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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by SLS on April 3, 2016, at 12:17:59
Hi All.
I have spent the last week on a dosage-finding mission to establish the minimum effective dosage of prazosin. I have arrived at 15 mg/day. I believe that this is the dosage that will afford me the best chance of getting well.
My current treatment regime:
Parnate 80 mg/day
Desipramine 300 mg/day
Lamictal 300 mg/day
Lithium 300 mg/day
Abililfy 10 mg/day
Prazosin 15 mg/day
- Scott
Posted by porkpiehat on April 3, 2016, at 16:23:15
In reply to Prazosin @ 15 mg/day, posted by SLS on April 3, 2016, at 12:17:59
Dude I took 2mgs before a test and I was all dizzy and stuffed up with a killer headache...you have none of these SE's at 15mgs?
Posted by SLS on April 3, 2016, at 18:10:49
In reply to Re: Prazosin @ 15 mg/day, posted by porkpiehat on April 3, 2016, at 16:23:15
> Dude I took 2mgs before a test and I was all dizzy and stuffed up with a killer headache...you have none of these SE's at 15mgs?
You are supposed to start prazosin treatment by taking a single 1 mg dose at bedtime so that you don't suffer extreme dizziness while you are awake. By the time you wake up, the body has already begun to adjust to it. You can then follow up with 1 mg in the morning and 1 mg at bedtime. You might then begin taking 1 mg three times a day for a few days. Prazosin should be dosed 2 or 3 times a day. It is likely that if you titrate gradually, you will avoid the more extreme reactions you describe. Besides a reduction in sex drive, prazosin is an extremely clean drug for me. Like many other drugs, there may be some startup side effects that eventually disappear. My blood pressure is 120/70.
- Scott
Posted by porkpiehat on April 3, 2016, at 18:27:30
In reply to Re: Prazosin @ 15 mg/day » porkpiehat, posted by SLS on April 3, 2016, at 18:10:49
At what dose did the sexual SE's kick in? Do you not have them from the other ADs/AAP's you take?
Posted by Phillipa on April 3, 2016, at 22:28:06
In reply to Re: Prazosin @ 15 mg/day » porkpiehat, posted by SLS on April 3, 2016, at 18:10:49
Scott perfect blood pressure. And congratulations on finding a combination of meds and the correct doses for you. Hoping it continues Phillipa
Posted by Tomatheus on April 4, 2016, at 0:02:33
In reply to Re: Prazosin @ 15 mg/day » SLS, posted by Phillipa on April 3, 2016, at 22:28:06
> And congratulations on finding a combination of meds and the correct doses for you. Hoping it continues Phillipa
I'd like to echo Phillipa's sentiments. Good luck, Scott!
Tomatheus
Posted by SLS on April 4, 2016, at 7:20:55
In reply to Re: Prazosin @ 15 mg/day » SLS, posted by porkpiehat on April 3, 2016, at 18:27:30
> At what dose did the sexual SE's kick in? Do you not have them from the other ADs/AAP's you take?
In the past, the other drugs I am taking increased my sex-drive rather than lowering it. Prazosin reduced my drive starting at low dosages. Reduced sex-drive is a well-known and common side effect of prazosin.
I wish I could offer you an indication as to what type of depression prazosin is most suited to treat. My personal history was one of childhood physical abuse (non sexual), and neglect. This was what my doctor took into consideration when choosing prazosin.
- Scott
Posted by porkpiehat on April 5, 2016, at 8:21:33
In reply to Re: Prazosin @ 15 mg/day » porkpiehat, posted by SLS on April 4, 2016, at 7:20:55
thanks for the details, Scott :)
Posted by Lamdage22 on April 7, 2016, at 12:42:17
In reply to Re: Prazosin @ 15 mg/day » porkpiehat, posted by SLS on April 4, 2016, at 7:20:55
You must have a very liberal doctor
Posted by Samuel Morgan on April 7, 2016, at 23:49:09
In reply to Prazosin @ 15 mg/day, posted by SLS on April 3, 2016, at 12:17:59
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