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Doctor insights on: Dilantin Ocd

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Dilantin (Definition)

Dilantin (generic name phenytoin) is a drug that has been used to treat seizure disorders since 1938. It is a sodium channel blocker that is effective in treatment of epilepsy but it has significant side effects. Because of that many newer drugs have been developed ...Read more


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Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta)  and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more

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Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?

Depends: Any of those drugs may be useful under certain circumstances. It's important to recognize the drug is an adjunct to the primary treatment, which is long term psychotherapy. ...Read more

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Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?

Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?

Drug interactions: Your symptoms are possibly related to the number and types of medications that you are taking. Please consult your psychiatrist or personal physician for a complete medication review. ...Read more

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Lexapro, celexa, keppra (levetiracetam) xr, Depakote ER for racing thoughts, which is best?

Lexapro, celexa, keppra (levetiracetam) xr, Depakote ER for racing thoughts, which is best?

Racing thoughts: If the racing thoughts are from bipolar disorder, Depakote is probably the best. Keppra (levetiracetam) has been studied in bipolar depression, but the results have not been so good. http://www.ncbi.nlm.nih.gov/pubmed/21034692 Lexapro and Celexa are both antidepressants which could worsen bipolar disorder if given by themselves without a mood stabilizer like depakote. ...Read more

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Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.

Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.

Yes: Antidepressants, mood stabilizers, and antipsychotic medications are often combined to treat schizophrenia. The decision is best made by the treating psychiatrist and the patient. ...Read more

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How effective is venlafaxine (Effexor) for treating obsessive compulsive disorder (OCD)?

How effective is venlafaxine (Effexor) for treating obsessive compulsive disorder (OCD)?

Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more

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For panic disorder w/ agoraphobia & gad. Currently take xanax (alprazolam). Cannot tolerate ssris, gabbapentin or lamotragine. Is there anything else?

For panic disorder w/ agoraphobia & gad. Currently take xanax (alprazolam). Cannot tolerate ssris, gabbapentin or lamotragine. Is there anything else?

Yes: Yes, for medications there are still tricyclics like Pamelor (nortriptyline) and desipramine; also maoi's. There is always psychotherapy, a cornerstone of treatment for the conditions you're suffering. Plus i've found helpful results with classical homeopathy, especially when people are very sensitive to pharmaceuticals. Acupuncture offers promise also. All of these require well-trained practitioners. ...Read more

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Psychiatrist stop paxil, (paroxetine) seroquel, lithium (bipolar1) & inderal (social phobia, agarophobia, panic attack) all together at once 2 w ago. Opinion?

Psychiatrist stop paxil, (paroxetine) seroquel, lithium (bipolar1) & inderal (social phobia, agarophobia, panic attack) all together at once 2 w ago. Opinion?

Combo: Depending on the dose & reasons why all med's. were stopped, & also how long you were taking them. Those factors determine whether withdrawal symptoms would occur. I recommend gradual tapering. ...Read more

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Schizophrenia without antipsychotics. Alternative approach to psychosis? Gaba? B3? 5htp? Omega3? Dosage?

Schizophrenia without antipsychotics. Alternative approach to psychosis? Gaba? B3? 5htp? Omega3? Dosage?

Alternatives: No responsible physician can make recommendations like you're requesting on the internet, without seeing you and evaluating your situation. Schizophrenia is a serious illness, and you deserve effective treatment with a good doctor. There are psychiatrists who know about nutrition, and who integrate different types of treatment. See http://www.Inimh.Org/ and http://www.Holisticboard.Org/. ...Read more

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How effective is clomipramine (Anafranil) for treating obsessive compulsive disorder (OCD)?

How effective is clomipramine (Anafranil) for treating obsessive compulsive disorder (OCD)?

Very: It is a very good treatment for OCD. Because it has more side effects (dry mouth, constipation, sedation) it is commonly used less often then SSRIs. ...Read more

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Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood..Is this a safe combination..And is 60 the usual dose for cymbalta (duloxetine)?

Seems fine: These dosages seem to be workable although it is an intense combination of mood stabilizers. The dose of duloxetine at 60 mg is at the usual amount for the treatment of a mood disorder although higher dosages are thought to be potentially helpful for the treatment of chronic pain. Stay safe! ...Read more

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How effective is Levetiracetam (Keppra)for treating epilepsy?

How effective is Levetiracetam (Keppra)for treating epilepsy?

Effective: Lepta is one of the newer generation of anti seizure medications. It can be very effective and is often thought of as a first line treatment. ...Read more

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Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam , temazepam , zopliclone ? What now?

Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam , temazepam , zopliclone ? What now?

Options: There are other options for your bipolar 2 condition. Wellbutrin won't help anxiety, and may stimulate it in some. Topomax is not a particularly robust mood stabilizer, but does work for some (apparently not you?). Seroquel may help this, anxiety, and your sleep issues. Latuda (lurasidone) is another option. Hoping you're working with a psychiatrist as you try these various medications -- psychotherapy too! ...Read more

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I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?

PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more

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How effective is fluoxetine (Prozac) for treating obsessive compulsive disorder (OCD)?

How effective is fluoxetine (Prozac) for treating obsessive compulsive disorder (OCD)?

Prozac (fluoxetine): Dosed correctly, it has been used for long time, as well as Anafranil & Luvox, (fluvoxamine) for OCD. ...Read more

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Can Zoloft (sertraline) be used for obsessive compulsive personality disorder?

Can Zoloft (sertraline) be used for obsessive compulsive personality disorder?

Antidepressants: can be used to treat OCD. Which one may work best for you is something you and your doc can work on together. See "The Boy Who Couldn't Stop Washing" by Rappaport if you have not read it. It's an oldie but goodie. Peace and good health. ...Read more