Posted by Sad Panda on May 6, 2004, at 14:11:43
In reply to thanks, Panda.... » Sad Panda, posted by chemist on May 6, 2004, at 13:39:01
> Panda, thanks for stepping in....you have your act together with these meds....i assume you concur that 16 mg/day of klonopin is a bit high, yes? for my own edification, why the zyprexa over the remeron? and what do you think about the effexor, especially at such a high dose? all the best, and thanks! chemist
>
>Hi Chemist,
Please don't over estimate my knowledge. :) I primarily know the most about AD's, because they are the drugs I am taking, so I reasearch them. I know a little about AP's because pychosis interests me & I am interestested in it's treatment. I know very little about AED's & Lithium other than what I have read here.
Here is my thinking: I suggest dropping Remeron as a test firstly because it's the easiest thing to do, altering the levels of the other three drugs is much more difficult. I suggest keeping Zyprexa because he said it treats his OCD just fine. The thing that Zyprexa & Remeron have in common is they are both H1 & 5-HT2A blockers & I think, but I'm not sure that taking both would be additive & be the cause of his excess sedation. Yes, I would say 16mg of clonazepam would be extreme. After waiting a couple of weeks to see if the removal of Remeron had the desired effect & no unforseen effects, I would then try an increase in Effexor while monitoring blood pressure, as Effexor can provide anxiety relief & may actually allow a lowering of the clonzaepam dosage.
Cheers,
Panda.
poster:Sad Panda
thread:343851
URL: http://www.dr-bob.org/babble/20040505/msgs/344027.html