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Doctor insights on: Morphine Ocd

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What's better, hydrocodone 10/325 vs MS contin (morphine) 30mg?

What's better, hydrocodone 10/325 vs MS contin (morphine) 30mg?

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

Morphine (Definition)

Morphine is an opioid pain medication. An opioid is sometimes called a narcotic. Morphine is used to treat moderate to severe pain. Short-acting forumations are taken as needed for pain. Extended-release morphine is for use when around-the-clock ...Read more


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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.

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 more

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Is ritalin (methylphenidate) addictive?

Is ritalin (methylphenidate) addictive?

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 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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Is methylphenidate addictive?

Is methylphenidate addictive?

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 more

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Is oxycontin addictive?

Is oxycontin addictive?

Oxycontin: Absolutely. There is no question....It is possible, even easy to get addicted to oxycontin. These drugs are intended for short term use because of their addictive qualities. ...Read more

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Is fluoxetine addictive?

Is fluoxetine addictive?

No: Fluoxetine is not addictive or habit forming. If one stops taking it too soon, symptoms of depression and anxiety may recur. This is not a drug effect -- it is the remnants of the underlying anxiety or depression that was covered by the drug effect. ...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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Use of Adderall (dextroamphetamine and racemic amphetamine) for intrusive thoughts from OCD ?

Use of Adderall (dextroamphetamine and racemic amphetamine) for intrusive thoughts from OCD 
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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 more

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Dr. Alan Ali Dr. Ali
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Social anxiety sufferers: has Effexor (venlafaxine) XR help?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Social anxiety sufferers: has Effexor (venlafaxine) XR help?

Effexor (venlafaxine): For some anxious folks, Effexor (venlafaxine) has indeed helped. Review with your doctor. ...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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Is risperidone addictive?

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

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Is ativan (lorazepam) addicting?

Is ativan (lorazepam) addicting?

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 more

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Does effexor (venlafaxine) help with opiate wd?

Does effexor (venlafaxine) help with opiate wd?

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

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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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Is Adderall (dextroamphetamine and racemic amphetamine) the cure for social anxiety/avoidant personality disorder?

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