Posted by alan on August 25, 2002, at 12:28:34
In reply to Re: Give me your antipsychotics, your benzos, MAOI, posted by utopizen on August 25, 2002, at 7:31:32
> Wellbutrin was only in my system for a week. The dry throat caused me to wake up consistently each morning at 3 AM with a painfully dry feeling, which is too much on my sleep schedule to take- so I don't know how it would do.
>
> I've been taking Neurontin as needed for about 6 months. I decided it might not be best for mono therapy when after experiencing great results the first day, I had left the pills in my bag in someone's car and ended up acting noticably anxious around a potential "mate". I'd prefer something, at least to add, that didn't leave after 6 hours.
>
> Klonopin and Neurontin don't seem too sedating. I've nodded on Neurontin a few times, but it only exaggerates sedation when I'm already fatigued. Yeah, nodding's annoying, but most times I don't because I get enough sleep. Klonopin scares me because I have a "reduced drive to talk," so I don't know how I'd respond in public speaking.
>
> And I've read all the docs about second and third-line therapies on the web for doctors, and one a few even mention xanax as an effective treatment, and some even point to studies showing it was ineffective. It's really strange that the one benzo considered as gold standard for SP makes one not talk, since that appears to be one of the problems for us...
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My diagnosis is strikingly similar to yours (GAD and SP) and in the correct dosages, these have been the most successful combos for me - after much experimentation! Remember, it takes a couple of weeks for the side effects to wear off. One can't realistically make long term decisions with one arbitrarily set dose of any bzd.Start low and add on until you reach a theraputic dose. That way you won't feel cognitively impaired at first.
1)Klonopin maint. .5mg 2X's a day, ativan PRN - usually anywhere between 2-4mg's spread out over the day depending if I have public speaking to do.
Inderal 10mg 1&1/2 hr before speaking. (Klonopin steady state in this dosage or perhaps half of this eliminates the effect of fluctuating levels of ativan PRN).2)Ativan 2-4 mg daily and neurontin 300mg 3X daily. Inderal as above. Neurontin had some effect on the ativan fluctuating slightly in my system as I dosed PRN.
One could switch out xanax for the ativan or valium for the klonopin in the above scenarios if you responded better to any of them.
alan
poster:alan
thread:117686
URL: http://www.dr-bob.org/babble/20020821/msgs/117722.html