Free Republic
Browse · Search
General/Chat
Topics · Post Article

To: cva66snipe
I suspect the problem is adding other meds to the SSRI. I am generally opposed to this but I see patients taking an SSRI with Ritalin and a Benzo or Wellbutrin and an antipsychotic and many other mixtures of three drugs and wonder. More recently I have been using some two drug combos in small doses (SSRI and Elavil or Wellbutrin) but I would not put a third drug into the mix. I do everything I can to keep my patients off Benzos and have to disagree about these. I have seen very few (actually none) who can "take small doses over a long period". They just aren't worth the down side. JMHO.

Μολὼν λάβε


9 posted on 05/22/2009 2:27:32 AM PDT by wastoute (translation of tag "Come and get them (bastards)" and the Scout Motto)
[ Post Reply | Private Reply | To 8 | View Replies ]


To: wastoute
The Benzo added to the SSRI isn't a problem. Believe it or not it probably lessens the chance of problems. If someone is having a Serotonin migration, Serotonin Syndrome, or reaction to the SSRI then Benzo's are the protocol drug to use to couter act the migration.

I've been tried on Paxil, Impramine, Wellbutrin, and Buspar myself. They all made me much worse. One sign of problems I realize now was stomach upset after taking them especially Buspar. My head would hurt. But the doctors insisted I had to take it and must go off Xanax.

I've had PTSD, OCB, and General Anxiety Disorder all at the same time. I got rid of two of the three. The G.A.D. is due to a neurological dysfunction that not that much is known about except for me it's permenant. I had PTSD from some bad things that had happened over a 10 year period in my life. I developed Obsessive Compulsion as a compensation for losing my ability to concentrate. The GAD is Sensory Processing triggered involving my Inner Ear as well as Optic processing. All three came together at one point. That's one reason SSRI's can be dangerous to some persons with neurological issues. In such cases you want to dull sensory impulses not enhance them.

My wife whom the Serotonin Syndrome happened to {I eventually diagnosed it after about the 4th day of it not the doctors} has taken Xanax since 1985. The PTSD in her in part came from a dentist who had overdosed her on Mepraghan placing her in hypothermia. This was for a basic extraction. BTW she's an incomplete quad.

The trick with Benzo's is in a small frame patient use .25mg 4 times a day. On a larger patient use .5 mg 4 times a day. These patients should be very light drinkers with no previous addiction issues. Here's why. It is a low dosage but stays in the bloodstream 24/7. That stops rebounding and craving issues. Now what really screwed me up was when they had me on SSRI's and 2mg of Xanax 2 times a day. I was yo-yoing from it like crazy but in hind sight it likely kept me from going into Serotonin Syndrome too. I got a good doctor who knew how to treat what I have & went off all SSRI's and went on Xanax only. Life improved from that point. Actually most days now I take 2-3 doses. The Xanax also controls my Myclonic seizure activity. With this type of GAD you can toss the stuff written on Panic Attacks and Anxiety Disorders out the window because it won't work.

10 posted on 05/22/2009 3:02:32 AM PDT by cva66snipe (Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgement? Which one say ye?)
[ Post Reply | Private Reply | To 9 | View Replies ]

To: wastoute
I take it you're a doctor. Many Anxiety patients are actually Vestibular or sensory processing patients doctors are not catching. There's actually quite a few of us in this forum. You can't give these patients SSRI's and expect good results from it. All the mental health experts and Big Pharmacutical Companies want to talk about are using SSRI's. In doing so a substancial portion of patients are being placed at risk because of it. PTSD is common with thses patients too.

Sensory Processing issues such as Vestibular patients can produce major anxiety attacks and the patient may not even understand it. It took me several years to get answers. It also is connected to the soi called ADD ADHD epidemic another great misdiagnoses of a neurological issue Ritalin will not help. with. C.A.P.D. or Central Auditory Processing Disorders. Where there's CAPD there is also a good chance of Vuisual processing iussues as well. C.A.P.D. behavioral or cognitive symptoms mimic ADD ADHD. Look at the kids shoes Doc :>} See if they are breaking down over the sides and the kid is a we bit lacking in coordination. Now you'll likely notice poor sentence structiuure and bad spelling in my post. That too goes with it. I've lived with the beast over 50 years now.

11 posted on 05/22/2009 3:15:19 AM PDT by cva66snipe (Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgement? Which one say ye?)
[ Post Reply | Private Reply | To 9 | View Replies ]

Free Republic
Browse · Search
General/Chat
Topics · Post Article


FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson