Doctor insights on:
Adhd And Trazodone
Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?
27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.
Tough question: Switch to another psychostimulant or reduce the dose to start. Sometimes selective beta blockers can be added (naldolol, metoprolol). Low dose trazadone can be added (low antichiolinergic profile) it has some anxiolyt. I suggest making only one change at a time if possible. Buspar (buspirone) can be tried but BP has to be watched. I'm assuming the diagnosis of narcolepsy and add have been carefully worked up. ...Read moreSee 1 more doctor answer
What is the consensus between combining benzodiazepines with Dexedrine or Adderall (dextroamphetamine and racemic amphetamine) in resistant bipolar patients with comorbid anxiety and ADHD?
Tough question: There is no consensus that I am aware of on this issue. Patients are individuals and each case should be taken on a case by case basis. Issues to consider include prior responses to medication, substance use issues, family history, current sxs, past sxs, suicidal behavior, past psychiatric hospitalizations, etc, etc.... ...Read more
Would Strattera work for my ADHD? Effexor (venlafaxine) made my anxiety worse. Also have MDD and GAD. Taking Ritalin and Zoloft. Ritalin causing GAD to b worse
Possibly: Strattera (atomoxetine)'s mode of action is like that of the tricyclic antidepressants. As a result it might have a positive effect on anxiety . It might make your inattentiveness better, especially if the anxiety is contributing. Speak to your doctor about Strattera (atomoxetine) and stopping Ritalin if it is making your anxiety symptoms worse. ...Read more
Do psychiatrists prescribe benzodiazepines with Adderall (dextroamphetamine and racemic amphetamine) or just ADHD stimulant medications?
Benzos and ADHD: This is not a usual combination. Benzodiazepines are antianxiety medications and may cause sedation countering the effect of adderall (dextroamphetamine and racemic amphetamine). If anxiety complicated your adhd or is contributed to by adderall (dextroamphetamine and racemic amphetamine), considering an alternative to Adderall (dextroamphetamine and racemic amphetamine) should be discussed with your prescriber. ...Read moreSee 1 more doctor answer
Im on Zoloft and Buspar (buspirone) and Risperdal for deeprassnt can Risperdal bi replace to remeron? For insomnia and anxiety and deeprassnt? ??
Different rationale.: The Buspar (buspirone) is often used for anxiety but it may take time for it to work. Zoloft is an antidepressant of the SSRI class , Risperdal is an antipsychotic but is used in small doses for severe anxiety. Remeron is an atypical antidepressant and is used more to stimulate appetite or improve your sleep. Please discuss this with your doctor. He has specific reasons for the use of each drug. ...Read moreSee 3 more doctor answers
Yes: Those two meds can be used together to treat those disorders. Unfortunately they will not overlap and provide benefit for both disorders. There is always the potential for some type of drug interaction or to just not feel well with both meds on board so it is importannt to have close follow up with the prescribing provider ...Read moreSee 1 more doctor answer
Yes,you will be less: depressed and have much more energy to do things ...Read more
Psychatrist prescribed me combo of wellbutrin (bupropion) 150mg and waklert(nuvigil) 50 mg for depression and feeling sleepy.Is it a valid combo?
It can be: ...But is it helping you? Pharmacologically, it is not an incorrect combination, clearly geared towards keeping you awake. But is this daytime sleepiness just depression? Many other conditions can cause this, narcolepsy and sleep apnea being just a few examples. I think you need a thorough evaluation looking for other possible causes. ...Read moreSee 1 more doctor answer
Is Vyvanse and wellbutrin (bupropion) XL combo effective for treating ADHD (primarily inattentive) and major depression? Could this combo lower seizure threshold?
Yes and Yes...: Vyvanse is an excellent medication for adhd just as wellbutrin (bupropion) is and excellent medication for depression. Wellbutrin (bupropion) can be assoicated with seizures and should not be prescribed to those with a seizure disorder or lowered seizure threshold. ...Read moreSee 2 more doctor answers
Reasonable combo: Cymbalta (duloxetine) is a SNRI for depression, anxiety and pain and Risperdal is a med that helps with agitation, paranoia. A low dose of Risperdal added to antidepressants can boost the antidepressant effects esp as it helps anxiety/agitation. Additional side effects are possible but can be monitored by prescriber. All patients on these meds should be regularly monitored. ...Read moreSee 1 more doctor answer
Meds for depression and anxiety: sertroline and citalipram ineffective, prozac (fluoxetine) gives night sweats and anxiety. Other options? Dr said Mirtazapine?
Depression/anxiety: Please try the new medicine your doctor prescribed but you should also see a Psychologist for help. ...Read more
What's better for adhd children Adderall (dextroamphetamine and racemic amphetamine) with 2 mg periactin or with 2mg melatonin ?
Side effects : It's not uncommon for adderall (dextroamphetamine and racemic amphetamine) to disrupt sleep. Periactin is a sedating antihistamine. Melatonin mimics natural melatonin. The optimal regimen calls for finding the right dose of stimulant with minimal side effects. Less adderall (dextroamphetamine and racemic amphetamine) might be optimal for the child, potentially another stimulant altogether! To answer your question, I would pick melatonin, since it's natural. They both work well. ...Read moreSee 2 more doctor answers
What to do if i had 50 mg of trazodone two days ago and am still feeling the effects. How long does it take to wear off?
I am bipolar/adhd. I am taking trazodone 50mg, Vyvanse (lisdexamfetamine) 30mg, olanzapine 5mg, and lamictal 400mg. Will any of these interact negatively?
Few: The zyprexa and trazodone in combination can increase sedation. The trazodone and vyvanse (lisdexamfetamine) in combination, the trazodone can also increase the effects of vyvanse (lisdexamfetamine). Work with your physician and he adjust the doses and medications accordingly. Follow the direction of your physician. ...Read more
Is trazodone combined with ritalin a typical and effective treatment for ADHD adults with anxiety?
Many Meds possible: It is fairly common to find duo diagnosis such as anxiety with ADHD, and each diagnosis needs to be addressed. Trazadone plus Ritalin is a very reasonable combiination, especially if falling asleep at night is a problem. If not effective, there are other combinations that might be helpful. ...Read more
Prescribed 50mg trazodone help sleep along side Vyvanse (lisdexamfetamine) for adhd. I feel like a zombie in the morning even after stimulant. What should I do?
I was on klonopin 3 mg about to raise it to 4mg along with my prozak adhd meds like dextroamphetamine Concerta vyvanse and Adderall,trazodone, and multiple others like 7 months ago when I suddenly was taking off my insurance and I suffered so
I have been taking trazadone for about 3 years. I got diagnosed with ADHD and started taking adderall (dextroamphetamine and racemic amphetamine). My symptoms of tardive dyskinsea started with t?
No: Thre is no known indicaiton for trazadone to treat leg pain. One cannot state that it didn't make the pain go away but it is not recommended for this use and no known documentation to me that it releives leg pain. Discuss this with your treating physician. Very interesting if it is used for your of if it was effective. ...Read more
Yes: I see my colleagues endorse trazodone only cautiously, but i've had good success with it in my practice. It's non-addictive (unlike many sleep aids), the dose is easily adjustable, and it's long-acting, so it gives a full night's sleep. It's not quick-acting, so best to take it a little ahead of bedtime. Side effects are rare in my experience. ...Read moreSee 3 more doctor answers