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Doctor insights on: Provigil Suicide

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Justified taking Adderall (dextroamphetamine and racemic amphetamine) to combat daytime sleepiness?

Justified taking Adderall (dextroamphetamine and racemic amphetamine) to combat daytime sleepiness?

No: Need 2 evaluate why sleepy may b sleep apnea and solution CPAP also Nuvigil is a drug that sometimes helps. ...Read more

Dr. Byron Law-Yone
696 doctors shared insights
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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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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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Anyone taking dexedrine (dextroamphetamine) for depression anymore?

Anyone taking dexedrine (dextroamphetamine) for depression anymore?

It has its place: Only after a very good therapeutic relationship, there have been extremely rare occasions when an amphetamine has been carefully applied with a helpful result. My use has been about once/decade. Now, my practice is from well functioning individual. ...Read more

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Can luvox (fluvoxamine) stop suicide thoughts?

Can luvox (fluvoxamine) stop suicide thoughts?

Yes it can: Luvox (fluvoxamine) is a typical ssri antidepressant and like any antidepressant , it treats all symptoms related to depression including negative , suicidal thoughts ...Read more

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Adderall (dextroamphetamine and racemic amphetamine) vs provigil (modafinil), which is better?

Adderall (dextroamphetamine and racemic amphetamine) vs provigil (modafinil), which is better?

Adderall (dextroamphetamine and racemic amphetamine) Better: In my experience with children primarily Adderall (dextroamphetamine and racemic amphetamine) has a much better profile of effectiveness and less side effects. In adults a trial of both may be suggested if there is some side effect that is uncomfortable. ...Read more

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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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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Daughter has major depress., suicide thoughts.Had ED @16, age now 19.On 225 mgs Effexor ER for long time, not working anymore. Add Abilify (aripiprazole) or Remeron?

Daughter has major depress., suicide thoughts.Had ED @16, age now 19.On 225 mgs Effexor ER for long time, not working anymore. Add Abilify (aripiprazole) or Remeron?

Talk with MD: It sounds like ur involved ur dtrs care; w/ her consent, you cld schedule a meeting with her & her doc or encourage her to c her doc ASAP. Doc needs to be made aware of ongoing sxs, particularly suicidal thoughts, so that the most effective tx can be selected. A back up plan for active suicidal plan/intent should be discussed. The best med is the 1 that works best 4 ur dtr. Work closely w her md. ...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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Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety¶noid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety&paranoid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Abilify (aripiprazole): It appears that you are also experiencing paranoid thoughts, and have been treated for depression. At the same time, if your doctor prescribes the Abilify (aripiprazole), (aripiprazole) with or without the Clonazepam, there is no contraindication. The Abilify (aripiprazole) might also augment the Effexor as an antidepressant, which is another advantage for this recommendation. ...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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17yrgrdaughter HS bipolar, add, premenstrual dysphoric disorder.On vivanse 60mg, straterra 60mg.Risperdal2.5.She is unhappy/goes off.Wht meds cd work.Sad?

17yrgrdaughter HS bipolar, add, premenstrual dysphoric disorder.On vivanse 60mg, straterra 60mg.Risperdal2.5.She is unhappy/goes off.Wht meds cd work.Sad?

Patients on: Stimulants generally need Depakote to help prevent vyvanse from effecting the mood. Risperdal is cheap, but not approved for bipolar depression. A trial on Latuda (lurasidone) with Depakote would be warranted in my opinion. Vyvanse may need to be raised and i wonder if strattera is really needed. Pms may be managed by Prozac only when symptoms are present, or through the month unless racing thoughts set in. ...Read more

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

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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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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Would this make a lethal combination? Family suicide attempt. 30 trazodon 4 quetapine 6 lithium 450 4 lorax 3 300mg bupropione 5 Lexapro (escitalopram) 15mg

Would this make a lethal combination? Family suicide attempt.

30 trazodon
4 quetapine
6 lithium 450
4 lorax
3 300mg bupropione
5 Lexapro (escitalopram) 15mg

Possibly: The likelihood of permanent harm is high, if not death then damage to vital organs directly from the medications (kidney failure from lithium, may require dialysis) or from the body's response to them. Suicide can have tragic consequences even when survived. There is always another option; in the US, call the suicide hotline at 1-800-273-8255, or 911. UK: Samaritans at +44 (0) 8457 90 90 90. ...Read more

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Would Adderall (dextroamphetamine and racemic amphetamine) help my treatment-resistant depression?

Would Adderall (dextroamphetamine and racemic amphetamine) help my treatment-resistant depression?

Stimulants: are sometimes added to the treatment regimen for recalcitrant depression. I don't know if stimulants would be helpful for you or not (as I don't know you or your history). There are other approaches I would try with my patients before trial of stimulants. ...Read more

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Is Adderall (dextroamphetamine and racemic amphetamine) for depression?

Is Adderall (dextroamphetamine and racemic amphetamine) for depression?

Depression is not: An indication for this medication. Even if considered as an off- label option, there are many more effective medications that would usually be tried first. ...Read more

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