greist JH. Treatment of social phobia with gabapentin: a placebo-controlled study. J Clin Psychopharmacol. 1999 Aug;19(4):341-8.I've asked my Pdoc about Neurontin a few times, but he doesn't like it for some reason or another. I could ask him about a tricyclic. Thanks.
Posted by jimmygold70 on January 21, 2002, at 23:41:52
In reply to Re: Need some help here » jimmygold70, posted by SoS on January 21, 2002, at 17:40:21
Sure it is. Does it make it 'bad' ? We have a lot of experience with PTSD here and Israel (Wars, Holocaust survivors, and the like). They're prescribed plentry of Klonopin.
> BTW isn't Klonopin a benzo?
Posted by TSA West on January 22, 2002, at 2:21:20
In reply to Re: Need some help here » TSA West, posted by SoS on January 21, 2002, at 17:43:12
If you try a tricyclic definitely go for desipramine or dothiepin--those are the tricyclics with the best side-effect profiles according to clinical lore. Desipramine has little to no weight-gain.
Posted by SoS on January 22, 2002, at 11:18:01
In reply to TCAs » SoS, posted by TSA West on January 22, 2002, at 2:21:20
I was asking if klonopin was a benzo because my pdoc doesn't want to prescribe anti-anxiety meds. Thanks for the suggestions.
Posted by Mr. Scott on January 22, 2002, at 23:43:09
In reply to Need some help here, posted by SoS on January 21, 2002, at 14:19:04
May I ask if you Have you ever been on an anxiety med? A benzo?
Posted by SoS on January 24, 2002, at 13:25:22
In reply to Re: Need some help here » SoS, posted by Mr. Scott on January 22, 2002, at 23:43:09
> May I ask if you Have you ever been on an anxiety med? A benzo?
I was on temazepam for about a week, but only at night to help me sleep.
Posted by mr.scott on January 24, 2002, at 18:06:18
In reply to Re: Need some help here » Mr. Scott, posted by SoS on January 24, 2002, at 13:25:22
Oh of course! on and off since 1992. mostly on!
Xanax pooped. Klonopin never pooped, but causes cognitive dulling. They work very well I might add, but I can no longer tell if I need them or am just feeding a dependence.
Scott
Posted by Mr. Scott on January 25, 2002, at 20:44:32
In reply to Re: Need some help here » SoS, posted by mr.scott on January 24, 2002, at 18:06:18
Sorry..I confused myself...disregard that last post.
This is the end of the thread.
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