Neurontin as a first line agent . . . I Don't Think So!

I received this question from a concerned consumer last week . . .

A week ago I was prescribed gabapentin, an anti-epileptic drug, for the off-label use of social anxiety and “affective mood disorder.” I have been concerned about this ever since I began my research on it a few days ago. Most of what . . . → Read More: Neurontin as a first line agent . . . I Don't Think So!

Another Klonopin Horror Story . . . why do I prescribe this stuff anyway???

I have had such an overwhelming number of negative comments about Klonopin lately, I thought I would feature it in another blarticle again. I thought I would use the following comment sent in not long ago . . .

I started Klonopin 8 years ago for “Nocturnal Myoclonus”. I had heard they were difficult to . . . → Read More: Another Klonopin Horror Story . . . why do I prescribe this stuff anyway???

Tapering quickly off Klonopin . . . or . . . how to drive yourself crazy and feel like crap

Dawn writes in . . . actually . . . shouts in . . .

HI I WAS ON KLONOPIN FOR ABOUT 15 YEARS NOW AND I AM TRYIGN TO WEAN MYSELF OFF. I AM NOTICING I HAVE THE SHAKES, I CANNOT THINK STRAIGHT AT ALL, I CANNOT RETAIN MUCH OF ANYTHING, MY FACE . . . → Read More: Tapering quickly off Klonopin . . . or . . . how to drive yourself crazy and feel like crap

Alcohol and Klonopin . . . decision time

I have been putting this off for a while. I have a nice lady who lives in difficult circumstance. She has struggled with addictions most of her life, whether it is food, drugs, and now, alcohol. Both her circumstance and her biology lead her to be tremendously anxious, depressed and to have mood swings that . . . → Read More: Alcohol and Klonopin . . . decision time

When is Lamictal Good for Regular Old Depression?

In our striving to provide our patients with the latest, the greatest and the newest treatments for one condition or another, many psychiatrists go out on a limb to try new things. Some of us go wwwwaaaaaayyyyy out on a limb. There are two sides to this, of course. You don’t want a shrink who . . . → Read More: When is Lamictal Good for Regular Old Depression?

When is it time to go off the meds?

Joelle writes in with a common question:

I am on 600 mg of Lamictal and was prescribed this medication a year ago. My doctor increased my dose from 50mg slowly taking me to 600mg over a period of 4 months. It took this much to feel less suicidal and even balanced in my mind. Recently . . . → Read More: When is it time to go off the meds?

Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Now . . . don’t get me wrong . . . I am a big fan of Abilify. Even if their over the top marketing binge is so financially disgusting to me that I want to reflexively run screaming into the night. I mean, really, how many prime time advertisements for this product do . . . → Read More: Ak-ak-ak-ak-akathesia . . .the trouble with Abilify

Dealing with the unsupportive partner . . .

I have had a rash of patients (a gaggle of patients . . . ?) who have had great difficulties with their significant others . . . ok . . . ok . . . all the patients are female and they are referring to their generally bull headed and unsympathetic husbands. I will admit . . . → Read More: Dealing with the unsupportive partner . . .

Physically sick from the meds . . . what to do . . . what to do

Leslie writes in with a question . . .

I have been taking Lamictal for a short period of time. My doctor added Abilify 10 days ago and I have had a low grade fever ever since. She says it’s flu but I now am certain it is the medication. The fever has also made . . . → Read More: Physically sick from the meds . . . what to do . . . what to do

Lamictal and acne

Red writes in with a common complaint about Lamictal . . .

I’m a 29 y/o female. I started Lamictal July of 07 (150mgs) and since then I have developed horrible acne along my jawline that takes weeks to clear up and new pimples develop every other day. They are painful. I also have pimples . . . → Read More: Lamictal and acne