Doctor insights on:
Tranquilizer For Humans
Are there any known interactions between risperidone, benztropine mes., vistaril, (hydroxyzine) cephalexin, and marijuana for someone who has neuro-lyme disease?
Sedation: Neuro lyme disease can cause confusion, memory problems, fatigue, weakness and even seizures. The risperdal, vistaril (hydroxyzine), (hydroxyzine) benztropine ; cannabis can be sedating. U may not need both vistaril (hydroxyzine) ; benztropine if u r being treated for a psychiatric condition. Have u received IV antibiotic tx for the lyme disease? It would be better to stop smoking the marijuana. ...Read moreSee 1 more doctor answer
Vet medication: Many of the same medications are used for patients and animals. The differences can be dosages and also the fact that the fda does not as tightly regulate the medication. There are medications used in vet medication and not for humans because of implications for long-term side effects that may not be an issues for animals but are for humans, many of these have to do w/ neurologic changes. ...Read more
I'm currently in Thailand. Is it possible to sub serlatine for citalopram, as they are both SSRI anti- depressants for anxiety.
Sure, for now.: You can make that substitution at a dose equivalent of 2.5:1. So, 25mg of Sertraline would be 10mg of Citalopram. 50mg of Sertraline would be 20mg of Citalopram, and 100mg of Sertraline would be 40mg of Citalopram. Don't take more than 40mg of Citalopram. And you can return to Sertraline upon your return. ...Read more
What is safer for long term use and short term for all types of anxiety, benzodiazepines, paxil, zoloft, lexapro, buspar, (buspirone) or marijuana(used correctly)?
Not benzo's.: Hello - long term use of benzodiazapines can lead to tolerance. Marijuana can cause marked psychiatric problems in some people including anxiety, psychosis & paranoia. Paxil can be used long -term but most of my patients have experienced more side effects with it then from Lexapro & zoloft. I see you are on Lexapro -it has an excellent side effect profile. Buspar (buspirone) is very safe for long-term use. ...Read more
Not usually: Temazepam (restoril) is used as a sedative-hypnotic, for people with insomnia. I've never heard of anyone using it for anxiety alone. It can act in 30-60 minutes, and if you took it in daytime you could be asleep rather than merely calm! so i wouldn't suggest doing that. There are better choices for anxiety -- especially having a good evaluation so the best choices can be made. ...Read more
Probably not: There's a reason benzodiazepines are so widely used: they work well, particularly for anxiety. Sedating antihistamines like vistiril (hydroxyzine) are non-addictive & thus preferable if they do the job. But the truth is, for most people benzodiazepines are more effective. There are other alternatives, by the way: ssris, buspar, (buspirone) beta-blockers, & sedating antidepressants (trazodone, doxepin). ...Read more
Take Klonopin (clonazepam) for anxiety and sleep,Fetzima for depression,what's an alternative for Klonopin (clonazepam) that I can use,take1mg 1am,1noon,2 bed?
Many alternatives: There are many alternatives, but it depends on why you're looking for an alternative. Is Klonopin (clonazepam) not working? Perhaps the dose in wrong. Are you looking to get off of benzodiazepines (the drug class that Klonopin (clonazepam) is in) altogether? If so, then your doctor should slowly titrate you off the medication (10-25% weekly or biweekly, depending on how long you've been taking) while initiating another med ...Read more
Is it safe to take clonazepam for sleep with sinemet (carbidopa and levodopa) for Parkinsons patient? Are there any drug interactions?
You can use a drug interaction checker whenever you have questions about drug-drug interactions or drug - food interactions. Here is 1 option (Drugs.Com): https://www.drugs.com/drug_interactions.php Your pharmacist is also a good source of info.
Lunesta (eszopiclone): Lunesta (eszopiclone) is by far the safest of the three. Ambien causes too much sleep-eating, sleep-walking, sleep talking, and even sleep driving. I have not seen any of this with lunesta (eszopiclone). Silenor is horrifically expensive for an old generic drug in low doses and is probably the closest in effect to benadryl. I don't know of anyone that has switched into mania on it, but it is a theoretical possibility. ...Read moreSee 1 more doctor answer
PVRV vax: LatS ~ rabies is rare disease but if contracted can cause death. Earlier rabies vaccine had as much hazard as the disease (DEV) Today, the purified vero rabies vaccine (PVRV) and the HDRV (human diploid rabies vaccines) are without any serious complications. Not recommended for all yet but if you work with animals (Vets, farm etc) you should get it. Panic disorder is not a contraindication.thx ...Read more
I've been taking Ambien (zolpidem) and Ativan combined for years to combat my severe insomnia. Is there any real "danger" here aside from not sleeping at all?
Dependency: Risks of ongoing use of Ambien (zolpidem) & Ativan for chronic insomnia? Dependency & difficulty in withdrawing from the drugs. I think you should find a sleep specialist who can discover what's the underlying problem with the insomnia. Neither Ambien (zolpidem) or Ativan taken that long are best options for the rest of your life, wouldn't you say? More questions? Write me at: www.healthtap.com/dr-saghafi ...Read more
Is it safe to take bacopa with Molipaxin, Lamictin & Brintellex? Desperate for non-prescription anxiolytic that works
Non-prescriptionAlso: means non researched, lack of clinical trials of either efficacy or safety. Pharma industry=simply the modern form of Chinese herbs, but refining & purifying the millions of molecules from whatever source in nature to fine the rare ones which help some aspect of behavior far more than the downsides they produce. Just because something wanted does not mean it exists. See: http://goo.gl/0eH4wq ...Read more
Age 50, suffer from insomnia. Which sleep aid is safer (cognitive impairment, dependence, etc.) for long-term daily use, Hydroxyzine or Zaleplon?
Difficulty falling: asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. Please see you doc who may order a sleep study. A psychologist can help w/stress management. Peace and good health. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. ...Read more
Is lunesta (eszopiclone) safe for long term use? Isn't it the same as zipicolone a medecine with many warnings about tolerance and withdrawl?
Lunesta (eszopiclone): The word on the street is that if you use this sleeping pill seven days in a row you are hooked. These drugs are highly addictive. I would advise that you find another way at your young age to relearn how to sleep without medicine. There are lots of ways to get there. Please do not put this off. You can do this. ...Read more
Ssri compare with buspar, (buspirone) which one preferred for long term in treating anxiety ,how long for each one?
Anxiety, Medications: I understand your anxiety. Anxiety is treatable with good results Treatment of anxiety should not be only Medications Treatment needs to include Therapy, Breathing Relaxation, Visual Imagery, Tai Chi, Yoga,, Meditation SSRI medications are primarily for depression Buspar is primarily for anxiety. Both can have side effects See Psychiatrist for need, benefits, side effects of both medications, Ther ...Read moreSee 1 more doctor answer
Very slow taper: The treatment for Alprazolam addiction is to taper (slowly decrease) the daily dosage under medical supervision. In severe cases, doctors may substitute a longer-acting medication of the same or similar class, & then taper that instead; this is often easier on the patient. Medicine to immediately block the effect of Alprazolam may cause fatal withdrawal in an addict, & can't be used this way. ...Read moreSee 1 more doctor answer
Amitriptyline: Tryptizol is an international brand name for amitriptyline marketed in Egypt and Lebanon. Amitriptyline is a tricyclic antidepressant that may be helpful for anxiety disorders. However, there are safer meds, more widely used for anxiety, eg., SSRI serotonin - boosting, today. See: http://www.drugs.com/international/tryptizol.html ...Read more
Benzos: Atarax is an antihistamine, not my first choice for anxiety, it will make you tired though. Xanax is a benzodiazepine, which is effective for a panic attack, but long term use can lead to dependence/tolerance and possible abuse, while not effectively treating the underlying anxiety disorder. SSRIs like paxil (paroxetine) and zoloft are much better for long term treatment of anxiety, as well as psychotherapy. ...Read more