Posted by Tony P on February 17, 2003, at 22:33:50
In reply to Re: use caution with buspar + serzone » Tony P, posted by Stan on February 17, 2003, at 2:07:46
Thanks for the suggestion, Stan. I will try cutting the buspar out altogether - from past experience there should be no serious withdrawal problems. I was already thinking of making an extra appointment with my Dr to re-evaluate my meds etc. so I'll try and get to see him this week. He's quite open to my adjusting doses and then reporting back to him on whether it helped.
Tony P
> >>>>>>>>>>>> I am currently on:
> > Serzone 400 mg/day
> > Wellbutrin 100mg/day (I'm very sensitve to it)
> > Buspar 20/mg per day (sometimes 30-40)
> > Valium 10mg/day
> > Imovane/Zopiclone 15mg at bedtime to help sleep
> >
> > This is workimg reasonably well for me, but I do experience some "serotonin syndrome" symptoms - or maybe excess NE (norepinephrine) - when I take the serzone: anxiety, insomnia, skin flushing / burning sensation. I also have trouble stopping doing things and going to bed at a resonable hour - I have been up all night in a hypomanic mood most of thr past week! But YMMV.
> >>>>>>>>>>>
>
> you may well be experiencing "serotonin" syndrome and might want to consider drastically reducing your buspar dosage. read the "drug interactions" section of the package inserts for both buspar and serzone -- they are both cleared by the same liver sub-enzyme, and taking them together has caused plasma buspar levels to be elevated as high as 20-fold (sometimes even more) in study subjects -- other irregularities have been reported as well. ask your doctor if you can try taking 2.5 mg twice a day and see if the adverse effects you describe subside. you might be able to get away with even less, but more splitting of the 5 mg tabs would be necessary.
>
> Stan
>
poster:Tony P
thread:91542
URL: http://www.dr-bob.org/babble/20030214/msgs/201317.html