Posted by Jazzed on June 16, 2005, at 18:12:37
In reply to Re: ADDERALL,SEROQUEL, XANAX, TEMAZEPAM, PAXIL, LEXAPR, posted by Bill LL on June 16, 2005, at 9:46:15
Hi Sarah, glad to hear I'm moving to a higher level of awareness! Sounds like interesting reading!
Before combining any meds, you need to know their interactions. Just as a starting point, you might check out:
https://www.aidsmeds.com/cmm/Interactions.asp?Do=AfterSearch
There are drug major/moderate drug interactions between the Paxil and Effexor, the Paxil Effexor and Adderall, and the seroquel paxil and effexor. Between the SSRIs there's the risk of serotonin syndrome. I would say from what you've written that you're seriously questioning this docs judgement, as you well should. He does not sound like he's acting responsibly or in your best interest. Were you taking any meds before you saw him? Have you taken any psych meds before, any combos?Taking 3 SSRIs at the same time seems be pretty unusual, not to mention unsafe? I'm not a doc, but it doesn't seem safe to me. If you're already having bad reactions to some of the meds, and not sleeping for nights at a time, then I'd say you really need to look for a doc who knows what he's doing. When you start out on so many different things, who knows what you're reacting to? And, no it's not safe to go without sleep for that long.
Isn't seroquel an atypical anti-psychotic? Are you psychotic? I don't know, you didn't mention any form of psychosis. From what I've read, seroquel causes excessive sleep, weight gain because of a slowed metabolism, and a hangover. I've never taken it, and I understand it's used for sleep disorders, but if you're having hallucinations, I think I'd say get off the stuff. Also grapefruit juice may increase the plasma concentrations of Seroquel, just a heads up. I know I've seen seroquel mentioned in the boards, you might look through the past posts to see what people have said.
Sarah, it seems to me that if you need something to help you sleep, you might want to first seriously cut the dose of the Adderall. You poor thing, that's just way too much Adderall, and ludicrous that the doc wanted you on Adderall and Ritalin together. I take Adderall, I've taken Ritalin, and I'd never take them together.
Do you have any of the symptoms of ADD? If you don't know what they are, check out www.amenclinic.com and take the self test. Did the doc give you the Adderall just for energy, and you really don't think you have ADD? Or do you think you might possibly have ADD? Either way, IMHO, that dose is just too high. Go to www.addforums.com and talk to some of the folks over there who have ADD if you think you might have it. Very knowledgeable and supportive community.
f you're hyperfocusing (able to read several books in one night, where you couldn't do that before), and not sleeping for nights on end (which is not at all good for you), then this is too much stimulant.
I don't think there's an interaction with Adderall and the liver, I don't know, but it's my understanding that most drugs are metabolized through the liver, and if you're taking all of these meds, your liver might be having trouble metabolizing all of it. I don't know what the swelling is from. Should probably get it checked out by your GP, NOT the p-doc. I understand you're not supposed to take ibuprophen and tylenol together because they're hard to metabolize together, just an analogy.
I wouldn't take the Effexor, Paxil, and Lexapro together. They're all SSRIs and from what I understand, can cause serotonin syndrome when used together. Also, when I was on Lexapro, I started on 5 mg, not 10, not 20. That is just way too much, esp. with all the other stuff.
If you need one of the 3, decide which one, and take that. www.addforums.com has a lot of med info, as does www.crazymeds.com Or just do a google search. You might want to know the side effects, drug interactions, or how difficult it is to get off of.Sarah, get yourself to a new doc. You don't want to create problems that you didn't have before. You might have depression, ADD, anxiety, trouble sleeping, etc., but go to someone who won't overprescribe, and someone who's interested in your well being.
Jazzy
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poster:Jazzed
thread:513584
URL: http://www.dr-bob.org/babble/20050611/msgs/513895.html