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Dr. Bob is Robert Hsiung, MD,
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Posted by nmk on August 19, 2004, at 11:47:30
Ativan, xanax xr, or klonopin.....which is more likely to cause depression or make an existing depression worse??? Least likely???
Thanks in advance for your input.
N
Posted by Glydin on August 19, 2004, at 12:47:47
In reply to Ativan,xanax xr,klonopin:causing depression??, posted by nmk on August 19, 2004, at 11:47:30
As a drug class, benzos are CNS depressants, therefore, they all have the potential to worsen depression. Some more learned folks would probably dispute that, but in my simple reasoning, I can't see where clinical level depression *could not* be the an effect of overall CNS depression. Due to the different formulations, some may be more likely than others. Most find Xanax the most "uplifting", however, only with the experience I know from friends and family, it seems to be one that folks can run into tolerance problems - that, of couse, can be said of them all.
My only long term experience is with Klonopin. Due to it's long halflife, it may indeed be the "worse" to potentiate depression. I can't speak to this very well as when my anxiety is ill controlled, my depressive symptoms like to show themselves. Treating my anxiety treats my depression, but, I think I'm a bit unique with that.
Posted by ace on August 19, 2004, at 22:50:50
In reply to Re: Ativan,xanax xr,klonopin:causing depression??, posted by Glydin on August 19, 2004, at 12:47:47
> As a drug class, benzos are CNS depressants, therefore, they all have the potential to worsen depression. Some more learned folks would probably dispute that, but in my simple reasoning, I can't see where clinical level depression *could not* be the an effect of overall CNS depression. Due to the different formulations, some may be more likely than others. Most find Xanax the most "uplifting", however, only with the experience I know from friends and family, it seems to be one that folks can run into tolerance problems - that, of couse, can be said of them all.
>
> My only long term experience is with Klonopin. Due to it's long halflife, it may indeed be the "worse" to potentiate depression. I can't speak to this very well as when my anxiety is ill controlled, my depressive symptoms like to show themselves. Treating my anxiety treats my depression, but, I think I'm a bit unique with that.
>In my experience, Xanax, especially at high doses, gives me an added AD effect
Good luck friend!
Ace
Posted by Fred23 on August 20, 2004, at 19:38:20
In reply to Ativan,xanax xr,klonopin:causing depression??, posted by nmk on August 19, 2004, at 11:47:30
> Ativan, xanax xr, or klonopin.....which is more likely to cause depression or make an existing depression worse??? Least likely???
My opinion is that Ativan might be the one that leaves the most human emotions in place, while minimizing the anxiety.
Posted by nmk on August 21, 2004, at 19:14:19
In reply to Re: Ativan,xanax xr,klonopin:causing depression??, posted by Fred23 on August 20, 2004, at 19:38:20
Thanks all for your responses. Glydin, you are not alone. Like you, my anxiety fuels my depression in the worst way. Currently, my pdoc has me taking 3mg of xanax xr at night but I am uncomfortable with this because I am afraid of tolerance issues, etc. Ativan and Klonopin have worked well in getting me to sleep but I frequently awake at 4am with my eyes wide open. Have also tried zyprexa and although it knocks me out cold, I can't stand how I feel in the morning (not to mention the weight gain).
N
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