Doctor insights on:
I have bad social anxiety, depression, adhd. Currently take these psych meds: lexapro, Wellbutrin, (bupropion) klonopin, adderall. Still struggling badly. Ideas?
Add CBT therapy: Research shows that the CBT therapy optimizes psychological outcomes w/ or w/out medication. It's the component that can make changes in how you deal w/ the challenges (large and small) that are part of living. Unless we do that, we struggle w/ uncertain results. You need to find one you'll work well w/. It's a bit like a coach. Please consider this addition. ...Read moreSee 1 more doctor answer
Not fun: Usually the strategy is to slowly taper off the benzo and use a long-acting one, and sometimes it's really, really slow. Here's a trick i sometimes suggest to my patients: when your dose is pretty low, gently drag you pill across an emery board before you take it. One time the first day, two times the next, etc. That way you're very gradually cutting the dose down. Good luck and stick with it. ...Read moreSee 1 more doctor answer
Can be taken: Together. No issues with this combination!Get a more detailed answer ›
Controversial: There are studies on both sides of this issue, with some researchers finding that tramadol did reduce withdrawal, while others finding that it either did very little, or in some cases actually made it worse. A problem is that doses of ultram in the therapeutic range (300-400 mg/day) can cause seizures. My patients have told me mostly that ultram did very little for them, but a few got + results. ...Read more
Paxil (paroxetine) for social anxiety? (Taking Prozac 40mg and it's not helping anxiety.)Can I take Paxil (paroxetine) with Ritalin? (Ritalin dose 5-10mg x 2-3 daily.)
Possibly: Zoloft (sertraline) can be used to treat ocd. 50-200 mgs daily is the recommended dosing. Some may require more. Can take up to 12 weeks to see the full effect. Always discuss dosing with the prescribing phsyician and remember cbt for OCD is extremely helpful alone or in combination with medications such as zoloft (sertraline). ...Read moreSee 1 more doctor answer
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
Any interactions between Adderall and : cymbalta, xanax, (alprazolam) amitriptyline, hydrocodone, and cyclobenzaprine?
Adderall (dextroamphetamine and racemic amphetamine) combo: Safe if taken as prescribed.Get a more detailed answer ›
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
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
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
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