I don’t use Risperdal because of the increased risk of neurological side-effects, and increased prolactin interfering with hormones, including estrogen. Lexapro is good for anxiety, obsessiveness, and depression, especially sadness, but if your daughter is manic depressed/bipolar the Lexapro can make her more emotionally unstable. Effexor XR is a broader […]
Q&A
Recovery from agoraphobia requires a good understanding of what it is, proper breathing test.askdrjones.com/wp-content/uploads/2006/06/Anxiety_Handout.pdf and complete desensitization. SSRI’s/SNRI’s are not required unless you are unable to progress with CBT, breathing correctly, and benzodiazepines – including as needed extra doses. Some patients do better on Clonazepam, or Xanax XR, or Niravam. If […]
Geodon is a medication with a lot of issues so that it is not one of my first choices. It is a good antimanic mood stabilizer if taken in higher doses (120-160mg). At lower doses it can destabilize mood. It is not an anti-anxiety medication. It usually requires twice daily […]
Vyvanse has less effect on the cardiovascular system than Adderall but all stimulants have possible cardiovascular side-effects. You should stop taking it and see if the symptoms go away. If not you need to see your cardiologist or internist. If the side-effects do go away you may want to discuss options […]
Addiction means continued use in spite of negative consequences. In this sense Benadryl addiction is not known to be a common problem. Since it can cause weird reactions at high doses I guess that is possible. People who abuse downers are usually trying to be somewhat emotionally “numb” – so […]
Vyvanse is a new delivery system for a medication we have used for 70 years. Extra precaution needs to be taken with CV issues like Mitral Valve Prolapse. I’m not aware of a specific study with MVP, but a study was done at Harvard of patients with ADHD and high blood pressure. […]
I have many patients who do great on 60-90 mg of Adderall per day and have for up to 13 years. Anybody like yourself who is not doing well needs to make changes. You need to start with a re-evaluation with a physician. One simple option may be to […]
It partly depends on what you’re taking the medications for. Uncomplicated panic disorder without agoraphobia has the highest rate of complete remission. Severe obsessive compulsive disorder, agoraphobia, or social anxiety disorder may require some long term medication to maintain remission. Generalized anxiety without serious depression may respond fully to CBT. […]
Serious adverse rashes can occur with Lamictil but it is rare. Most reactions are mild – they go away when the Lamictal is stopped and many people tolerate Lamictal okay when it is restarted. If a week or more goes by before skin clears you have to start back at 25mg […]
I have just posted an article on preschoolers and ADHD: test.askdrjones.com/2007/09/06/behavioral-treatment-for-adhd-in-preschoolers/ Most research in preschoolers is with methylphenidate even though it is only FDA approved down to the age of 6. The patch works fine if cut in half. Be aware that after six weeks of daily use blood levels […]