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Suggest Alternate Over The Counter Medication For Kemadrin
Question: Dear doctor - was surfing net to check medicines for EPS and came across pramipexole. I have following questions:
Can I replace kemadrin with it?
Does it help with eps? If yes, at what dose?
Does it have any stomach related issues that I face with kemadrin?
Pls advise.
Can I replace kemadrin with it?
Does it help with eps? If yes, at what dose?
Does it have any stomach related issues that I face with kemadrin?
Pls advise.
Brief Answer:
Pramipaxole should be used in low dose.
Detailed Answer:
Hello again
Pramipaxole is a dopaminergic drug and the drug is commonly used for Parkinson's disease. I am not sure about the use of this drug in EPS. Yes theoretically this can help in EPS and is even used by some doctors for drug induced EPS.
I don't think replacing this for Kemadrin is a good idea. Stopping Kemadrin will not cause much EPS considering your other drugs.
Yes this can help in EPS but low doses should be used. 0.5 to 1 mg can be used.
Pramipaxole doesn't cause much stomach issues. The drug is used even by a lot of psychiatrists for resistant depression symptoms.
Thanks and Take care
Pramipaxole should be used in low dose.
Detailed Answer:
Hello again
Pramipaxole is a dopaminergic drug and the drug is commonly used for Parkinson's disease. I am not sure about the use of this drug in EPS. Yes theoretically this can help in EPS and is even used by some doctors for drug induced EPS.
I don't think replacing this for Kemadrin is a good idea. Stopping Kemadrin will not cause much EPS considering your other drugs.
Yes this can help in EPS but low doses should be used. 0.5 to 1 mg can be used.
Pramipaxole doesn't cause much stomach issues. The drug is used even by a lot of psychiatrists for resistant depression symptoms.
Thanks and Take care
Above answer was peer-reviewed by :
Dr. Kampana
Depending upon the replies i got from you, met my doctor today and discussed in detail. According to him:
Isopropramide does not help with EPS, is it true? I am confused and worried about EPS because stelabid 3 mg in the morning is helping me with anxiety and if it causes EPS to me, i will have to stop this (as kemadrin and pacitane don't suit me) and it will bring my anxiety back.
According to him, pramipaxole can help with EPS to an extent but not same as pacitane or kemadrin but he is of the opinion that it will help me with the mood and anxiety also. I have following questions to ask you:
Do i need to worry about EPS if am taking stelabid without kemadrin or you think stelabid causes lesser Eps than plain trifluoperazine?
With 3 mg stelabid in the morning and 1 mg in the night, do you think pramipaxole should be help me with EPS and is 4 mg a high dose? does pramipaxole really help with eps?
Does pramipaxole cause sleep problems if taken in the night? My doc has suggested 0.125 mg of it, he said try it in the morning and if its too sedating in the morning, then take it in the night.I have read on the net that it can cause insomnia as a side effect, is it true? if yes, will taking in the morning will make me sedated? the net also says it can cause nausea, is it true? is 0.125 too high a dose to cause nausea and sleep problems?
my doc is of the opinion that up to 4 mg of stelabid should not cause eps but if the dose is 5mg then it should be supplemented with kemadrin, is it true?
Is 4 mg too high a dose to cause eps? if not, at what dosage it causes eps?
Read on the net that eps with trifuoperazine is common with women and young adults, is it true? if yes, how young one should be, i am 45?
Is EPS because of trifluoperazine permanent or it can be reversed once the medicine is stopped? the net says it can cause permanent eps, is it true?
Is EPS because of trifluoperazine depend on the duration, if yes after how long can it cause EPS? I am on it for the last 25-30 days, if EPS had to happen, do you think it would have happen by now?
Do you think i need to worry about EPS at all?
Pls advise.
Isopropramide does not help with EPS, is it true? I am confused and worried about EPS because stelabid 3 mg in the morning is helping me with anxiety and if it causes EPS to me, i will have to stop this (as kemadrin and pacitane don't suit me) and it will bring my anxiety back.
According to him, pramipaxole can help with EPS to an extent but not same as pacitane or kemadrin but he is of the opinion that it will help me with the mood and anxiety also. I have following questions to ask you:
Do i need to worry about EPS if am taking stelabid without kemadrin or you think stelabid causes lesser Eps than plain trifluoperazine?
With 3 mg stelabid in the morning and 1 mg in the night, do you think pramipaxole should be help me with EPS and is 4 mg a high dose? does pramipaxole really help with eps?
Does pramipaxole cause sleep problems if taken in the night? My doc has suggested 0.125 mg of it, he said try it in the morning and if its too sedating in the morning, then take it in the night.I have read on the net that it can cause insomnia as a side effect, is it true? if yes, will taking in the morning will make me sedated? the net also says it can cause nausea, is it true? is 0.125 too high a dose to cause nausea and sleep problems?
my doc is of the opinion that up to 4 mg of stelabid should not cause eps but if the dose is 5mg then it should be supplemented with kemadrin, is it true?
Is 4 mg too high a dose to cause eps? if not, at what dosage it causes eps?
Read on the net that eps with trifuoperazine is common with women and young adults, is it true? if yes, how young one should be, i am 45?
Is EPS because of trifluoperazine permanent or it can be reversed once the medicine is stopped? the net says it can cause permanent eps, is it true?
Is EPS because of trifluoperazine depend on the duration, if yes after how long can it cause EPS? I am on it for the last 25-30 days, if EPS had to happen, do you think it would have happen by now?
Do you think i need to worry about EPS at all?
Pls advise.
Brief Answer:
No need to add Kemadrin
Detailed Answer:
Hello thanks for asking
Taking Stelabid alone in 4 mg will not cause EPS. Stelabid is better and safer compared to Trifluperazine alone.
Isopropamide is long acting anticholinergic and to some extent this helps in controlling EPS.
Yes Pramipaxole can help in EPS and as I have said the drug will help in depressive symptoms too.
So you should not get worried for EPS at 3-4 mg Stelabid.
Pramipaxole can be added. At least this will help in depressive symptoms. I am not very sure about its use in drug induced EPS. But yes the drug is very nice drug for parkinsonian symptoms. EPS also have same pathophysiology as Parkinson's symptoms.
Pramipaxole can cause drowsiness and also insomnia. This depends upon individuals to individuals. The drug is known to cause nausea and this could be troublesome. This is the reason the drug is started with low dose.
Upto 3-4 mg dose Stelabid will not cause EPS. Yes higher doses like 5 mg or more could cause mild EPS.
Young means children and young adolescents. If we consider age then the risk in you is relatively lower compared to young adolescents.
EPS is not permanents with Trifluperazine, but yes long term use could cause tar dive dyskinesia. This is difficult to treat.
Yes if you are tolerating the drug then EPS will not occur. But if the drug is used in high doses for very long time like 6 months to years then this could increase the risk of Tardive dyskinesia.
So stop worrying, you are on 3-4 mg dose and this will not cause EPS.
Thanks
No need to add Kemadrin
Detailed Answer:
Hello thanks for asking
Taking Stelabid alone in 4 mg will not cause EPS. Stelabid is better and safer compared to Trifluperazine alone.
Isopropamide is long acting anticholinergic and to some extent this helps in controlling EPS.
Yes Pramipaxole can help in EPS and as I have said the drug will help in depressive symptoms too.
So you should not get worried for EPS at 3-4 mg Stelabid.
Pramipaxole can be added. At least this will help in depressive symptoms. I am not very sure about its use in drug induced EPS. But yes the drug is very nice drug for parkinsonian symptoms. EPS also have same pathophysiology as Parkinson's symptoms.
Pramipaxole can cause drowsiness and also insomnia. This depends upon individuals to individuals. The drug is known to cause nausea and this could be troublesome. This is the reason the drug is started with low dose.
Upto 3-4 mg dose Stelabid will not cause EPS. Yes higher doses like 5 mg or more could cause mild EPS.
Young means children and young adolescents. If we consider age then the risk in you is relatively lower compared to young adolescents.
EPS is not permanents with Trifluperazine, but yes long term use could cause tar dive dyskinesia. This is difficult to treat.
Yes if you are tolerating the drug then EPS will not occur. But if the drug is used in high doses for very long time like 6 months to years then this could increase the risk of Tardive dyskinesia.
So stop worrying, you are on 3-4 mg dose and this will not cause EPS.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I was taking kemadrin 2.5 mg in the morning and 1.25 in the afternoon till yesterday and was getting indigestion and other stomach issues, didn't take it today, i have following questions to ask:
can kemadrin cause these issues? i didn't take it today and expected that stomach issues will go away but still getting stomach issues, is it too early to expect the stomach issues to go or they will go in sometime?
Can kemadrin cause stomach issues even after stopping and how long will it be before they go away?
Read on the net that kemadrin stays in your system for 60 hrs, is it true, if yes does that mean that it will take 60 hrs for my stomach issues to be alright?
Only recent addition to my medication is stelabid, can stelabid also cause stomach issues? read on the net that it helps with the stomach issues, is it true?
Can kemadrin also have after effects, if yes how long they last?
Pls advise.
can kemadrin cause these issues? i didn't take it today and expected that stomach issues will go away but still getting stomach issues, is it too early to expect the stomach issues to go or they will go in sometime?
Can kemadrin cause stomach issues even after stopping and how long will it be before they go away?
Read on the net that kemadrin stays in your system for 60 hrs, is it true, if yes does that mean that it will take 60 hrs for my stomach issues to be alright?
Only recent addition to my medication is stelabid, can stelabid also cause stomach issues? read on the net that it helps with the stomach issues, is it true?
Can kemadrin also have after effects, if yes how long they last?
Pls advise.
Brief Answer:
Kemadrin might cause stomach issues.
Detailed Answer:
Hello again
Kemadrin can cause stomach issues. If you have stopped taking it then in about 24 hours the symptoms will start decreasing. Though the drug stays in system for long but the symptoms will decrease in a day.
Stelabid should not cause stomach issue but yes instead help because the drug reduces anxiety and also reduces acid secretion.
Thanks.
Kemadrin might cause stomach issues.
Detailed Answer:
Hello again
Kemadrin can cause stomach issues. If you have stopped taking it then in about 24 hours the symptoms will start decreasing. Though the drug stays in system for long but the symptoms will decrease in a day.
Stelabid should not cause stomach issue but yes instead help because the drug reduces anxiety and also reduces acid secretion.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Good evening doctor - went to my doctor yesterday, he wants to add fluvoxamine sr 50. All other ssris give me major stomach problems, according to my doctor fluvoxamine causes the least stomach issues, is it true? Read on the net that it causes more stomach problems as compared to other ssris, am confused, need your advise. is sr formation known to cause less side effects? he has told me to take in the night, will it cause sleep problem if taken in the night? my doctor says it does not cause sleep problem, he said it helps with the sleep, is it true? apart from ocd, does it also help with anticipatory anxiety, meeting phobia and panic attacks?
Brief Answer:
Fluvoxamine SR 50 will be tolerated with ease.
Detailed Answer:
Hello again
Fluvoxamine 50 mg is not a high dose and should be tolerated easily. But if we consider gastrointestinal side effects and overall tolerability then based upon a number of research studies, Fluvoxamine is associated with gastric side effects in a lot of individuals. The tolerability is also less compared to other SSRIs. Citalopram or Escitalopram (which is available easily) are better tolerated.
But yes 50 mg SR formation will be tolerated easily because of sustained release of small amounts of drug in system. The drug is not associated with much sleep issues so you can take this without worries as far as sleep issue is considered.
The drug in adequate doses has great efficacy in OCD and also in anxiety or anticipatory anxiety. So you can give this drug a try.
Thanks.
Fluvoxamine SR 50 will be tolerated with ease.
Detailed Answer:
Hello again
Fluvoxamine 50 mg is not a high dose and should be tolerated easily. But if we consider gastrointestinal side effects and overall tolerability then based upon a number of research studies, Fluvoxamine is associated with gastric side effects in a lot of individuals. The tolerability is also less compared to other SSRIs. Citalopram or Escitalopram (which is available easily) are better tolerated.
But yes 50 mg SR formation will be tolerated easily because of sustained release of small amounts of drug in system. The drug is not associated with much sleep issues so you can take this without worries as far as sleep issue is considered.
The drug in adequate doses has great efficacy in OCD and also in anxiety or anticipatory anxiety. So you can give this drug a try.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for your advise. I don't think i will start fluvoxamine as i am scared of stomach issues. i am having slight stomach issues already. I have following questions:
When should stelabid be taken ( before or after food) for better results?
Can i take lesuride along with stelabid? I take 2mg stelabid in the morning and 1 mg in the night, will adding lesuride to stelabid increase eps? does lesuride cause eps?
What is the dose of lesuride for anxiety?
Will adding lesuride to stelabid help me with my anxiety better? will lesuride help me with my stomach issues?
What is the half life of lesuride? how long does it last?
What is the half life of stelabid?
does lesuride interfere with the sleep? can it be taken in the night as well?
Pls advise
When should stelabid be taken ( before or after food) for better results?
Can i take lesuride along with stelabid? I take 2mg stelabid in the morning and 1 mg in the night, will adding lesuride to stelabid increase eps? does lesuride cause eps?
What is the dose of lesuride for anxiety?
Will adding lesuride to stelabid help me with my anxiety better? will lesuride help me with my stomach issues?
What is the half life of lesuride? how long does it last?
What is the half life of stelabid?
does lesuride interfere with the sleep? can it be taken in the night as well?
Pls advise
Brief Answer:
You can take Stelabid with Lesuride.
Detailed Answer:
Hello again
I am sorry for late reply.
Stelabid can be taken with or after food. There are not much effects on bioavailability because of food.
Yes you can take Lesuride with Stelabid.
Adding low dose of Lesuride will not increase the risk of EPS. Usually in dose of 150-200 mg the drug can cause EPS. But in your case I guess they have given low dose like 25-50 mg.
Low dose of Lesuride in 25-50 mg helps a lot in anxiety and resistant depression.
Yes Lesuride will help in stomach issues and this drug will also help in anxiety control because your anxiety is mainly related to anticipation and gastric issues.
Half life is around 8-9 hours. Twice a day dosing is advised.
Trifluperazine half life is around 3.6 hours but elimination half life is more.
Lesuride doesn't affect much as far as sleep in concerned. In some individuals the drug could cause mild insomnia.
Thanks.
You can take Stelabid with Lesuride.
Detailed Answer:
Hello again
I am sorry for late reply.
Stelabid can be taken with or after food. There are not much effects on bioavailability because of food.
Yes you can take Lesuride with Stelabid.
Adding low dose of Lesuride will not increase the risk of EPS. Usually in dose of 150-200 mg the drug can cause EPS. But in your case I guess they have given low dose like 25-50 mg.
Low dose of Lesuride in 25-50 mg helps a lot in anxiety and resistant depression.
Yes Lesuride will help in stomach issues and this drug will also help in anxiety control because your anxiety is mainly related to anticipation and gastric issues.
Half life is around 8-9 hours. Twice a day dosing is advised.
Trifluperazine half life is around 3.6 hours but elimination half life is more.
Lesuride doesn't affect much as far as sleep in concerned. In some individuals the drug could cause mild insomnia.
Thanks.
Above answer was peer-reviewed by :
Dr. Kampana
dear doctor
i am on the following medication:
quetiapine 100, quetiapine sr 100, amitryn 75, sizopin 12.5, stelabid 1mg, zapiz 0.25 in the night
betacap tr 40, stelabid 2 mg in the morning.
have started lesuride 25 in the morning for the last two days. I have following questions:
what should be the dosage of lesuride for anxiety?
i have made amitryn 75 from 100 mg for the last two days? will it bring back my anxiety? what is the therapeutic dosage of amitryn?
i am getting a lot of acidity, hiccups and acid reflux, what can be the cause out of the medicines i am taking? is it because of amitryn, if yes, can i replace it with tynept? will tynept be able to control my depression?
can i stop stelabid and increase the dosage of lesuride? how do i go about tapering stelabid and increasing lesuride? is lesuride alone good enough for anxiety and at what dose?
by know, you know my symptoms i.e. social anxiety, phobia of meeting, anticipatory anxiety, keeping in mind my symptoms and also that ssris and snris don't suit me, what would be your prescription for me?
pls advise
i am on the following medication:
quetiapine 100, quetiapine sr 100, amitryn 75, sizopin 12.5, stelabid 1mg, zapiz 0.25 in the night
betacap tr 40, stelabid 2 mg in the morning.
have started lesuride 25 in the morning for the last two days. I have following questions:
what should be the dosage of lesuride for anxiety?
i have made amitryn 75 from 100 mg for the last two days? will it bring back my anxiety? what is the therapeutic dosage of amitryn?
i am getting a lot of acidity, hiccups and acid reflux, what can be the cause out of the medicines i am taking? is it because of amitryn, if yes, can i replace it with tynept? will tynept be able to control my depression?
can i stop stelabid and increase the dosage of lesuride? how do i go about tapering stelabid and increasing lesuride? is lesuride alone good enough for anxiety and at what dose?
by know, you know my symptoms i.e. social anxiety, phobia of meeting, anticipatory anxiety, keeping in mind my symptoms and also that ssris and snris don't suit me, what would be your prescription for me?
pls advise
Brief Answer:
Lesuride in dose of 25-50 mg will help in anxiety.
Detailed Answer:
Hello again
Low dose of Lesuride like 25-50 mg helps in anxiety.
No reducing the dose of Amitriptyline to 75 from 100 will not result in relapse of anxiety. You are already on a number of drugs and reducing the dose would not cause any relapse.
High dose of Amitriptyline could cause gastric symptoms. But replacing this with Tynept is not a good idea. Tynept is not a strong antidepressant as Amitriptyline.
Increasing the dose of Lesuride to higher doses will only increase the risk of side effects. Better to continue to take 25-50 mg doses only.
I would have advised you to either stop Sizopin and increase the dose of Lesuride. Or I would have advised you to stop Lesuride and increase the dose of Sizopin to 25 or if needed 50 mg. Rest of medicines I would have advised same.
Thanks.
Lesuride in dose of 25-50 mg will help in anxiety.
Detailed Answer:
Hello again
Low dose of Lesuride like 25-50 mg helps in anxiety.
No reducing the dose of Amitriptyline to 75 from 100 will not result in relapse of anxiety. You are already on a number of drugs and reducing the dose would not cause any relapse.
High dose of Amitriptyline could cause gastric symptoms. But replacing this with Tynept is not a good idea. Tynept is not a strong antidepressant as Amitriptyline.
Increasing the dose of Lesuride to higher doses will only increase the risk of side effects. Better to continue to take 25-50 mg doses only.
I would have advised you to either stop Sizopin and increase the dose of Lesuride. Or I would have advised you to stop Lesuride and increase the dose of Sizopin to 25 or if needed 50 mg. Rest of medicines I would have advised same.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for your reply. you have not mentioned whether stelabid should be stopped or continued. i have following questions:
should i take levosulpride in the morning or evening and what does? you have mentioned 25-50mg, should i take 25mg or 50 mg?
should i continue taking stelabid 2mg in the morning and 1 mg in the night? will combining the two will increase chances of eps? does levosulpride also cause eps?
between levosulpride and stelabid, which one causes more eps? and also which one controls anxiety better? does lesuride also helps with anticipatory anxiety?
what is the therapeutic dose of amitryn?
Pls advise.
should i take levosulpride in the morning or evening and what does? you have mentioned 25-50mg, should i take 25mg or 50 mg?
should i continue taking stelabid 2mg in the morning and 1 mg in the night? will combining the two will increase chances of eps? does levosulpride also cause eps?
between levosulpride and stelabid, which one causes more eps? and also which one controls anxiety better? does lesuride also helps with anticipatory anxiety?
what is the therapeutic dose of amitryn?
Pls advise.
Brief Answer:
You should continue Stelabid.
Detailed Answer:
Hello again
You should continue the Stelabid.
I usually advise my patients to take 25 mg Lesuride twice a day.
Yes continue the Stelabid as you were taking. No combining two pills will not increase the chances of EPS. Lesuride in high doses might result in EPS. But low doses are safe.
Both are relatively safer but Stelabid in high dose is more prone to cause EPS. Stelabid is more commonly used in anxiety. Yes Lesuride will help in anticipatory anxiety too because this helps in reducing the anxiety.
Amitriptyline is used in 25 to 50 mg doses usually. Some times in depression higher doses are needed.
Thanks and Take care
You should continue Stelabid.
Detailed Answer:
Hello again
You should continue the Stelabid.
I usually advise my patients to take 25 mg Lesuride twice a day.
Yes continue the Stelabid as you were taking. No combining two pills will not increase the chances of EPS. Lesuride in high doses might result in EPS. But low doses are safe.
Both are relatively safer but Stelabid in high dose is more prone to cause EPS. Stelabid is more commonly used in anxiety. Yes Lesuride will help in anticipatory anxiety too because this helps in reducing the anxiety.
Amitriptyline is used in 25 to 50 mg doses usually. Some times in depression higher doses are needed.
Thanks and Take care
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you doctor for your reply.
I have been suffering from acidity (heartburn and oesophagus distress) and don't feel hungry as well. what do you think out of the medicines i am taking, which one is causing this? my medication is as under:
quetiapine 100, quetiapine sr 100, amitryn 75+10, sizopin 12.5, stelabid 1mg, zapiz 0.25 in the night
betacap tr 40, stelabid 2 mg in the morning.
From today i have added lesuride 25 mor/eve
Pls help me in identifying the medication which is causing acidity and hunger problem.
I went to a gasteroentrologist for my stomach problem, he has asked to take nupenta cp ( pantaprazole 40 mg and cinitapride 3mg slow release) in the morning and ganatol total ( itopride 150mg and pantaprazole 40 mg slow release) in the night, i have been taking this for the last 3-4 days, there is slight respite but not much. He said to add rebonik plus ( rabeprazole 20mg and lesuride 75 slow release) if ganaton total does not help, i have following questions:
since rabonik plus contains lesuride 75 sr, can i start taking it along with stelabid, would it cause any eps or sleep problem?
considering my morning anxiety, should i take rabonik plus in the morning instead of night?
can stelabid also cause stomach problem like constipation, read on the net that it can cause it?
if i take 75mg lesuride sr, do i need to take stelabid, if yes, at what dose and whether in the morning or evening? if not, will stopping stelabid bring back my anxiety?
pls advise
I have been suffering from acidity (heartburn and oesophagus distress) and don't feel hungry as well. what do you think out of the medicines i am taking, which one is causing this? my medication is as under:
quetiapine 100, quetiapine sr 100, amitryn 75+10, sizopin 12.5, stelabid 1mg, zapiz 0.25 in the night
betacap tr 40, stelabid 2 mg in the morning.
From today i have added lesuride 25 mor/eve
Pls help me in identifying the medication which is causing acidity and hunger problem.
I went to a gasteroentrologist for my stomach problem, he has asked to take nupenta cp ( pantaprazole 40 mg and cinitapride 3mg slow release) in the morning and ganatol total ( itopride 150mg and pantaprazole 40 mg slow release) in the night, i have been taking this for the last 3-4 days, there is slight respite but not much. He said to add rebonik plus ( rabeprazole 20mg and lesuride 75 slow release) if ganaton total does not help, i have following questions:
since rabonik plus contains lesuride 75 sr, can i start taking it along with stelabid, would it cause any eps or sleep problem?
considering my morning anxiety, should i take rabonik plus in the morning instead of night?
can stelabid also cause stomach problem like constipation, read on the net that it can cause it?
if i take 75mg lesuride sr, do i need to take stelabid, if yes, at what dose and whether in the morning or evening? if not, will stopping stelabid bring back my anxiety?
pls advise
Brief Answer:
No need to stop Stelabid.
Detailed Answer:
Hello again
You are on a number of medicines and these medicines are known to result in heart burn, hyperacidity etc symptoms.
Lesuride will help in reducing the gastric symptoms effectively. Lesuride is commonly used in gastric conditions.
Nupenta CP has cintapride and this is a gastric motility enhancing agent. The drug will definitely help you in improving the gastric symptoms.
You can even start taking Lesuride 75 mg and this will not cause any EPS or much sleep issues. But don't increase the dose to more than 100 mg a day because this might affect its depression and anti anxiety properties.
Rabonic plus should be better taken in morning preferably before breakfast.
Stelabid might cause constipation but you are not taking very high doses.
You can continue to take Stelabid as advised and adding Lesuride 75 would not increase any risk of EPS. No need to stop Stelabid.
Thanks
No need to stop Stelabid.
Detailed Answer:
Hello again
You are on a number of medicines and these medicines are known to result in heart burn, hyperacidity etc symptoms.
Lesuride will help in reducing the gastric symptoms effectively. Lesuride is commonly used in gastric conditions.
Nupenta CP has cintapride and this is a gastric motility enhancing agent. The drug will definitely help you in improving the gastric symptoms.
You can even start taking Lesuride 75 mg and this will not cause any EPS or much sleep issues. But don't increase the dose to more than 100 mg a day because this might affect its depression and anti anxiety properties.
Rabonic plus should be better taken in morning preferably before breakfast.
Stelabid might cause constipation but you are not taking very high doses.
You can continue to take Stelabid as advised and adding Lesuride 75 would not increase any risk of EPS. No need to stop Stelabid.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Good evening doctor - took lesuride 25mg in the morning today and was feeling sleepy and drowsy through out the day. I am thinking of taking lesuride 75 mg sr in the evening today?
do you think it is a good idea to take it in the night?
if i take it in the night, will its effect last till the next day evening? what is the half of lesuride 75 mg sr?
pls advise
do you think it is a good idea to take it in the night?
if i take it in the night, will its effect last till the next day evening? what is the half of lesuride 75 mg sr?
pls advise
Brief Answer:
You can take the tablet in night
Detailed Answer:
Hello again
Yes you can take 75 mg SR tablet in night. The drug has not much negative effects on sleep so taking 75 mg SR tablet in evening is not a bad idea.
SR tablet provides sustained release of drug for around 24 hours. Half life of plain drug is around 9 hours.
Thanks.
You can take the tablet in night
Detailed Answer:
Hello again
Yes you can take 75 mg SR tablet in night. The drug has not much negative effects on sleep so taking 75 mg SR tablet in evening is not a bad idea.
SR tablet provides sustained release of drug for around 24 hours. Half life of plain drug is around 9 hours.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I took lesuride in the night day before and was feeling slightly drowsy and fatigued and today i took in the morning and it made me very drowsy, sleepy and fatigued. I am thinking of continuing it in the night only. How long these side effects like drowsiness, sleepy, fatigue and responses being slow will last? Do they go after sometime or last till i take the medicine. Pls advise.
Also, since i took it in the morning today, should i skip tonight dose and take tomorrow night or i should take it tonight? will skipping tonight's dose give rise to stomach issues?
Also, since i took it in the morning today, should i skip tonight dose and take tomorrow night or i should take it tonight? will skipping tonight's dose give rise to stomach issues?
Brief Answer:
You can skip day time dose.
Detailed Answer:
Hello again
I am sorry for late reply due to limited internet access.
These side effects will last for few days only and should go in about a week. You can skip the day time dose of 25 mg. This will not make you more drowsy and fatigued.
You should continue with night dose (I am late in reply so this doesn't matter now). No need to skip dose.
Thanks
You can skip day time dose.
Detailed Answer:
Hello again
I am sorry for late reply due to limited internet access.
These side effects will last for few days only and should go in about a week. You can skip the day time dose of 25 mg. This will not make you more drowsy and fatigued.
You should continue with night dose (I am late in reply so this doesn't matter now). No need to skip dose.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear doctor - my stomach is behaving weirdly (feeling constipated, pass a lot of foul smelling gas) and don't really feel hungry, do you think its because of amitryn. I am taking 75 mg for the last two days ( earlier i was on 85mg i.e. 75+10). Cant figure out the reason, if its because of amitryn, how should i reduce it and what dose should i take? if i reduce amitryn, can i add tynept od 75mg so that it takes care of the reduce dose of amitryn? pls advise
Brief Answer:
I don't think this is due to Amitriptyline.
Detailed Answer:
Hello again
No I don't think this is due to Amitriptyline. You have reduced the dose from 85 to 75 and this is a very low dose. This will not affect in any manner.
You can continue to take Amitriptyline at 75 mg dose without any fear.
Amitriptyline is good considering your symptoms. Tynept OD in past didn't work for you. If even after this you want to start Tynept then cross tapering is best option.
Thanks
I don't think this is due to Amitriptyline.
Detailed Answer:
Hello again
No I don't think this is due to Amitriptyline. You have reduced the dose from 85 to 75 and this is a very low dose. This will not affect in any manner.
You can continue to take Amitriptyline at 75 mg dose without any fear.
Amitriptyline is good considering your symptoms. Tynept OD in past didn't work for you. If even after this you want to start Tynept then cross tapering is best option.
Thanks
Above answer was peer-reviewed by :
Dr. Raju A.T
Spoke to my doctor. He feels stomach problem can be because of amitryn, he has asked me to reduce the dose of amitryn to 50, i have following questions:
Will amitryn 50 help me with depression as much as 75? or 50 is a low dose?
I am worried that amitryn 50 may not be able to help me with depression fully, so i was thinking of adding tianeptine od in the morning, should i do that? can amitryn and tynept be taken together? do they work better together? pls advise
Will amitryn 50 help me with depression as much as 75? or 50 is a low dose?
I am worried that amitryn 50 may not be able to help me with depression fully, so i was thinking of adding tianeptine od in the morning, should i do that? can amitryn and tynept be taken together? do they work better together? pls advise
Brief Answer:
Both can be taken together.
Detailed Answer:
Hello thanks for asking
You were taking Amitriptyline for long and I don't think this resulted in stomach issues now. Still if your doctor thinks then that is right. You can reduce the dose of Amitriptyline without any worries.
50 mg is not a low dose but yes, since the dose is less Antidepressant effect will decrease by reducing the dose.
You can try Tianeptine 12.5 mg in morning and this should compensate for reduced doses of Amitriptyline.
Yes you can take Tianeptine and Amitriptyline together. No need to worry.
Thanks.
Both can be taken together.
Detailed Answer:
Hello thanks for asking
You were taking Amitriptyline for long and I don't think this resulted in stomach issues now. Still if your doctor thinks then that is right. You can reduce the dose of Amitriptyline without any worries.
50 mg is not a low dose but yes, since the dose is less Antidepressant effect will decrease by reducing the dose.
You can try Tianeptine 12.5 mg in morning and this should compensate for reduced doses of Amitriptyline.
Yes you can take Tianeptine and Amitriptyline together. No need to worry.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear doctor - with lesuride 75 od in the night, my anxiety is better but the thoughts of how will i speak in the meeting, will i fumble etc. keep on bothering me. Today while addressing my team in the morning, i felt breathless for 4-5 mins as if i would not be able to complete the talk and needed some support to talk. my doctor has prescribed beta cap tr 40 and stelabid 1 mg in the morning, today morning i did not take it before the meeting hoping that i will be able to manage without them:
do you think it happened coz i did not take beta cap tr and stelabid?
my doctor feels that to control my thoughts i should take fluvoxamine cr 50 but i am scared about my stomach problem as none of the ssris have suited me in the past and read on the net that it causes the most gastric problems, is it true? my doctor still feels that i should give it a try, knowing my stomach problems do you think its worth trying?
do you think increasing lesuride to 100 mg od will help me with anxiety attacks and my stomach problems? or making stelabid 2mg instead of 1 mg in the morning will help me with anxiety attacks?
what is the psychotic dose of stelabid? my doctor feels going beyond 3 mg (2 in the morning and 1 in the night) will be more of psychotic dose than anxiolytic dose, is it true?
he has prescribed me oxazepam 10 mg in the morning along with other medicines for my anxiety? is it better than zapiz? is oxazepam habit forming? does one develop tolerance to that, if yes at what dose and after how long?
Pls advise
do you think it happened coz i did not take beta cap tr and stelabid?
my doctor feels that to control my thoughts i should take fluvoxamine cr 50 but i am scared about my stomach problem as none of the ssris have suited me in the past and read on the net that it causes the most gastric problems, is it true? my doctor still feels that i should give it a try, knowing my stomach problems do you think its worth trying?
do you think increasing lesuride to 100 mg od will help me with anxiety attacks and my stomach problems? or making stelabid 2mg instead of 1 mg in the morning will help me with anxiety attacks?
what is the psychotic dose of stelabid? my doctor feels going beyond 3 mg (2 in the morning and 1 in the night) will be more of psychotic dose than anxiolytic dose, is it true?
he has prescribed me oxazepam 10 mg in the morning along with other medicines for my anxiety? is it better than zapiz? is oxazepam habit forming? does one develop tolerance to that, if yes at what dose and after how long?
Pls advise
Brief Answer:
Oxazepam is a good option.
Detailed Answer:
Hello again
Yes the slight exacerbation in anxiety happened probably because you didn't take Betacap TR and Stelabid. If you don't want to take excess Stelabid then you can take Betacap TR alone to keep your anxiety under control.
Starting Fluvoxamine could worsen the gastric symptoms and anxiety. Yes the drug is implicated in causing more gastric symptoms compared to other SSRIs.
The dose of Lesuride can be increased to 100 mg OD but dose shouldn't be increased more than that because higher doses would have more antipsychotic effects rather than positive effects on mood and depression.
You can increase the dose of Stelabid for sometime. No need to worry. Increasing the dose would help in reducing the anxiety. Yes doses higher than 3 mg would have antipsychotic effects.
Oxazepam 10 mg is good option. The drug is safer than Zapiz and is less addicting. There is risk of tolerance but since its sedation is relatively less so risk of abuse and dependence is very low.
Thanks
Oxazepam is a good option.
Detailed Answer:
Hello again
Yes the slight exacerbation in anxiety happened probably because you didn't take Betacap TR and Stelabid. If you don't want to take excess Stelabid then you can take Betacap TR alone to keep your anxiety under control.
Starting Fluvoxamine could worsen the gastric symptoms and anxiety. Yes the drug is implicated in causing more gastric symptoms compared to other SSRIs.
The dose of Lesuride can be increased to 100 mg OD but dose shouldn't be increased more than that because higher doses would have more antipsychotic effects rather than positive effects on mood and depression.
You can increase the dose of Stelabid for sometime. No need to worry. Increasing the dose would help in reducing the anxiety. Yes doses higher than 3 mg would have antipsychotic effects.
Oxazepam 10 mg is good option. The drug is safer than Zapiz and is less addicting. There is risk of tolerance but since its sedation is relatively less so risk of abuse and dependence is very low.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Last night didn't sleep well and didn't feel like leaving the bed in the morning, i have following questions:
do you think lesuride is causing sleep problems? if not, what else can be the reason?
Feeling more anxious and nervous today despite taking stelabid 2 mg instead of 1 mg in the morning? what can be attributed to my nervousness?
does fluvoxamine help in social anxiety and anticipatory anxiety? should it be taken in the morning or night? does it help in sleep?
Was reading on the net and it says that oxazepam can cause memory problems and can have bad withdrawal symptoms, is it correct? for how long in terms of months or weeks oxazepam can be taken without worrying about tolerance and dependance? is it ok on stomach? does it help in sleep?
pls advise
do you think lesuride is causing sleep problems? if not, what else can be the reason?
Feeling more anxious and nervous today despite taking stelabid 2 mg instead of 1 mg in the morning? what can be attributed to my nervousness?
does fluvoxamine help in social anxiety and anticipatory anxiety? should it be taken in the morning or night? does it help in sleep?
Was reading on the net and it says that oxazepam can cause memory problems and can have bad withdrawal symptoms, is it correct? for how long in terms of months or weeks oxazepam can be taken without worrying about tolerance and dependance? is it ok on stomach? does it help in sleep?
pls advise
Brief Answer:
Lesuride doesn't cause much sleep issues.
Detailed Answer:
Hello again
You couldn't sleep properly most likely because you have exacerbation of anxiety right now. This could be the reasons for sleep issues. Lesuride has no direct effects on sleep, in some individuals the drug causes sedation while in others it might result in poor sleep.
Exacerbation of anxiety is the reason that you are not responding to high dose of Stelabid. For some time you could take Propranolol or Oxazepam for relief of symptoms.
Fluvoxamine helps in social anxiety and anticipatory anxiety too. The drug is advised to be taken in twice daily doses. So you can take it in morning or evening. The drug helps in sleep in most individuals.
Oxazepam could cause memory issues or cognitive impairment like any other Benzodiazepine drug. This doesn't mean that you will have memory issues. The withdrawal risk is there but is lesser that Zapiz. Its not advisable to be taken regularly for more than 4 weeks unless strongly indicated. The drug is good for stomach. Oxazepam by relieving anxiety helps in sleep, though its not a very strong hypnotic agent.
Thanks
Lesuride doesn't cause much sleep issues.
Detailed Answer:
Hello again
You couldn't sleep properly most likely because you have exacerbation of anxiety right now. This could be the reasons for sleep issues. Lesuride has no direct effects on sleep, in some individuals the drug causes sedation while in others it might result in poor sleep.
Exacerbation of anxiety is the reason that you are not responding to high dose of Stelabid. For some time you could take Propranolol or Oxazepam for relief of symptoms.
Fluvoxamine helps in social anxiety and anticipatory anxiety too. The drug is advised to be taken in twice daily doses. So you can take it in morning or evening. The drug helps in sleep in most individuals.
Oxazepam could cause memory issues or cognitive impairment like any other Benzodiazepine drug. This doesn't mean that you will have memory issues. The withdrawal risk is there but is lesser that Zapiz. Its not advisable to be taken regularly for more than 4 weeks unless strongly indicated. The drug is good for stomach. Oxazepam by relieving anxiety helps in sleep, though its not a very strong hypnotic agent.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
was reading on the net that fluvoxamine is primarily used for ocd. my symptoms are phobia of meetings, speaking in front of people and ancipating anxiety during meetings and thinking a lot about meetings, will it help me in handling the symptoms described by me. my doc has given fluvoxamine cr 50 once in the night, it is good enough dose? is fluvoxamine as helpful as nexito or paroxetine for my symptoms? how long will it take to show effects? pls advise
Brief Answer:
Fluvoxamine might increase gastric side effects
Detailed Answer:
Hello again
Yes Fluvoxamine is mainly used on OCD cases. But sometimes the drug is also useful in anxiety. The drug can help to control the symptoms you have but higher doses will be needed to get remission. Higher doses will increase the gastric side effects and at the end the drug will not prove useful.
In my opinion 50 mg is not enough dose and high doses should be given. Yes efficacy wise Fluvoxamine is equal to Escitalopram or Paroxetine.
The drug should show effects in around 2-4 weeks.
Thanks
Fluvoxamine might increase gastric side effects
Detailed Answer:
Hello again
Yes Fluvoxamine is mainly used on OCD cases. But sometimes the drug is also useful in anxiety. The drug can help to control the symptoms you have but higher doses will be needed to get remission. Higher doses will increase the gastric side effects and at the end the drug will not prove useful.
In my opinion 50 mg is not enough dose and high doses should be given. Yes efficacy wise Fluvoxamine is equal to Escitalopram or Paroxetine.
The drug should show effects in around 2-4 weeks.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Good evening doctor - my medication is as under:
quetiapine 100, quetiapine sr 100, sizopin 12.5, amitryn 60, lesuride od 75, fluvoxamine cr50, alprax 0.25 in the night
betacaptr40, stelabid 1mg in the morning
since the time fluvoxamine has been added my stomach has been behaving weirdly and feel sedated in the morning, don't feel like leaving the bed and have been waking up at 12 and 1 in the afternoon
went to my doctor, he has asked me to stop fluvoxamine started pramipexole 0.375 er in the night, i have following questions:
i have been taking fluvoxamine for the last 15 days, will stopping it abruptly cause withdrawal symptoms?
will premipexole take care of my depressive thoughts and help me with anxiety?
can pramipexole cause stomach problems?
do you think its a good idea to stop fluvoxamine and add pramipexole or something else should be added?
was reading on the net that pramipexole helps with parkinson and restless leg syndrome, does it also act as antidepressant and anxiolytic agent?
pls advise
quetiapine 100, quetiapine sr 100, sizopin 12.5, amitryn 60, lesuride od 75, fluvoxamine cr50, alprax 0.25 in the night
betacaptr40, stelabid 1mg in the morning
since the time fluvoxamine has been added my stomach has been behaving weirdly and feel sedated in the morning, don't feel like leaving the bed and have been waking up at 12 and 1 in the afternoon
went to my doctor, he has asked me to stop fluvoxamine started pramipexole 0.375 er in the night, i have following questions:
i have been taking fluvoxamine for the last 15 days, will stopping it abruptly cause withdrawal symptoms?
will premipexole take care of my depressive thoughts and help me with anxiety?
can pramipexole cause stomach problems?
do you think its a good idea to stop fluvoxamine and add pramipexole or something else should be added?
was reading on the net that pramipexole helps with parkinson and restless leg syndrome, does it also act as antidepressant and anxiolytic agent?
pls advise
Brief Answer:
Pramipaxole is a good antidepressant drug.
Detailed Answer:
Hello again
I am sorry for late reply.
No stopping Fluvoxamine will not cause withdrawal symptoms. You were taking this drug for 15 days only and even abrupt stopping will not cause withdrawal.
Pramipaxole will definitely take care of depressive symptoms. Pramipaxole is well tolerated if we consider abdominal symptoms.
Pramipaxole is a drug that helps in resistant depression and should be given a try. The drug is primarily used in Parkinson's disease but has great efficacy in resistant depression.
Thanks
Pramipaxole is a good antidepressant drug.
Detailed Answer:
Hello again
I am sorry for late reply.
No stopping Fluvoxamine will not cause withdrawal symptoms. You were taking this drug for 15 days only and even abrupt stopping will not cause withdrawal.
Pramipaxole will definitely take care of depressive symptoms. Pramipaxole is well tolerated if we consider abdominal symptoms.
Pramipaxole is a drug that helps in resistant depression and should be given a try. The drug is primarily used in Parkinson's disease but has great efficacy in resistant depression.
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
i am taking 0.375mg er of pramipexole, is it good enough a dose? what is the therapeutic dose of it? does it help with anticipatory anxiety and panic attacks? how long does it take to work?
i am taking 1mg stelabid in the morning, do you think i should replace it with lesuride 25 in the morning considering my stomach issues? between 1 mg stelabid and 25mg lesuride, which one works better for anxiety? or making stelabid 2mg without lesuride will work better? am also taking 75mg od lesuride in the morning? upto what dose it works as antidperessant, i mean after what dose it becomes antipsychotic?
was reading on the net about inositol that it helps with anxiety and panic attacks, r u aware of it? does it really help? is it worth trying? does it work better for women or it works equally for men as well? what dose should i try 500 or 1000 mg and at what time? does it cause any stomach or sleep issues?
pls advise
i am taking 1mg stelabid in the morning, do you think i should replace it with lesuride 25 in the morning considering my stomach issues? between 1 mg stelabid and 25mg lesuride, which one works better for anxiety? or making stelabid 2mg without lesuride will work better? am also taking 75mg od lesuride in the morning? upto what dose it works as antidperessant, i mean after what dose it becomes antipsychotic?
was reading on the net about inositol that it helps with anxiety and panic attacks, r u aware of it? does it really help? is it worth trying? does it work better for women or it works equally for men as well? what dose should i try 500 or 1000 mg and at what time? does it cause any stomach or sleep issues?
pls advise
sorry i am taking lesuride 75 od in the night, not in the morning?
Brief Answer:
Pramipaxole is good for depressive symptoms.
Detailed Answer:
Hello again
The dose of 0.375 mg is fine. Normally for resistant depression and even anxiety symptoms dose of 0.375 to 0.5 mg is given. This will start showing its effects in around 2-4 weeks.
The drug helps in anxiety and panic attacks because some hypothesis state the role of Dopaminergic system in causation of anxiety and Pramipaxole alters dopamine neurotransmission. But its primary effects are on depressive symptoms.
Lesuride works better for stomach symptoms while for anxiety Stelabid is good.
Increasing the dose of Lesuride to 100 or should be avoided. Upto 100 mg the drug helps to improve the mood and has great roles in depression. Don't stop Lesuride and also continue to take Stelabid.
I haven't heard about Inositol for use in anxiety but if you want I can read studies on it and will get back to you.
Thanks
Pramipaxole is good for depressive symptoms.
Detailed Answer:
Hello again
The dose of 0.375 mg is fine. Normally for resistant depression and even anxiety symptoms dose of 0.375 to 0.5 mg is given. This will start showing its effects in around 2-4 weeks.
The drug helps in anxiety and panic attacks because some hypothesis state the role of Dopaminergic system in causation of anxiety and Pramipaxole alters dopamine neurotransmission. But its primary effects are on depressive symptoms.
Lesuride works better for stomach symptoms while for anxiety Stelabid is good.
Increasing the dose of Lesuride to 100 or should be avoided. Upto 100 mg the drug helps to improve the mood and has great roles in depression. Don't stop Lesuride and also continue to take Stelabid.
I haven't heard about Inositol for use in anxiety but if you want I can read studies on it and will get back to you.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
good evening doctor - thanks for your email. i did not take stelabid 1 mg in the morning today, instead i took 25mg lesuride, my anxiety was little better today but stomach was not that great. i am thinking of stopping stelabid totally. I have following questions to ask:
i am taking lesuride od 75 mg in the night, along with that it is ok to add 25mg in the morning and also take 25mg sos depending upon my stomach? checked with my doctor he said ok as according to him upto 200mg can be taken for depression and the net says unto 300 mg can be taken for depression and as per you its 100mg? am confused whether i can take along with 75 od, 25mg in the morning and 25mg or may be 12.5 in the afternoon and will it still work as an antidepressant? also am not not taking 100mg, or 200mg in one go, am spreading it throughout the day? will spreading a larger dose have antidepressant effect compared to taking it in one go, what i mean is, does 125mg in one go work the same way as 75mg od in night and 25/25 mor/afternoon? or taking 50mg in the morning along with 75od in the night an option? will 50 in the morning help the stomach better or 25/25 mor/afternoon?
my stomach is still not better despite stopping fluvoxamine two days ago? can pramipexole 0.375mg cause stomach problems? am taking the following pills quetiapine 100, quetiapine sr 100, sizopin 12.5, amitryn 60, lesuride od 75, alprax 0.25 in the night
betacaptr40 and lesuride 25mg in the morning, if not pramipexole, then reducing or stopping which one out of the above will help me with my stomach problem?
pls advise
i am taking lesuride od 75 mg in the night, along with that it is ok to add 25mg in the morning and also take 25mg sos depending upon my stomach? checked with my doctor he said ok as according to him upto 200mg can be taken for depression and the net says unto 300 mg can be taken for depression and as per you its 100mg? am confused whether i can take along with 75 od, 25mg in the morning and 25mg or may be 12.5 in the afternoon and will it still work as an antidepressant? also am not not taking 100mg, or 200mg in one go, am spreading it throughout the day? will spreading a larger dose have antidepressant effect compared to taking it in one go, what i mean is, does 125mg in one go work the same way as 75mg od in night and 25/25 mor/afternoon? or taking 50mg in the morning along with 75od in the night an option? will 50 in the morning help the stomach better or 25/25 mor/afternoon?
my stomach is still not better despite stopping fluvoxamine two days ago? can pramipexole 0.375mg cause stomach problems? am taking the following pills quetiapine 100, quetiapine sr 100, sizopin 12.5, amitryn 60, lesuride od 75, alprax 0.25 in the night
betacaptr40 and lesuride 25mg in the morning, if not pramipexole, then reducing or stopping which one out of the above will help me with my stomach problem?
pls advise
Brief Answer:
Lesuride can be increased to 100 mg
Detailed Answer:
Hello again
Lesuride in low doses has more dopaminergic actions and thus helps in improving the positive symptoms. When the doses are increased progressively then the drug becomes more antipsychotic drug. At high doses it has Dopamine blocking actions and these doses helps to augment the actions of other antidepressants so this can be taken in amount and it has been said that even 200-300 mg is antidepressant dose. Best actions are seen in doses upto 100 mg as per my experience.
You can stop Stelabid and can add 25 mg Lesuride in morning and 25 mg on SOS can be taken. No need to worry. Best is to take 50 mg twice a day and if that is not possible because of drowsiness then 25 in morning and 75 mg in evening.
The risk of stomach issues with Pramipaxole is less. The other drugs you are taking are also safer if we consider abdominal side effects. You can continue to take these drugs. But you are on Lesuride, Quetiapine and Sizopine that is three antipsychotics which is not a good idea, we discussed about this before too.
Thanks.
Lesuride can be increased to 100 mg
Detailed Answer:
Hello again
Lesuride in low doses has more dopaminergic actions and thus helps in improving the positive symptoms. When the doses are increased progressively then the drug becomes more antipsychotic drug. At high doses it has Dopamine blocking actions and these doses helps to augment the actions of other antidepressants so this can be taken in amount and it has been said that even 200-300 mg is antidepressant dose. Best actions are seen in doses upto 100 mg as per my experience.
You can stop Stelabid and can add 25 mg Lesuride in morning and 25 mg on SOS can be taken. No need to worry. Best is to take 50 mg twice a day and if that is not possible because of drowsiness then 25 in morning and 75 mg in evening.
The risk of stomach issues with Pramipaxole is less. The other drugs you are taking are also safer if we consider abdominal side effects. You can continue to take these drugs. But you are on Lesuride, Quetiapine and Sizopine that is three antipsychotics which is not a good idea, we discussed about this before too.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you doctor for your reply. i made the changes as suggested by you yesterday i.e. 50mg lesuride mor/eve and other medicines are mentioned in my earlier email , last night i hardly slept ( was sleeping for 1/2 an hour and waking up with dreams), it takes a lot of time for me to fall sleep ( if at all i get sleep), what should i do, i have following questions?
- what can set my sleep right, i need 7-8 hours of sound sleep and also what can help me to sleep faster?
- can't blame the change made yesterday as my sleep has been bad from earlier?
- can lesuride cause sleep problem?
- my doctor says either make amitryn 75 from 60 or take premix 0.125 along with 0.375 er in the night?
-what is the half life normal premix?
-can premix cause sleep problem?
- what would be your advise,my anxiety is better and mood is brighter than
before, would be grateful if you can help me with sleep? thanks
- what can set my sleep right, i need 7-8 hours of sound sleep and also what can help me to sleep faster?
- can't blame the change made yesterday as my sleep has been bad from earlier?
- can lesuride cause sleep problem?
- my doctor says either make amitryn 75 from 60 or take premix 0.125 along with 0.375 er in the night?
-what is the half life normal premix?
-can premix cause sleep problem?
- what would be your advise,my anxiety is better and mood is brighter than
before, would be grateful if you can help me with sleep? thanks
Brief Answer:
Pramipaxole is good for resistant depression.
Detailed Answer:
Hello again,
Lesuride has not much effects on sleep quality and quantity and if you couldn't sleep that was due to some other reasons. If you couldn't sleep then you can increase the dose of either Quetiapine or Clozapine for some time. This will improve the sleep.
I don't think that drug change cause the sleep issues. To some extent psychological reasons are also responsible for poor sleep you had.
Increasing the dose of Pramipaxole is a good idea. Half life of Pramipaxole is around 8-10 hours.
Pramipaxole usually doesn't cause sleep problem. But continue to take Pramipaxole for some time and you will definitely see improvement in your depression.
Thanks and Take care
Pramipaxole is good for resistant depression.
Detailed Answer:
Hello again,
Lesuride has not much effects on sleep quality and quantity and if you couldn't sleep that was due to some other reasons. If you couldn't sleep then you can increase the dose of either Quetiapine or Clozapine for some time. This will improve the sleep.
I don't think that drug change cause the sleep issues. To some extent psychological reasons are also responsible for poor sleep you had.
Increasing the dose of Pramipaxole is a good idea. Half life of Pramipaxole is around 8-10 hours.
Pramipaxole usually doesn't cause sleep problem. But continue to take Pramipaxole for some time and you will definitely see improvement in your depression.
Thanks and Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello doctor - last night as advised by my doctor, i took pramipexole 0.125 normal along with 0.375 er, it helped me to sleep faster, went to sleep at 11.30pm and woke up at 2.30 am, could not sleep after that, i took one more pramipexole 0.125 at 2.30 am, still was wide awake and then took 0.25 alprax, i think after that i slept for sometime with great difficulty. My other medications are :quetiapine 100, quetiapine sr 100, sizopin 12.5, amitryn 60, lesuride 50, alprax 0.25, pramipexole 0.375 in the night
betacaptr40 and lesuride 50in the morning. i have following questions:
-why am i not able to sleep after 2.30 am, what will help me to get good 7-8 hours sleep?
- i thought taking premix 0.125 at 2.30am, would help me but it didnt and after taking alprax 0.25 i think i slept for sometime and in the morning was feeling groggy and drowsy, i hate that feeling in the morning?
- ageing rechecking if lesuride can cause sleep problem and i think after i had made it 50 mor/eve, instead od 75od in the night, my sleep problem has started, what do you think?
- should i do some changes in lesuride, what should that be? i was thinking of taking 50 in the morning and 25 in the afternoon and do away with night dose, do you think it will help if at all lesuride is the culprit?
- last night extra premix 0.125 made fall sleep faster but do you think waking up at 2.30am is also because of that?
- do you think not taking alprax 0.25 in the night and take it 0.5 mg when i wake up at the middle of the night will help? if i do that will it make me groggy in the morning?
- what is the maximum dose of premix that can be taken, do you think along with premix 0.375er if i add 0.25 normal premix instead of 0.125, will that help me to sleep better and longer? do you think thats too much of a dose?
-these are my suggestions, but would be grateful to you if you critically examine my case since i have been consulting you for a long time and advise me something that will help me with restful sleep for about 7-8 hours?
pls help as i am feeling quite helpless with this sleep problem!
betacaptr40 and lesuride 50in the morning. i have following questions:
-why am i not able to sleep after 2.30 am, what will help me to get good 7-8 hours sleep?
- i thought taking premix 0.125 at 2.30am, would help me but it didnt and after taking alprax 0.25 i think i slept for sometime and in the morning was feeling groggy and drowsy, i hate that feeling in the morning?
- ageing rechecking if lesuride can cause sleep problem and i think after i had made it 50 mor/eve, instead od 75od in the night, my sleep problem has started, what do you think?
- should i do some changes in lesuride, what should that be? i was thinking of taking 50 in the morning and 25 in the afternoon and do away with night dose, do you think it will help if at all lesuride is the culprit?
- last night extra premix 0.125 made fall sleep faster but do you think waking up at 2.30am is also because of that?
- do you think not taking alprax 0.25 in the night and take it 0.5 mg when i wake up at the middle of the night will help? if i do that will it make me groggy in the morning?
- what is the maximum dose of premix that can be taken, do you think along with premix 0.375er if i add 0.25 normal premix instead of 0.125, will that help me to sleep better and longer? do you think thats too much of a dose?
-these are my suggestions, but would be grateful to you if you critically examine my case since i have been consulting you for a long time and advise me something that will help me with restful sleep for about 7-8 hours?
pls help as i am feeling quite helpless with this sleep problem!
Brief Answer:
You can take Clonazepam
Detailed Answer:
Hello again
Please avoid taking repeated dose of Pramipaxole as this drug is for depression and no for sleep. If you couldn't sleep then you should have taken Alprax or Clonazepam.
You couldn't sleep probably due to anxiety. Try to ignore this single isolated incident.
I don't think Leauride is culprit. The drug has not much adverse effects on sleep.
Remember that Pramipaxole is not for sleep. The drug is a treatment for resistant depression. Normally for depression dose of 0.5 mg is good but it can be increased to even 1 mg.
For some time you can take clonazepam on SOS basis for sleep.
Thanks
You can take Clonazepam
Detailed Answer:
Hello again
Please avoid taking repeated dose of Pramipaxole as this drug is for depression and no for sleep. If you couldn't sleep then you should have taken Alprax or Clonazepam.
You couldn't sleep probably due to anxiety. Try to ignore this single isolated incident.
I don't think Leauride is culprit. The drug has not much adverse effects on sleep.
Remember that Pramipaxole is not for sleep. The drug is a treatment for resistant depression. Normally for depression dose of 0.5 mg is good but it can be increased to even 1 mg.
For some time you can take clonazepam on SOS basis for sleep.
Thanks
Above answer was peer-reviewed by :
Dr. Prasad
since i got a late reply from you, went to my doctor and he said to increase quitipin to125 from 100 and it did the trick for my sleep. Also, because of the weekend, i made amitryn 50 from 60 and my stomach is feeling better but when i woke up in the morning was feeling little depressed, i have following questions:
- since i have reduced my amitryn, can i increase premix to counter my morning depression? my anticipatory anxiety is still there, will increasing premix help me with that?
- i am taking premix er 0.375 and 0.125 normal, how much should i increase it by?
- it comes in 0.375 and 0.75 in er and 50 in er is not available? should i increase night dose by another 0.125? i mean should i take 0.375 er +0.25 in the night? or make it 0.375 er+0.5? if i increase normal dose along with er 0.375 in the night, will it have effect next full day? or make it 0.75 er in the night?
- as he half life of premix of 9-10 hrs, will increasing normal premix in the night, will help me better with my day time anxiety?
pls advise.
- since i have reduced my amitryn, can i increase premix to counter my morning depression? my anticipatory anxiety is still there, will increasing premix help me with that?
- i am taking premix er 0.375 and 0.125 normal, how much should i increase it by?
- it comes in 0.375 and 0.75 in er and 50 in er is not available? should i increase night dose by another 0.125? i mean should i take 0.375 er +0.25 in the night? or make it 0.375 er+0.5? if i increase normal dose along with er 0.375 in the night, will it have effect next full day? or make it 0.75 er in the night?
- as he half life of premix of 9-10 hrs, will increasing normal premix in the night, will help me better with my day time anxiety?
pls advise.
Brief Answer:
No need to increase the dose.
Detailed Answer:
Hello again
No there is no need to increase the dose of Pramipaxole to more than 0.5 mg. Wait for some days to see the response of Pramipaxole. This will control anticipatory anxiety too. But don't increase the dose of Pramipaxole rapidly.
Take 0.5 mg for at least a couple of days and then if needed the dose can be increased by 0.125 mg.
Thanks and take care
No need to increase the dose.
Detailed Answer:
Hello again
No there is no need to increase the dose of Pramipaxole to more than 0.5 mg. Wait for some days to see the response of Pramipaxole. This will control anticipatory anxiety too. But don't increase the dose of Pramipaxole rapidly.
Take 0.5 mg for at least a couple of days and then if needed the dose can be increased by 0.125 mg.
Thanks and take care
Above answer was peer-reviewed by :
Dr. Yogesh D
since i got your reply late, took extra premix (0.375er+0.125+0.125), slept with a lot of weird and scary dreams, was wondering if it because of increased dose of premix?
since i have reduced amitryn from 60 to 50, will it increase my anxiety because of the reduced dosage or premix will take care of it? because of the reduced dosage of amitryn, i increased dosage of premix, do you think it is required or premix 0.5 will take care of it? after reducing amitryn to 50, my stomach is better, therefore, not keen to make it 60.
i am taking premix er 0.375 and normal 0.125, i understand that er 0.375 will help me the next day, will 0.125 also help me the next day or it will help me only during the night?
since my anticipatory anxiety is still there, was thinking if premix 0.75 er will help me better than er 0.375? have been taking premix er 0.375 +0.125 for some days now, still anticipatory anxiety is there, how about taking 0.375 er +0.125 in the night and 0.125 in the morning, will this combination control my day time anxiety better?
was keen to know what role premix 0.125 is playing in the night for me?
pls advise.
since i have reduced amitryn from 60 to 50, will it increase my anxiety because of the reduced dosage or premix will take care of it? because of the reduced dosage of amitryn, i increased dosage of premix, do you think it is required or premix 0.5 will take care of it? after reducing amitryn to 50, my stomach is better, therefore, not keen to make it 60.
i am taking premix er 0.375 and normal 0.125, i understand that er 0.375 will help me the next day, will 0.125 also help me the next day or it will help me only during the night?
since my anticipatory anxiety is still there, was thinking if premix 0.75 er will help me better than er 0.375? have been taking premix er 0.375 +0.125 for some days now, still anticipatory anxiety is there, how about taking 0.375 er +0.125 in the night and 0.125 in the morning, will this combination control my day time anxiety better?
was keen to know what role premix 0.125 is playing in the night for me?
pls advise.
Brief Answer:
Please don't increase the dose of Pramipax from more than 0.5 mg
Detailed Answer:
Hello again
I was travelling so I couldn't reply. Please pardon me for that.
Reducing the Amitriptyline to 50 from 60 will not increase your anxiety. Pramipaxole will take care of any anxiety or depressive symptoms. Yes regular use of Pramipaxole will help you to remain relaxed and effects will be sustained.
Please don't think to jump the drug dose. This will only increase the risk of side effects. Remain on 0.5 mg Pramipax for some days and let this dose do its work and this will control the depressive symptoms.
Thanks
Please don't increase the dose of Pramipax from more than 0.5 mg
Detailed Answer:
Hello again
I was travelling so I couldn't reply. Please pardon me for that.
Reducing the Amitriptyline to 50 from 60 will not increase your anxiety. Pramipaxole will take care of any anxiety or depressive symptoms. Yes regular use of Pramipaxole will help you to remain relaxed and effects will be sustained.
Please don't think to jump the drug dose. This will only increase the risk of side effects. Remain on 0.5 mg Pramipax for some days and let this dose do its work and this will control the depressive symptoms.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear doctor - do lesuride or pramipexol cause breathlessness? i had to give a speech today and took inderal 10 and zapiz 0.25 before it, despite that i felt breathless and had to cut short my speech. earlier in my presentations zapiz 0.25 along with inderal 10 would help me, today even they failed. i have following questions:
- checked on the net that premix can cause shortness of breath, i am 0.375 er + 0.125 normal, is it true? or lesuride can cause it, the net does not talk about it though
- if premix causes it, what dose changes i can do in it?
-when i wake up in the morning, i get headache, can't figure out its bcoz of what, the net though says that premix can cause it? is it true?
- sleep is again a problem despite making quitipin 125 and the problem has started after starting lesuride and premix, can't figure out its bcoz of what?
-betacap tr 40 i am taking is not helping me with breathlessness, should i make it plain inderal, if yes was thinking of 20 in the morning and 10 in the afternoon, do you think i should do it?
-after taking 50mg lesuride in the morning, i feel very sweaty and lil drowsy, should i make it od75 and take in the morning, will od cause the same amount of sweating and drowsiness or it will be better with od, i don't want to take it in the night to avoid sleep problem if at all it causes it, do you think od in the morning will help me same way as 50mg?
-i need to sort out my sleep problem and breathlessness, pls advise what should i do?
- checked on the net that premix can cause shortness of breath, i am 0.375 er + 0.125 normal, is it true? or lesuride can cause it, the net does not talk about it though
- if premix causes it, what dose changes i can do in it?
-when i wake up in the morning, i get headache, can't figure out its bcoz of what, the net though says that premix can cause it? is it true?
- sleep is again a problem despite making quitipin 125 and the problem has started after starting lesuride and premix, can't figure out its bcoz of what?
-betacap tr 40 i am taking is not helping me with breathlessness, should i make it plain inderal, if yes was thinking of 20 in the morning and 10 in the afternoon, do you think i should do it?
-after taking 50mg lesuride in the morning, i feel very sweaty and lil drowsy, should i make it od75 and take in the morning, will od cause the same amount of sweating and drowsiness or it will be better with od, i don't want to take it in the night to avoid sleep problem if at all it causes it, do you think od in the morning will help me same way as 50mg?
-i need to sort out my sleep problem and breathlessness, pls advise what should i do?
Brief Answer:
Dose of Zapiz can be increased.
Detailed Answer:
Hello again
No both Pramipaxole or Lesuride don't cause breathlessness. I don't think 0.5 mg cause breathlessness. You developed breathlessness because of anxiety.
Yes Pramipax might cause headache but that is tolerable.
If even on 125 mg Quetiapine there is sleep problem then better to ask your doctor to add or increase the dose of Zapiz.
You can take 20 mg Inderal in morning and afternoon. There should be not problem in that. Betacap TR can be stopped.
You can take 50 mg twice a day or 75 mg in single dose in morning hours.
Thanks.
Dose of Zapiz can be increased.
Detailed Answer:
Hello again
No both Pramipaxole or Lesuride don't cause breathlessness. I don't think 0.5 mg cause breathlessness. You developed breathlessness because of anxiety.
Yes Pramipax might cause headache but that is tolerable.
If even on 125 mg Quetiapine there is sleep problem then better to ask your doctor to add or increase the dose of Zapiz.
You can take 20 mg Inderal in morning and afternoon. There should be not problem in that. Betacap TR can be stopped.
You can take 50 mg twice a day or 75 mg in single dose in morning hours.
Thanks.
Above answer was peer-reviewed by :
Dr. Kampana
Thank you for your reply. i took lesuride 75od in the morning today, throughout the day my movements were slow, was feeling drowsy and little low also. i have following questions:
- does this go away after some days, if yes after how long, if this continues i don't think i can take it in the morning, with normal 25 or 50 also, i feel sweaty and drowsy
- my mood is little better, do you think its because of lesuride or premix er 0.375, will stopping lesuride bring back my anxiety and make me feel low?
- since am not able to sleep well, am thinking of taking premix er 0.375 in the morning, will it make me as drowsy and slow as lesuride?can i shift taking it in the morning?
- i was thinking of going back to stelabid instead of lesuride, does stelabid control anxiety as much as lesuride? if yes, what dose should i take and when?
pls advise
- does this go away after some days, if yes after how long, if this continues i don't think i can take it in the morning, with normal 25 or 50 also, i feel sweaty and drowsy
- my mood is little better, do you think its because of lesuride or premix er 0.375, will stopping lesuride bring back my anxiety and make me feel low?
- since am not able to sleep well, am thinking of taking premix er 0.375 in the morning, will it make me as drowsy and slow as lesuride?can i shift taking it in the morning?
- i was thinking of going back to stelabid instead of lesuride, does stelabid control anxiety as much as lesuride? if yes, what dose should i take and when?
pls advise
Brief Answer:
Better to continue with evening dose of Pramipax.
Detailed Answer:
Hello thanks for asking again
Its better if you take 50 mg twice a day, this is what I usually advise to my patients. This will not cause day time drowsiness and if you have some drowsiness that will go away in few days.
Its because of Lesuride and Pramipax. Pramipax might have supplemented the actions of Lesuride and other antidepressants.
Pramipax might make you drowsiness in morning so its better you continue to take it in evening.
Stelabid controls anxiety but for stomach symptoms better to take Lesuride.
Thanks
Better to continue with evening dose of Pramipax.
Detailed Answer:
Hello thanks for asking again
Its better if you take 50 mg twice a day, this is what I usually advise to my patients. This will not cause day time drowsiness and if you have some drowsiness that will go away in few days.
Its because of Lesuride and Pramipax. Pramipax might have supplemented the actions of Lesuride and other antidepressants.
Pramipax might make you drowsiness in morning so its better you continue to take it in evening.
Stelabid controls anxiety but for stomach symptoms better to take Lesuride.
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
earlier i was taking lesuride 50 in the morning and that would make me feel
sweaty and feel extra heaty along with drowsy, so i shifted to od75 today and that was even worse, my stomach is nothing great with lesuride and for stomach i am taking medicines prescribed by my gastro doc
- is it ok if i take stelabid instead of lesuride and will the combo of stelabid and premix work as effectively as lesuride and premix? if yes at what dose and time?
- since i am not sleeping well, i am planning to shift premix er0.375 to morning, will it make you as drowsy as normal premix?
sweaty and feel extra heaty along with drowsy, so i shifted to od75 today and that was even worse, my stomach is nothing great with lesuride and for stomach i am taking medicines prescribed by my gastro doc
- is it ok if i take stelabid instead of lesuride and will the combo of stelabid and premix work as effectively as lesuride and premix? if yes at what dose and time?
- since i am not sleeping well, i am planning to shift premix er0.375 to morning, will it make you as drowsy as normal premix?
Brief Answer:
Please don't stop Lesuride.
Detailed Answer:
Hello again
Please don't think of stopping Lesuride, you can take Stelabid in morning regularly or SOS basis and this will control acute exacerbations of anxiety like you had while you were in presentation. In some time you can reduce the dose of Lesuride.
Pramipax will supplement the Lesuride in antidepressant actions. Stelabid is more of anxiety so this will help in controlling anxiety.
Yes this can make you drowsy. But you can try on weekends to see what effects the drug is resulting on your sleep.
Thanks.
Please don't stop Lesuride.
Detailed Answer:
Hello again
Please don't think of stopping Lesuride, you can take Stelabid in morning regularly or SOS basis and this will control acute exacerbations of anxiety like you had while you were in presentation. In some time you can reduce the dose of Lesuride.
Pramipax will supplement the Lesuride in antidepressant actions. Stelabid is more of anxiety so this will help in controlling anxiety.
Yes this can make you drowsy. But you can try on weekends to see what effects the drug is resulting on your sleep.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my latest prescription is:
quitipin 150, quitipin sr 100, amitryn 60, alprax 0.5, sizopin 25 all in the night
premix 0.375 in the morning
quitipin has been made 150 and sizopin 25 and alprax 0.5 from 100, 12.5 and 0.25 about 4-5 days ago
i have following symptoms:
breathlessness while talking to people and i have had anxiety attack in front of my boss and whenever i have to meet him, i feel anxious, nervous and breathlessness, earlier i was taking lesuride and with that also breathlessness would happen, my doc says its because of anxiety, what can i do to curb it, do you think stelabid is an option and if yes at what dose?
my hands feel shaky, there are no tremors but feeling of shakiness, do you think increased dose of quitipin or sizopin or alprax causing it, i have started feeling that since the dose increase of these medicines? pacitane, kemradin don't suit me as they give me very bad stomach, earlier i was taking beta cap tr 40, i have stopped that as i did not feel it making any difference, what should i do? do you think beta cap will help, should i take beta cap la or normal and at what dose?
does premix cause tremors? do you think increased dose of premix will help me with tremors and anxiety? if yes, how much should i increase the dose by and in the morning or evening?
my mood is slightly better and stomach problem is also better?
pls suggest me something that will help me with shakiness and breathlessness.
quitipin 150, quitipin sr 100, amitryn 60, alprax 0.5, sizopin 25 all in the night
premix 0.375 in the morning
quitipin has been made 150 and sizopin 25 and alprax 0.5 from 100, 12.5 and 0.25 about 4-5 days ago
i have following symptoms:
breathlessness while talking to people and i have had anxiety attack in front of my boss and whenever i have to meet him, i feel anxious, nervous and breathlessness, earlier i was taking lesuride and with that also breathlessness would happen, my doc says its because of anxiety, what can i do to curb it, do you think stelabid is an option and if yes at what dose?
my hands feel shaky, there are no tremors but feeling of shakiness, do you think increased dose of quitipin or sizopin or alprax causing it, i have started feeling that since the dose increase of these medicines? pacitane, kemradin don't suit me as they give me very bad stomach, earlier i was taking beta cap tr 40, i have stopped that as i did not feel it making any difference, what should i do? do you think beta cap will help, should i take beta cap la or normal and at what dose?
does premix cause tremors? do you think increased dose of premix will help me with tremors and anxiety? if yes, how much should i increase the dose by and in the morning or evening?
my mood is slightly better and stomach problem is also better?
pls suggest me something that will help me with shakiness and breathlessness.
Brief Answer:
Betacap can be added.
Detailed Answer:
Hello again
The breathlessness you are having while talking to your boss of another individual is due to anxiety only. Anticipatory anxiety is the reason for these symptoms.
Adding Stelabid to your prescription at this point of time is not a very good idea. You are on 300 mg Quetiapine in total, Amitriptyline 60 mg, Sizopin 25 mg and Alprazolam 0.375 mg. Adding Stelabid could increase the risk of side effects. For shaking or anxiety you can think of starting Propranolol or Betacap in 40 mg dose. If that didn't work then combination of Propranolol and Clonazepam can be tried.
Pramipax at 0.375 doesn't cause tremors. You can increase the dose to 0.5 mg if needed after talking with your doctor. This will help in better symptoms control.
Thanks.
Betacap can be added.
Detailed Answer:
Hello again
The breathlessness you are having while talking to your boss of another individual is due to anxiety only. Anticipatory anxiety is the reason for these symptoms.
Adding Stelabid to your prescription at this point of time is not a very good idea. You are on 300 mg Quetiapine in total, Amitriptyline 60 mg, Sizopin 25 mg and Alprazolam 0.375 mg. Adding Stelabid could increase the risk of side effects. For shaking or anxiety you can think of starting Propranolol or Betacap in 40 mg dose. If that didn't work then combination of Propranolol and Clonazepam can be tried.
Pramipax at 0.375 doesn't cause tremors. You can increase the dose to 0.5 mg if needed after talking with your doctor. This will help in better symptoms control.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
i took beta cap tr 40 in the morning, my shakiness was better. along with premix er0.375, i took 0.125 also in the morning, anxiety was slightly better but was there. i have following questions to ask:
- knowing my condition, what should be the optimal dose of premix?
- what is better option out of following:
0.125 in the morning and 0.125 in the afternoon and do away with er 0.375, don't want to take it in the night as i disturbs my sleep?
or 0.25 in the morning and 0.25 in the afternoon?
or 0.75 er in the morning?
i think the dose am on is not fully helping me.
er 0.375 is equal to how much of plain at a time? and 0.75 is equal to how much of plain?
the peak effect of plain lasts for how long?
in my case er is better or plain as i think i need a higher intensity of premix in my system?
pls advise
- knowing my condition, what should be the optimal dose of premix?
- what is better option out of following:
0.125 in the morning and 0.125 in the afternoon and do away with er 0.375, don't want to take it in the night as i disturbs my sleep?
or 0.25 in the morning and 0.25 in the afternoon?
or 0.75 er in the morning?
i think the dose am on is not fully helping me.
er 0.375 is equal to how much of plain at a time? and 0.75 is equal to how much of plain?
the peak effect of plain lasts for how long?
in my case er is better or plain as i think i need a higher intensity of premix in my system?
pls advise
Brief Answer:
Dose of 0.5 MG Pramipaxole will be fine.
Detailed Answer:
Hello again
The dose of 0.5 mg Pramipax will be fine. No need to worry.
You can take 0.375 in morning and 0.125 in afternoon.
The dose will definitely help just wait for some time to see best response. ER and plain have not much difference in equivalence. ER is slow releasing and will help in sustained effect.
Thanks.
Dose of 0.5 MG Pramipaxole will be fine.
Detailed Answer:
Hello again
The dose of 0.5 mg Pramipax will be fine. No need to worry.
You can take 0.375 in morning and 0.125 in afternoon.
The dose will definitely help just wait for some time to see best response. ER and plain have not much difference in equivalence. ER is slow releasing and will help in sustained effect.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
took 0.25mg premix in the morning and 0.125 in the afternoon, feeling breathless while talking not only in person but also talking on the phone and its quite bothersome.
-does premix cause breathlessness, the internet says breathlessness is a side effect of premix?
- its been close to 20 days since i am taking premix, by now if it had to help me it would have helped me, am surprised that it has not shown its effect by now and whether its a right medication for me
- i was taking lesuride and stopped it about a week back as it was making me drowsy in the morning and in the night it would interfere with my sleep, is breathlessness because of stopping lesuride? if yes, what else can i take for my breathlessness instead of lesuride? can i take stelabid?
- do you think er 0.75 will help me better?
-does premix cause breathlessness, the internet says breathlessness is a side effect of premix?
- its been close to 20 days since i am taking premix, by now if it had to help me it would have helped me, am surprised that it has not shown its effect by now and whether its a right medication for me
- i was taking lesuride and stopped it about a week back as it was making me drowsy in the morning and in the night it would interfere with my sleep, is breathlessness because of stopping lesuride? if yes, what else can i take for my breathlessness instead of lesuride? can i take stelabid?
- do you think er 0.75 will help me better?
Brief Answer:
Wait for at least a week.
Detailed Answer:
Hello again
On internet on some sites this might be mentioned but breathlessness is not a common side effect of the drug.
You can wait for one more week and see for response and even after 4 weeks of starting the drug symptoms persist then visit your doctor again for re-evaluation.
No breathlessness is not because of stopping of Lesuride. For episodes of breathlessness in office you can think of taking Betacap on SOS basis.
No need to restart Stelabid.
Thanks.
Wait for at least a week.
Detailed Answer:
Hello again
On internet on some sites this might be mentioned but breathlessness is not a common side effect of the drug.
You can wait for one more week and see for response and even after 4 weeks of starting the drug symptoms persist then visit your doctor again for re-evaluation.
No breathlessness is not because of stopping of Lesuride. For episodes of breathlessness in office you can think of taking Betacap on SOS basis.
No need to restart Stelabid.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i am taking 0.25mg and 0.125mg premix in the morning and afternoon. if its not a side effect of premix and if its because of anxiety, do you think increasing the dose of premix will make it better? how about making premix 0.75 er in the morning instead of the dose am taking, do you think 0.75er will make my breathlessness better? this breathlessness is very annoying and deteriorating my confidence?
Brief Answer:
Yes that can be tried.
Detailed Answer:
Hello again
Yes you can think of increasing the dose to 0.75 but wait for at least one more week and continue to take 0.5 mg dose. Pramipax will help to treat the resistant depression symptoms.
In my opinion breathlessness in your case is occurring due to anxiety and this is increasing while you are in presentation or when you talk with your boss. This is part of social anxiety and will reduce once medicines start showing its effects.
Thanks.
Yes that can be tried.
Detailed Answer:
Hello again
Yes you can think of increasing the dose to 0.75 but wait for at least one more week and continue to take 0.5 mg dose. Pramipax will help to treat the resistant depression symptoms.
In my opinion breathlessness in your case is occurring due to anxiety and this is increasing while you are in presentation or when you talk with your boss. This is part of social anxiety and will reduce once medicines start showing its effects.
Thanks.
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Above answer was peer-reviewed by :
Dr. Kampana
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