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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 wildcard11 on March 9, 2006, at 16:49:53
My mother is prescribed 500mg of Effexor XR, 8mg Klonopin and 100mg of Trazadone per day. Is this very out of the ordinary for borderline personality/severe anxiety?? I have seen no improvement which is why she is estranged from all her children and wondered what may be a better combo. Thanks for any advise...
Posted by rjlockhart on March 9, 2006, at 17:12:52
In reply to Medication advice needed PLEASE, posted by wildcard11 on March 9, 2006, at 16:49:53
If she is taking Trazadone during the day 100mg then with 8mg of Clonazepam that definetely would cause no improvement.
Has she considered Cymbalta? it is novel antidepressant which blocks the reuptake of serotonin and norepinehrine according to articles better than effexor. My aunt takes effexor 150mg XR daily, i dont really see much improvement.
I take Prozac 20mg daily it works somewhat...yea kinda but its not like a Nardil type antidepressant.
Has she considered an MAOI such as Nardil or Parnate? also Dextroamphetamine but if she has a condition where she gets somewhat off, that would be the best (dexamphetamine). Dexamphetamine improves depression good, since it is an amphetamine, but when it wears off is the only problem, redosing, and then insomnia will become a problem. Belive me i was on it nearly 10 years i was put on Clonazepam 2mg and Temazepam 30mg nightly ROFL!
I take Xanax 4mg (1mg X 4 daily for panic attacks), has Alprazolam (Xanax) been considered? it is very calming benzodiazepine with some antidepressant properties rather than Clonazepam (Klonopin) which actually sometimes can cause depression.
Ask your doctor if an MAOI can be considered.
Well just pray i will hang in here and not crazy ^^ read the post above ROFL
Take care, and and for your mom
Matt
Posted by Maxime on March 9, 2006, at 19:04:18
In reply to Medication advice needed PLEASE, posted by wildcard11 on March 9, 2006, at 16:49:53
8 mg is a high dose of klonopin. But what is worrisome is the 500 of Effexor. Effexor can cause you to become very anxious. Of all the AD available I don't know why that one would be prescribed. Cymbalta is more sedating and Lexapro is known for helping anxiety.
Maxime
> My mother is prescribed 500mg of Effexor XR, 8mg Klonopin and 100mg of Trazadone per day. Is this very out of the ordinary for borderline personality/severe anxiety?? I have seen no improvement which is why she is estranged from all her children and wondered what may be a better combo. Thanks for any advise...
Posted by wildcard11 on March 9, 2006, at 20:24:31
In reply to Re: Medication advice needed PLEASE » wildcard11, posted by Maxime on March 9, 2006, at 19:04:18
Posted by Phillipa on March 9, 2006, at 22:01:12
In reply to Re: Medication advice needed PLEASE » wildcard11, posted by Maxime on March 9, 2006, at 19:04:18
Wildcard a lot more responses will come in. And if they don't just google effexor and the average doses. Fondly, Phillipa
Posted by tizza on March 11, 2006, at 6:16:05
In reply to Re: Medication advice needed PLEASE » Maxime, posted by Phillipa on March 9, 2006, at 22:01:12
That is an exteremly high dose of both effexor and klonopin if she is suffering from depression. I would get her to another doc for a second opinion. An upper end high dose of effexor xr is 225mg daily, sometimes 300mg or higher for inpatients only and as for the klonopin, (unless it's for seizures) a max dose of 4 to 6mg daily is very high for anxiety or panic. I personally would get her to another doctor, Paul.
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