![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by gadchik on March 9, 2012, at 6:58:10
http://bearpaw8.tripod.com/pd.html#SSRI
I found this posted a few years ago on this site.Reading it has helped me immensely,it has helped me accept that a daily benzo is best for my condition.
Posted by Beckett on March 9, 2012, at 8:07:36
In reply to For Panic Disorder patients, posted by gadchik on March 9, 2012, at 6:58:10
I found this interesting:
The spectrum connecting mental and autonomic arousal could be compared to a pushme-pullyou, the fictional creature from Dr. Dolittle with two front ends and two brains. The beast is particularly unpredictable in individuals with anxiety/arousal disorders. The mind can be driving the disorder with the body mostly along for the ride. Or the body can be driving the disorder, with the mind doing its best to resist. Treatment of the mind can accomplish surprising effects on biology, but this is compensation, and it does have its limits. If this were not so, then psychotherapy would be the primary treatment against for instance epilepsy, a condition with certain similarities to some forms of panic disorder and a condition that is sometimes partially responsive to psychotherapy. So a good understanding of the mind-body connection in panic disorder generally and in any specific patient is essential to intelligent diagnosis and effective treatment. Notwithstanding the mind-body overlap, the essence of each case is usually to be found in some intrinsic factor on one side or the other.
I really wrestle with anxiety. Later the link discusses various dysautonomia which I find curious since I have had regulatory issuses since childhood.
Btw, are you still setting sail soon?
Posted by gadchik on March 9, 2012, at 9:25:06
In reply to Re: For Panic Disorder patients » gadchik, posted by Beckett on March 9, 2012, at 8:07:36
Alot of interesting stuff in that post.Anyway,I think Alan? posted it.If he's still around here,I really thank him for that link.
Yes,I am setting sail, March 18th! Thanks for remembering! I can hardly contain my excitement!See, daily benzo use doesnt dull me!As you know,I adore the sea and cant wait to gulp my first breath of salty air!
Posted by SLS on March 9, 2012, at 9:52:59
In reply to For Panic Disorder patients, posted by gadchik on March 9, 2012, at 6:58:10
> http://bearpaw8.tripod.com/pd.html#SSRI
> I found this posted a few years ago on this site.Reading it has helped me immensely,it has helped me accept that a daily benzo is best for my condition.For me, "benzodiazepine" has never been a dirty word. In my experience, they are incredibly useful drugs with a favorable safety and side effect profile. Dependence? So what? If you need it long-term, what's the difference? There are a few methods to ease withdrawal if that becomes necessary. Using an anticonvulsant like Trileptal is one strategy.
One disadvantage of BZDs is that a minority of people will become addicted to them and experience cravings and a psychological compulsion. This involves a biological substrate that promotes addiction. In addition, some people will experience behavioral disinhibition.
Have you considered Nardil or a tricyclic?
- Scott
Posted by gadchik on March 9, 2012, at 10:29:13
In reply to Re: For Panic Disorder patients » gadchik, posted by SLS on March 9, 2012, at 9:52:59
I never tried a tricyclic.My pdoc suggested tofranil.Ive been able to do well on klonopin with minimal side effects.I have had issues with accepting its daily use,however.I will write down trileptal and request it should I eventually decide to taper k(if I have problems tapering,which I will!)
Posted by Phillipa on March 9, 2012, at 10:45:57
In reply to Re: For Panic Disorder patients » SLS, posted by gadchik on March 9, 2012, at 10:29:13
I never had a problem with nightly use the problem for me seems to be they pooped out. I thought they wouldn't they did and switching doesn't help? Old pdoc said it would. Phillipa
Posted by gadchik on March 9, 2012, at 11:02:56
In reply to Re: For Panic Disorder patients, posted by Phillipa on March 9, 2012, at 10:45:57
do you mean you are experiencing more worry/anxiety? That concerns me, that I will take for years,then they poop out.But isnt that a risk with the other drugs as well?Did your pdoc ever suggest the tricyclics? Mine said that her panic pts do well on tofranil,but Im afraid of the side effects.She also once suggested I try a small dose of seroquel,I was too anxious to try it!
Posted by SLS on March 9, 2012, at 13:17:57
In reply to Re: For Panic Disorder patients » SLS, posted by gadchik on March 9, 2012, at 10:29:13
> I never tried a tricyclic.My pdoc suggested tofranil.Ive been able to do well on klonopin with minimal side effects.I have had issues with accepting its daily use,however.I will write down trileptal and request it should I eventually decide to taper k(if I have problems tapering,which I will!)
-------------------------------------------
http://www.ncbi.nlm.nih.gov/pubmed/18821451
Am J Drug Alcohol Abuse. 2008;34(5):534-40.
Oxcarbazepine in rapid benzodiazepine detoxification.Croissant B, Grosshans M, Diehl A, Mann K.
Department of Psychiatry, Psychotherapy and Psychosomatics, Teaching Hospital Sigmaringen, University of Tuebingen, Sigmaringen, Germany. b.croissant@klksig.de
Abstract
OBJECTIVE:
This study aims at evaluating the tolerability and efficacy of the antiepileptic drug oxcarbazepine in benzodiazepine detoxification in ten patients.
METHODS:
In this case study of an inpatient withdrawal program, each of the ten patients was detoxified using oxcarbazepine and completed withdrawal successfully without the occurrence of withdrawal symptoms. The detoxification program followed an outlined dosage scheme with oxcarbazepine increase and benzodiazepine tapering.
RESULTS:
The rapidity of benzodiazepine detoxification using oxcarbazepine was remarkable, benzodiazepine withdrawal being completed in as little as 11 days.
CONCLUSIONS:
The results support the assumption that oxcarbazepine is a valuable drug for inpatient benzodiazepine withdrawal programs.
PMID:
18821451
[PubMed - indexed for MEDLINE]
Posted by gadchik on March 9, 2012, at 13:28:08
In reply to Re: For Panic Disorder patients, posted by SLS on March 9, 2012, at 13:17:57
Scott,thanks for the link.I will definately try this if I decide to taper.It sounds like a miracle!Ive been so afraid to taper,but this will give me some hope.
Posted by Phillipa on March 9, 2012, at 20:03:03
In reply to Re: For Panic Disorder patients » SLS, posted by gadchik on March 9, 2012, at 13:28:08
Why taper it's working for you not to worry. Phillipa
Posted by gadchik on March 10, 2012, at 6:20:14
In reply to Re: For Panic Disorder patients » gadchik, posted by Phillipa on March 9, 2012, at 20:03:03
I always think of tapering,even when it works.I have issues w/taking pills everyday,and the controversy surrounding benzos makes it esp. hard on me.So far,I have stuck w/it.K has been wonderful and no problems.I think the problems will begin if I taper.My mother has always hated pills and that's where I get it from.
Posted by Beckett on March 10, 2012, at 8:39:03
In reply to Re: For Panic Disorder patients » Phillipa, posted by gadchik on March 10, 2012, at 6:20:14
Gadchik, I like to think of your story as a real succeess story--. You're doing great as far as I can tell and I am very happy about that. I have every reason to believe that's gonna keep going forward:)
Posted by gadchik on March 10, 2012, at 11:37:23
In reply to Re: For Panic Disorder patients » gadchik, posted by Beckett on March 10, 2012, at 8:39:03
Wow,your post really brightened my day:)Thanks!!!
Posted by Phillipa on March 10, 2012, at 18:45:33
In reply to Re: For Panic Disorder patients » Phillipa, posted by gadchik on March 10, 2012, at 6:20:14
I know what you mean almost threw up first synthroid as felt like my body had failed me. My ex was totally against any meds and his family also. Phillipa
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.