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Re: One More Thing » LouisianaSportsman

Posted by SLS on September 28, 2013, at 15:22:57

In reply to One More Thing, posted by LouisianaSportsman on September 28, 2013, at 13:44:06

You ask a lot of great questions! I know that this is not just an academic exercise for you, though. It is interesting that you should ask people for their suggestions base upon their intuition. Psychiatry is still not very strong as an evidence-based field of medicine.

I have espoused the use of topiramate for psychiatric disorders. I have seen it work in bipolar disorder. I felt a bit better on it myself. To avoid cognitive impairments, you might think about using the manufacturer's recommended titration schedule and divide the dosage in half. I like the idea of using an extended release form of topiramate. Intuitively, one would think that it would reduce cognitive side effects by reducing the peak blood level. Intuitive, I know. :-)

I asked you about Pristiq versus Effexor dosage equivalencies because I really don't know the answer. How much Pristiq would you need to take to equal 300 mg/day of Effexor?


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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