Doctor insights on:
Benzodiazepine Conversion Chart
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
Your doctor can help: The doctor who is treating you can be your best guide. This medication is sued over a wide dose range(50 mg to 400 mg daily) depending on your symptoms and response to treatment. But it is best to allow your doctor to make dose adjustments as needed to get you fully well. ...Read more
Is a Suboxone taper charting tool ok for determining a gradual taper strategy based on half-life? The chart is on subotex.Com (called taper chart)
A chart is chart : A chart may be helpful in planning a suboxone taper. However, individuals are different and so are doctors. A doctor may have a better strategy not accounted for by a chart. A chart cannot account for pharmaco- genetic, dynamics and kinetics. The same applies for many man made guidelines which neglect many. ...Read more
Ask pharmacist: An answer to a question like this is likely not going to be precise since your physician will want to take many things into consideration before making such a switch. It would be best to have the pharmacist contact the physician in order to carry out this particular substitution of drugs. ...Read more
In 05 diagnosed w/hypomania bipolar - topamax (topiramate) 400mg wellbutrin ER 150 nuvigil 250 mg klonopin .5 mg. Long term effects of these meds?
Too many: Too many for me to list. You need to ask for printouts from your pharmacist. ...Read more
EEG show epileptiform potential
Dr write epileptiform sharps
Can we prescribe kepra 500 mg bd?
Patient drowsy24hr, intermittent apnoea
For me, pregnenolone = a powerful mood stabilizer, antidepressant, anxiolytic & sensory sensitivity reducer. What could this mean? Adrenal issue?
Intriguing: There are some early research studies that suggest that pregnenalone may indeed do what you're describing. It's too early to consider it a psychiatric drug for anxiety and mood disorders. But who knows what the next year or two might uncover. (to prove absolutely that it is not an adrenal issue will require some blood work ordered by your doc. ...Read more
Is lowering .5 increments safe to avoid risperdal withdrawals while adding latuda (lurasidone) 40 mg. 2-3 year use of risperdal. bipolar 1w/psychotic features.
Is resperidone BP & lonazep md .5mg equivalent to haloperidol &valium 5mg as antipsyhiotic & for sleep problem respectively ?
Does eating a meal alter the effects of abilify (aripiprazole)? Such as the 3-5 hour peak plasma levels, half-life, receptor binding, efficacy, kinetics? Curious...
Abilify (aripiprazole): Usually there is not decreased effect when taking medications with food. Sometimes there are absorbed better. Abilify (aripiprazole) is usually prescribed together with an antidepressant to augment the effect. If taken at breakfast, it will not cause many side effects. Akathisia (restlessness of the legs) might be one of the few effects noticed. It is not very commonly reported. ...Read more
Request Ambien (zolpidem) taper schedule. Current dose = Ambien (zolpidem) 5mg and Ambien (zolpidem) cr 6.5mg q.D. At bed for ssri taper. 1 month clear of ssri, doing well...Desire taper from ambien (zolpidem). Otc meds (melatonin) help?
Suffer depression+anxiety. Is this combo safe? Metoprolol 25mg for BP, Bupropion 300mg, Prozac 20mg, Xanax (alprazolam) 0.5mg(5 times/week). No seizure history.
Depression -anxiety: Please have your doctor refer you to a Psychologist. It will take some time but the Psychologist will be very helpful! ...Read more
At low dose Abilify activates ?in unipolar Treatment-resistant depression.one [email protected] said at low doses aripiprazole activates! best regards.
Is Paxil (paroxetine) use (10 mg/day) detectable on physiological screenings for clinical trials?
If tested for, yes: Paxil (paroxetine) is not typically tested for in general physiological screenings like cbc, blood chemistry, urinalysis, etc. However, if they're looking for specific drugs or medications they may do a screen focused on finding these. If involved in a clinical trial, it's very important to inform the staff of other drugs you're taking, since these may invalidate the results! ...Read more
Only noradrenergic antidepressant works for me, does inderal (propranolol) acts negative on noradrenergic effects of antidepressant ?At vasomotor centers.Regards.
Venlafaxine: It's not the vasomotor centers that are important in antidepressant response; it's the neuron synapses in the brain. Effexor (venlafaxine) inhibits reuptake of both serotonin and ne. Inderal can suppress some of the physical symptoms of anxiety (rapid heart rate, sweaty palms, tremulousness, etc). Some on chronic (not intermittent or "prn") Inderal have had more depression. Not everyone. You should be okay. ...Read more
Do med assisted therapy drugs like Suboxone & Methadone continue to hinder dopamine production in the opiate abused brain?
Risky class: Benzodiazepines produce relaxation, sedation, and at times euphoria. Their risk is accentuated by addition of other drugs. Benzo's don't play well with others! the combination of narcotics (opioids) and benzo. Is the leading cause of death in florida. The short acting benzo's produce a quicker , stronger effect, and are more dangerous (xanax). Lorazepam is also risky. Valium in low doses safer. ...Read moreSee 2 more doctor answers
There is no "best": Benzodiazepines all work on the same receptors, and pretty much do the same thing. Some are short-acting, others intermediate, others long-acting. Some are rapidly absorbed, others slowly. Some hit the brain very fast, others much more slowly. If you want something for temporary anxiety, a rapidly-absorbed short acting drug (like xanax (alprazolam) or ativan) may be best, for gad, Clonazepam or librium. ...Read more
Yes: They may be taken together. There are no drug interactions listed on www.Drugs.Com, but you must realize that both of these can cause sedation and that the sedation can be combined. ...Read more
Yes: and this is true, for the same reasons (the same receptor systems are involved) with alcohol. It also occurs with opioids, which involve a different receptor system. The nervous system seems to retain a "memory" of prior use and tolerance, just as the immune system remembers exposures to allergens. The tolerance doesn't re-emerge with the first or second use, but within a few days, it does. ...Read more
Unlikely: Benzo's are more likely to be associated with hallucinations, especially in overdoses or during drug withdrawal. Many report nightmares or vivid dreams while taking benzo's. Only one mention of benzo's used to treat auditory hallucinations in schizophrenic pt concluded effect resulted from muscle relaxing & anxiolytic effects. ...Read more
Anxiety, generally: Benzodiazepines are a class of medications known as anxiolytics meaning anti-anxiety. Many who take benzos do so chronically for anxiety disorders that are long-standing. Others take benzos as needed to sleep or when anxiety suddenly becomes overwhelming. As for how to have this class of medication prescribed, I recommend an open conversation with your doctor. ...Read more
In a nutshell: Any dose of benzodiazepines beyond that prescribed, would be too big. Your doctor knows about your liver functioning, other medications or substances you're using, other illnesses you might have, etc -- and can recommend the best dose for your needs. ...Read moreSee 2 more doctor answers
Not uncommon at all: Just ask my son what he remembers when he was in the hospital for abdominal pain, was given Ativan (lorazepam) and then, saw needles and syringes on the floor of his room to the point where he wouldn't get out of bed. He also ran and locked himself in the bathroom when his mother walked in screaming she was a witch and there to eat him. Any other questions? www.healthtap.com/drsaghafi Use Key Code: PDXFNR ...Read more
Very different: Benzodiazepines bzd develop tolerance and can be addictive. Antidepressants ad are not. All bzd effect gaba and are different only in half life and onset of action are used for anxiety or insomnia short term. Ad can help anxiety or insomnia as well as depression on a longer term basis by several different mechnisms effecting serotonin, norepinephrine, and/or Dopamine in various ways. ...Read more
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