![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by CareBear04 on December 27, 2005, at 14:12:23
Has anyone tried Inderal LA? I've been on regular Inderal/propranolol now for a few years, mostly for lithium-induced tremor. I'd been taking 20mg qid, and then my psychiatrist recently doubled the dose to 40mg qid when he noticed that I was still shakey. Taking the med four times a day is really annoying, and I often forget; plus, the 40mg tabs are really big and yucky.
I remember wanting to switch to the long-acting version a year or two ago. I checked it out on the FDA page, and I think I saw that it's bioavailability or something is only about half that of regular Inderal. My pdoc at the time confirmed that it isn't really worth the money. Does anyone have any experience that can confirm or negate this opinion?If not, has anyone had better experience with other beta blockers for tremor? I've never tried others like atenolol or anything, but if they can be as good or better than propranolol, I'm definitely willing to try.
THanks!
CB
Posted by Ilene on December 28, 2005, at 0:02:18
In reply to Inderal LA?, posted by CareBear04 on December 27, 2005, at 14:12:23
I take Primidone (an anti-seizure med) for essential tremor. I started w/ Inderal, but had a problem w/ low blood pressure. The Primidone works better, and I've had no SEs.
I.
Posted by ed_uk on December 28, 2005, at 1:20:43
In reply to Re: Inderal LA? » CareBear04, posted by Ilene on December 28, 2005, at 0:02:18
Hi Ilene
Primidone is notorious for causing depression.
Ed
Posted by Ilene on December 29, 2005, at 14:01:43
In reply to Re: Inderal LA? » Ilene, posted by ed_uk on December 28, 2005, at 1:20:43
> Hi Ilene
>
> Primidone is notorious for causing depression.
>
> EdIs it really "notorious" for that? I'm taking a small dose (100 mg at bedtime).
I.
Posted by ed_uk on December 29, 2005, at 16:43:49
In reply to Re: Inderal LA? » ed_uk, posted by Ilene on December 29, 2005, at 14:01:43
Hi Ilene,
Yes, but I imagine mainly at high doses. Primidone is converted in the body to phenobarbital, a barbiturate anticonvulsant and sedative. Phenobarbital is particularly notorious for inducing depression.
Ed
Posted by Ilene on December 30, 2005, at 0:21:14
In reply to Re: Inderal LA? » Ilene, posted by ed_uk on December 29, 2005, at 16:43:49
> Hi Ilene,
>
> Yes, but I imagine mainly at high doses. Primidone is converted in the body to phenobarbital, a barbiturate anticonvulsant and sedative. Phenobarbital is particularly notorious for inducing depression.
>
> EdProbably why I take it at night. It's effective for tremor, though, and I haven't noticed any further depression.
Thanks,
I.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.