Doctor insights on:
Better?: Both medications are classified as opioid analgesics meaning they are derived from opium. Ms contin (morphine) is an extended release formulation indicated for constant, chronic pain. These medications should only be prescribed for severe pain. The longterm use of these medications is controversial and should be done under the direction of a qualified physician. ...Read more
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
Yes: Ritalin (methylphenidate) is a stimulant medication, and can be habituating -- resulting in tolerance. Although most people prescribed this for adhd do not use it in an addictive pattern, it can be used that way. By "addictive, " i mean using to get high, despite clear harm in important areas of life like work, school, and relationships -- and spending inordinate amount of time pursuing the substance, etc. ...Read moreSee 2 more doctor answers
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
Yes: Methylphenidate is a common medicine used for the treatment of add and adhd. Used appropriately and under the watchful eye of a physician, the medication is very effective. However, this medication, like many others in its class, can be addictive if not used appropriately. The addiction is both physiologic and psychologic. ...Read moreSee 3 more doctor answers
Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?
Adderall (dextroamphetamine and racemic amphetamine) & OCD: I haven't seen adderall (dextroamphetamine and racemic amphetamine) used for OCD. Adderall (dextroamphetamine and racemic amphetamine) is for attention deficit disorders. Obsessive Compulsive Disorder (OCD) is an anxiety disorder. I have seen cases of obsessive and compulsive behaviors developing while a patient was on a stimulant. Adderall (dextroamphetamine and racemic amphetamine) might worsen already existing OCD. ...Read moreSee 1 more doctor answer
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
No: It is not an addictive drug. However if you have been taking it regularly and then decide to just stop it abruptly, you my not feel good and may have a return of some of the symptoms that you took it for in the first place. ...Read more
Yes: Ativan (lorazepam) is a benzodiazipine, this class of meds can be addicting, even small doses used over an extended period of time can be very difficult to stop. Some people take them as prescribe and find it very hard to stop, others can be more overtly addicted and continue to take higher and higher doses. In general best for short term use only. Try to avoid if history of addiction like alcohol. ...Read moreSee 1 more doctor answer
Not really: That medication will help underlying depression that may be secondary to or certainly an underlying condition with a history of drug use. Check with your Doctor as there are other meds that can help with opiate withdraw, that can be prescribed in a plan of care designed specifically for you by your doctor. Best wishes. ...Read more
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
Is Adderall (dextroamphetamine and racemic amphetamine) the cure for social anxiety/avoidant personality disorder?
No, not, nein, : Adderall (dextroamphetamine and racemic amphetamine) is a treatment for add/adhd. Social anxiety/ avoidant personality disorder would be best addressed through psychotherapy. Cognitive behavioral therapy may be effective. If medication were to be considered for anxiety, it would more likely be a ssri - not adderall (dextroamphetamine and racemic amphetamine). ...Read more