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Doctor insights on: Percocet Ocd

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I have bad social anxiety, depression, adhd. Currently take these psych meds: lexapro, Wellbutrin, (bupropion) klonopin, adderall. Still struggling badly. Ideas?

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 more

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Dr. Robert Kent
474 doctors shared insights

Oxycodone And Acetaminophen (Definition)

Oxycodone|acetaminophen is a narcotic combination for pain which is a ...Read more


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How to deal with benzo withdrawal (xanax, klonopin, (clonazepam) ativan, valium, etc..)?

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 more

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Would Ultram (tramadol) ease hydrocodone withdrawals?

Would Ultram (tramadol) ease hydrocodone withdrawals?

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

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Can Zoloft (sertraline) 50 mg treat ocd?

Can Zoloft (sertraline) 50 mg treat ocd?

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 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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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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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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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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Which pain medications work better: mepergan, percocet, vicodin?

Which pain medications work better:  mepergan, percocet, vicodin?

Which is best: The one that works. There is no such thing as a best drug, the one that takes care of your pain and has the least side effects (for you) is the best. ...Read more

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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

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

Dr. Alan Ali Dr. Ali
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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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Can klonopin (clonazepam) help with vicodin withdrawals?

Can klonopin (clonazepam) help with vicodin withdrawals?

No: both are dependence producing, they are in different families and do not help withdrawal of each other. there are seperate routines for managing withdrawal from each family. ...Read more

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How effective is escitalopram (Lexapro) for treating obsessive compulsive disorder (OCD)?

How effective is escitalopram (Lexapro) for treating obsessive compulsive disorder (OCD)?

Lexapro (escitalopram) & OCD: That would be off-label use, since it is approved for Major depression & Generalized anxiety. Some benefit from Lexapro (escitalopram) if dosed high enough & tolerated well. ...Read more