More side effects than help for anxiety

C. writes in about the difficulty he has getting the right medicine to help his anxiety:

I have tried 3 different meds for anxiety – effexor (37.5) , lexapro (10mg) and toprol all have given me severe headaches and I haven’t taken any meds in six weeks and I continue to have severe headaches . . . → Read More: More side effects than help for anxiety

Tapering Lamictal

Patricia writes in the following question:

I need advice on how to taper off of Lamictal. I am taking 100 mg a day. I would appreciate your thoughts on this.

Lamictal is an easy medication to get off of, as long as you don’t need it! Any time you stop a medication, you must . . . → Read More: Tapering Lamictal

Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas

In responce to my blarticle about the limits of usefulness of Klonopin, e-chimp writes in with the following barrage of thought provoking questions and comments:

What’s your opinion on the thin line between mis-use and self-medication? Say someone’s prescribed a small supply of 2mg diazepam, finds that this dosage does nothing and adjusts it . . . → Read More: Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas

Quiting Klonopin–sometimes more is not better

Those of you who follow along faithfully in my writing know that I am a reasonable fan of the anti-anxiety tranquilizers–the benzodiazepines. While some docs I know prescribe them only under duress, I find them a useful option when my patients are suffering from extreme anxiety. Those docs who are reluctant often have a history . . . → Read More: Quiting Klonopin–sometimes more is not better

Depression during Interferon Treatment for Hepatitis C

Most of you who regular readers of this blog do not have to worry about this issue. But psychiatric patients are at greater risk of having Hep C. While 2% of the general population has Hep C, 20 % of persons with severe mental illness have Hep C. Regardless, any patient who faces treatment for . . . → Read More: Depression during Interferon Treatment for Hepatitis C

Cognitive Restructuring–getting rid of the old tapes?

A member of our studio audience writes in with the following problem. I have edited out some of the entry for brevity’s sake.

My father has been married seven times & recently got engaged to #8. However, less than three weeks later they were also done. My dad has literally cheated on all his wives . . . → Read More: Cognitive Restructuring–getting rid of the old tapes?

Combining Lamictal with Birth Control Pills

Well, well . . . you learn something everyday . . .

I had a question posed to me about whether there are interactions between Lamictal and birth control pills. Lamictal, as you may know, is the only medication approved by the FDA for use in Bipolar Depression. It is a great medicine and . . . → Read More: Combining Lamictal with Birth Control Pills

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