View Full Version : What medication can be used to prevent anxiety coming from stimulants?


andysmandy
05-26-13, 09:56 AM
Hi!
It seems like all stimulants gives me anxiety. I very little anxiety, but on stimulants it gets very strong and long-lasting. There seems to be no correlation between situations/events in my life and the anxiety. There is a strong consistent with my anxiety and stimulants.

So Im wondering, what kind of medication are there that can be used alongside stimulants without messing me up longterm?

1Buster
05-26-13, 10:31 PM
Interesting question for me right now because I'm thinking of stopping my Adderall to focus on treating my Anxiety. I've tried 2 antidepressants to treat G.A.D. and Depression but stopped both b/c od side effect. I've been taking buspirone for about a month now, which is a pretty mild anti-anxiety med, and it's doing me some good. I want to see how it does without the stims.

You might ask about trying it too since it's not a habit forming type drug and you can pretty much stop taking it without withdrawal. Only problem, some people find it does pretty much nothing for them.

greystealth
07-16-13, 12:36 AM
I've tried Buspirone (Buspar), and I'd call it a mild/moderate anxiolytic. It's okay, but wasn't as strong as anti-depressants, obviously.

I've tried Celexa (which I found out I was allergic too)
Also tried Zoloft which worked great in the first month and good in the second month- but killed my sexual appetite.
Currently on a Viibryd titration pack (just started week 2), which helps my GAD by about 60-70%.

Hoping to one day be almost 90% better with my GAD symptoms. It's kind of awful.

janiew
07-16-13, 02:14 AM
Sounds like a good question for your doctor ---

If Zoloft helped with anxiety but hurt your sex drive, maybe there's an SSRI or other type of antidepressant that would work better. Trial and error.

If the anxiety seems like hypomania, could be a mood stabilizer would help.

Or it could be the stimulant dose is too high.

Nate W
07-16-13, 07:54 PM
Hi!
It seems like all stimulants gives me anxiety. I very little anxiety, but on stimulants it gets very strong and long-lasting. There seems to be no correlation between situations/events in my life and the anxiety. There is a strong consistent with my anxiety and stimulants.

So Im wondering, what kind of medication are there that can be used alongside stimulants without messing me up longterm?What stimulants give you anxiety? I ask because if it is Aderall, then you should try dextroamphetamine. For me it provides all the concentration of Adderall, but without the extra PNS stimulation (nervousness). Adderall has 25% levoamphetamine that causes this and the rest is dextroamphetamine.

Ritalin can cause this issue too, due to it's three hour half life (drops out of your system fast, leaving you with rebound anxiousness). Dextroamphetamine has an 11 hour half life, and that is the instant release tablets.

http://en.wikipedia.org/wiki/Dextroamphetamine

http://en.wikipedia.org/wiki/Adderall

http://en.wikipedia.org/wiki/Methylphenidate

I'd stay away from benzodiazepenes. You build tolerance quickly and they are hell to get off of safely.

--Nate

AlphaOne
07-17-13, 05:30 PM
What stimulants give you anxiety? I ask because if it is Aderall, then you should try dextroamphetamine. For me it provides all the concentration of Adderall, but without the extra PNS stimulation (nervousness). Adderall has 25% levoamphetamine that causes this and the rest is dextroamphetamine.

This is true for me also, op could benefit from different stimulants. Dex felt as if I have talen nothing but have all the focus amph salts provides. I am not on it because it is prohobitingly expensive.


Ritalin can cause this issue too, due to it's three hour half life (drops out of your system fast, leaving you with rebound anxiousness). Dextroamphetamine has an 11 hour half life, and that is the instant release tablets.

I'd stay away from benzodiazepenes. You build tolerance quickly and they are hell to get off of safely.

--Nate

I am on ritalin now and on benzo for panic attack. Guess I had no clue what was goimg on because I had very frequent attacks until ARNP changed perscription to 4x per day. Less attack now but my anxiety also stem from other problem and lorazepam and ritalin literally changed my life--I now now what normal feels like; no, it's not a setting on W/D machine. It really exists.

:yes:

jeaniebug
07-17-13, 06:57 PM
I have had anxiety for about 12 years. At first it was full blown panic attacks, now I just get anxious. I took Zoloft for nearly 15 years for depression, but I now think it made my anxiety worse. I switched to Prozac and I feel so much better and less anxious.

I recently started Vyvanse, and it also reduces my anxiety. In the last month or so my anxiety had gotten so bad I dug out an old bottle of Xanax and took a couple. When I went to the doctor and got the Vyvanse, she also prescribed Clonazepam, longer laster that xanax. I take that in the evening.

This combination is really working well for me. I will reduce or eliminate the Clonazepam when my stress level goes down, hopefully I won't be on it a long time. I would love to take Vyvanse forever. It has changed my life! Many years ago I took Aderall, but side effects sucked (headache when it wore off, and really dry mouth). Vyvanse works all day, and builds gradually and smoothly.

Good luck! :)

Parterxred
07-17-13, 09:02 PM
I'm not a clinician, but I always suggest Propanalol, Hydroxyzine, and Buspar.

IME Benzo therapy must be very short-term. As close to 4 weeks as possible. These medications require an incredibly serious and honest discussion with your doctor.

Consult your doctor on all other medications before this one: Paroxetine.

It works for me.

Nate W
07-17-13, 09:19 PM
I never understood why benzodiazepenes are a Schedule IV and the stimulant ADHD medications are Schedule II. I consider the former much more dangerous and habit forming. But I can see when dopamine boost is involved (with the stimulants), it can cause problems. On the other hand, some doctors just will let patients stay on benzos indefinitely. I still think that is worse. Benzo withdrawal is one of the few withdrawals that can kill you (alcohol is another, same mechnisim at work).

From the DEA:

Schedule II
Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, less abuse potential than Schedule I drugs, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Some examples of Schedule II drugs are:

cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone
(OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin


Schedule IV
Schedule IV drugs, substances, or chemicals are defined as drugs with a low potential for abuse and low risk of dependence. Some examples of Schedule IV drugs are:
Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien

Note methamphetamine is on the Schedule II list. It is an actual ADHD medication manufactured by Lundbeck:

http://www.drugs.com/pro/desoxyn.html

--Nate

adhdpatient7
10-07-13, 12:44 AM
Benzo withdrawal is one of the few withdrawals that can kill you (alcohol is another, same mechnisim at work).Benzodiazepine withdrawal has never killed anyone, according to the scientific literature. It may be possible, but it has never happened. I have done a very thorough literature search. Benzodiazepine withdrawal can cause seizures, and that is serious. A seizure while driving could definitely be fatal. But like I said, there are zero cases of fatal benzodiazepine withdrawal in the literature.

As you correctly note, alcohol withdrawal is often fatal. Barbiturate withdrawal is also known to be fatal.

425runner
10-07-13, 07:57 PM
I've taken Xanax or Klonopin on/off and never had any problems with withhdrawal or such. Unless you're a person who enjoys downers/being "high" and sleepy, I don't see any potential for addiction.

I take 0.5mg Klonopin (clonazepam) at night to help me sleep. Works like a charm...

Alexis
10-07-13, 08:25 PM
If a stimulant medication is making you anxious the first thing I'd look into is using another stimulant medication as they act differently, I had massive anxiety, sleeplessness, palpitations, lack of appetite on Concerta but have none of these on Eqasym, both long release methylphenidate medications and supposedly interchangeable (supposed by doctors anyway).

Nate W
10-07-13, 08:32 PM
Benzodiazepine withdrawal has never killed anyone, according to the scientific literature. It may be possible, but it has never happened. I have done a very thorough literature search. Benzodiazepine withdrawal can cause seizures, and that is serious. A seizure while driving could definitely be fatal. But like I said, there are zero cases of fatal benzodiazepine withdrawal in the literature.

As you correctly note, alcohol withdrawal is often fatal. Barbiturate withdrawal is also known to be fatal.That came from Wikipedia, but it may not be true:

"Benzodiazepines such as clonazepam can be very effective in controlling status epilepticus (http://en.wikipedia.org/wiki/Status_epilepticus), but, when used for longer periods of time, some potentially serious side-effects may develop, such as interference with cognitive (http://en.wikipedia.org/wiki/Cognitive) functions and behavior.[59] (http://en.wikipedia.org/wiki/Clonazepam#cite_note-59) Many individuals treated on a long-term basis develop a form of dependence known as "low-dose dependence," as was shown in one double-blind, placebo-controlled study of 34 therapeutic (http://en.wikipedia.org/wiki/Pharmacotherapy) low-dose benzodiazepine users ó physiological (http://en.wikipedia.org/wiki/Physiological) dependence was demonstrated by flumazenil (http://en.wikipedia.org/wiki/Flumazenil)-precipitated withdrawal.[60] (http://en.wikipedia.org/wiki/Clonazepam#cite_note-60) Use of alcohol or other CNS (http://en.wikipedia.org/wiki/Central_nervous_system) depressants while taking clonazepam greatly intensifies the effects (and side-effects) of the drug. Side-effects of the drug itself are generally benign, but sudden withdrawal after long-term use can cause severe, even fatal, symptoms."

http://en.wikipedia.org/wiki/Clonazepam

Under "Withdrawal Related"

--Nate

adhdpatient7
10-14-13, 03:18 PM
To Nate: I don't care that Wikipedia says Klonopin withdrawal can be fatal. That sentence had no citation, and it was incorrect.

I have done a thorough literature search and talked to several doctors, including neurologists and addiction specialists. Benzodiazepine withdrawal has never been known to cause death. Never. Like I said, it is probably possible but unlikely, for instance if you have a seizure while driving.

adhdpatient7
10-14-13, 03:22 PM
Based on only 3 days of experience, I think propranolol (a beta blocker) might be a good way to block stimulant side effects with very little risk. Benzodiazepines affect GABA, and that can affect memory, IQ, and reaction time while driving. GABA-based drugs can also cause seizures during withdrawal.

Propranolol, at least at the doses necessary to block stimulant side effects, is very safe. The FDA label recommends prescribing up to 640 mg per day of propranolol. Just 10, 20, or 40 mg would probably be effective as a stimulant add-on.

Roundabouts
10-15-13, 10:18 PM
I am currently researching a safe medication to use for acute anxiety related to adderall, and have been curious about both propranolol (Inderal) and Clonidine.

To combat my daily anxiety levels, I currently am taking 0.25 mg Klonopin twice a day as prescribed along with 45mg Remeron each night. I find this regimen to be effective at mitigating high levels of anxiety. For the past 1.5 months, I have been on a break from taking Adderall, but would like to start it up again as I have a full 30 day supply of it that I haven't even touched since getting it filled. One of the reasons I took a "vacation" from the adderall was to avoid the anxiety that it can provoke. My anxiousness has become more severe over the past 1.5 months, but I am doing better and am looking now on a safe way to restart the adderall without worrying so much about getting a panic attack on it.

The Klonopin definitely helps, but next week when I visit my pdoc I am going to mention to him about either a beta blocker (propranolol) or Clonidine to use along with the stimulant.

One tidbit of info I've come across repeatedly on the internet is about a potentially dangerous interaction between a stimulant and a beta blocker, since using a beta blocker to address a high dose of a stimulant can result in severe hypertension:

Wikipedia: "Beta blockers must not be used in the treatment of cocaine, amphetamine, or other alpha-adrenergic stimulant overdose. The blockade of only beta receptors increases hypertension, reduces coronary blood flow, left ventricular function, and cardiac output and tissue perfusion by means of leaving the alpha-adrenergic system stimulation unopposed."

Would this mean that Clonidine is generally safer to use with a stimulant like adderall?

Eve1980
10-30-13, 11:58 AM
Hi there,
This is my first post so bear with me. I am wondering how many people have checked their blood pressure during a particularity anxious feeling moment.hen I started taking stimulants I felt like I was having anxiety, tightness in the chest, feeling uneasy, and I was increasing my bad habits (smoking, skin picking). I explained this to my ex-husband who was a physician and he checked my blood pressure and noticed it was just a bit elevated when I was having more anxiety.

He prescribed me a low dose of propranolol 10mgs as needed (i take it in the morning with my meds) and since then I check my blood pressure whenever I am more anxious, and if it's elevated the propranolol helps.

Propranolol is a beta blocker which essentially blocks some of the body effects of adrenalin. It does not cross the blood brain barrier and as a result does not cause any drowsiness. It's also used very frequently by concert pianists since it's effects are only physically calming. I have used it to prevent having sweaty palms for job interviews on occasion as well.

Anyhow, I currently take Concerta 54mg, propranolol 10mg in the morning and more when needed but I don't need it that often a couple times a week. I also keep 10mg ritalins on hand for days I need an extra bit or for those extra long work days. At night I take between 3 and 7.5 mg of zopiclone. I also just started Celexa yesterday again since I have been very depressed since losing two jobs this year and being in a new city thousands of miles away from my family.

Just wanted to share and to suggest that the physical side effects of adrenaline from high doses of stimulants could in some people be mistaken for anxiety and that long term propranolol does not have any of the side effects that the benzos have.

Hope this can help someone...
Eve

Roundabouts
11-11-13, 02:09 PM
I'd like to post an update with my current status on medications:

As of today I am taking 0.5 mg Klonopin twice daily, 45 mg Remeron at bedtime, and 1 mg Tenex taken twice daily. The tenex, aka Guanfacine (or the longer acting version, which is Intuniv) is an alpha-adrenergic agonist, similar to Clonidine. Since taking the med my resting heart rate has been much better, anywhere from around 65-80. Whereas before with my near-constant state of anxiety, my resting HR was just under 100.

Guanfacine, like Clonidine, is known to be safe when used with stimulants. In fact, Guanfacine is often used as an adjunct to stimulants to counter their peripheral side effects, and it itself somewhat helps ADD, although compared to Adderall I find it virtually useless.

I still have yet to restart on Adderall, but when and if I do, I will start out slow and small at 5 mg XR and work my way up from there.

DandG4evr
01-30-14, 03:03 PM
Personal experience with this, I've been on concerta a few weeks now and I'm also on Lexapro generic.
The slight anxiety I get when I start Lexapro (restarting after trying something else) is very minimal. Sort of like...twingy in the back of your mind, but not like a physical feeling. I haven't noticed any additional anxiety from the combination with Concerta; I also didn't feel any when I tried Strattera. Friend with adderall IR finds that nothing really cures the anxiety on the side but that zoloft didn't make it any worse.
Currently on 15mg lexapro, 18 to go on 36 mg concerta (I believe, still waiting for appt. ).
This is all opinion/personal experience, hope it helped.

Obetrol
02-05-14, 07:14 PM
If you have anxiety, you need to check your blood pressure while taking your ADD stimulant medication. It is supposed to be around 120/80.
Two medications that lower blood pressure but without side effects are atenolol (a beta blocker like propanolol, and lisinopril an ACE inhibitor. Atenolol and lisinopril may be the best blood pressure medications because are only taken once per day, they are less likely to cross the blood brain barrier and so have the least side effects (nightmares etc) Popronolol is the best for anxiety/performance anxiety though but requires 3 times per day dosing.

HADDaball
03-20-14, 04:43 AM
...

Wikipedia: "Beta blockers must not be used in the treatment of cocaine, amphetamine, or other alpha-adrenergic stimulant overdose. The blockade of only beta receptors increases hypertension, reduces coronary blood flow, left ventricular function, and cardiac output and tissue perfusion by means of leaving the alpha-adrenergic system stimulation unopposed."

Would this mean that Clonidine is generally safer to use with a stimulant like adderall?

Not necessarily.

Clonidine is an alpha stimulant.

Stimulants like amphetamine are indirect alpha stimulants, causing the release of norepinephrine (https://en.wikipedia.org/wiki/Norepinephrine).

Even though a symptom of clonidine is lower blood pressure, there could be a risk of the symptoms above from the two both stimulating the alpha system.

from the forum archive:

http://www.addforums.com/forums/archive/index.php/t-108433.html

HADDaball
03-20-14, 05:04 AM
If you have anxiety, you need to check your blood pressure while taking your ADD stimulant medication. It is supposed to be around 120/80.


that figure is widely given but not normal outside western populations.

The healthy blood pressure range is more like 90/60 - 120/80 (http://www.nhs.uk/conditions/blood-pressure-%28low%29/Pages/Introduction.aspx)

Here's a chart:

http://www.vaughns-1-pagers.com/medicine/blood-pressure.14.pdf

Laserbeak
06-21-14, 02:34 PM
Note methamphetamine is on the Schedule II list. It is an actual ADHD medication manufactured by Lundbeck:

As is cocaine. It is still used a topical anesthetic by surgeons in certain procedures. It is not approved as a stimulant nor dispensed in regular consumer pharmacies though.

Laserbeak
06-21-14, 02:54 PM
To Nate: I don't care that Wikipedia says Klonopin withdrawal can be fatal. That sentence had no citation, and it was incorrect.

I have done a thorough literature search and talked to several doctors, including neurologists and addiction specialists. Benzodiazepine withdrawal has never been known to cause death. Never. Like I said, it is probably possible but unlikely, for instance if you have a seizure while driving.

You are probably correct that benzodiazepine withdrawal alone can not kill, but alcohol withdrawal definitely can and someone addicted to both and withdraws can face serious, even fatal, effects. Barbiturate withdrawal can also kill, especially when mixed with alcohol. All these drugs work on GABA receptors, but the benzodiazepines are the safest class, presumably because it actually potentiates the natural neurotransmitters instead of simply replacing them, causing an unlimited supply.

clydethompson
07-03-14, 01:01 AM
Just throwing this in there regarding benzo withdrawals being fatal, I've been on 20mg valium/day for.... ballpark 5 months. its been a while regardless. On top of that 60mg propranolol daily. Anyway, the seizure might not kill you but the extreme anxiety could lead to suicide. I did a personal check to see how addicted I was a while back and in short, 4 days off (when its actually low in your body) I could barely get out of my room. Thats just the onset of withdrawal apparently. Didnt push it further.

Anyway, recently started stim treatment and I found Dexadrine XR to actually relieve some of my anxiety, I keep a drug log and it repeatedly moved my afternoon dose of valium (10mg) from 4:30 to before bed (11-2AM). Focalin IR didnt lower anxiety but I cant say it adds to it noticeably either. I should know this but I'm also on depakote for depression, idk if that changes the results that much. I had to stop adderall a long time ago because of the anxiety it produced, so I was surprised by these results.

From personal experience, if its low anxiety try and stay off benzos and think beta blockers. Uncomfortable to moderate maybe bring up klonopin (what I had on adderall, worked until circumstances worsened anxiety). If the stim causes any more anxiety get the **** off it, lots of other things out there.

jtronicus
07-13-14, 03:12 PM
if its low anxiety try and stay off benzos and think beta blockers.

I concur. I'm coming off a three year dependence (not addiction) on long-acting benzos. Right now, I'm at ~3mgs a day and it has taken five months to comfortably get here from 15mgs/day. After three years I was having pretty nasty short term memory problems, so bad I failed a year of medical school and am having to repeat. It feels good to be getting better scores on tests now, but 40k in my pocket would feel much better.

Benzos work to inhibit an inhibitory receptor found in almost every tissue of your body. These drugs are relatively safe when being taken (low toxicity, little effect on respiratory control centers), but very unpleasant and potentially dangerous when stopped cold turkey.

Remember those receptors you were giving klonopin every day?

Over the course of about three weeks, your body will slowly start to produce fewer of them. This is the origin of benzo dosage increases. They 'regrow' at the same rate. Because it takes so damn long for your body to repopulate the receptors, every deficient tissue and organ in your body wakes the ferk up at the same time.

This can suck so so bad. Don't be an idiot. Doctors in the US who prescribe people <65 yoa benzos for longer than three weeks should be chewed out and fined. Get another opinion and try different medications.

Heba213
09-30-14, 09:12 AM
Just my meandering experience but I, embarrassing spent 7 months in jail not for any drug charge, they would not give me my klonopin. I've been on it for 7+ years first time I have ever stopped suddenly. No adverse effects other than anxiety. But YMMV, I do know that I eben complained to the nut DO about slowing tapering my dose and she refused and had me instead in medical observation unit. Prescription for benadryl no benzo withdrawal 3MG daily priority my stint.

GoldblumTheSave
10-05-15, 03:48 AM
I have the same concern. I've been on adderall 20mg xr since febuary and then in july I upped the dosage and had a panic attack. never had one before so i lowered the dosage, but just my luck, still having them! I am on lyrica right now (3 days so too early to tell) but I was on lorazapam for 3 weeks and I think my increased panic is from the withdraws. Id stay away from the benzo's, they are great but I noticed I built up tolerance in the 3 weeks and I decided to get off and try something new. Anyone know of if the adderall caused my panic attacks and continued panic? my doctor doesnt think so but I feel its the reason.

Once im on the lyrica more, Ill let you know if it helps!

TangledWebs
10-05-15, 07:51 PM
Benzodiazepines seem to be the only class of drugs that help my stimulant-induced anxiety.

Daydreamin22
10-05-15, 10:12 PM
Why not a non stimulant, or nothing. Nothing is probably the best choice for not messing you up long term if you ask me.

sarahsweets
10-06-15, 04:16 AM
Why not a non stimulant, or nothing. Nothing is probably the best choice for not messing you up long term if you ask me.

Why would you say this? What evidence do you have to support this?

stevepmd
11-25-15, 02:43 AM
I have found great results with Xanax .

AnxiousLapras
01-11-16, 08:39 AM
So far the only medication that has seemed to do anything was Gabapentin. However I do not like to constantly have to take it during the day for it to work consistently so in my visit to the doctor next week, I am going to ask to try out Topamax.

My anxiety seems to be equally related to my migraines so I think by treating that (and stabilizing my moods) I think I'll be OK.

sarahsweets
01-11-16, 09:50 AM
So far the only medication that has seemed to do anything was Gabapentin. However I do not like to constantly have to take it during the day for it to work consistently so in my visit to the doctor next week, I am going to ask to try out Topamax.

My anxiety seems to be equally related to my migraines so I think by treating that (and stabilizing my moods) I think I'll be OK.
Do you have depression or another mood disorder?

Jocomama
01-16-16, 01:10 AM
To Nate: I don't care that Wikipedia says Klonopin withdrawal can be fatal. That sentence had no citation, and it was incorrect.

I have done a thorough literature search and talked to several doctors, including neurologists and addiction specialists. Benzodiazepine withdrawal has never been known to cause death. Never. Like I said, it is probably possible but unlikely, for instance if you have a seizure while driving.

I disagree. Acute withdrawal from high-dose (>3mg/day) of Alprazolam/Xanax leads to seizures, and you can die - don't have to be driving. Seizure on concrete, not good. I have seen many patients with Xanax withdrawal seizures because the staff did NOT properly assess the urine quantitative values.

Jocomama
01-16-16, 01:23 AM
I agree.
1) First consideration is why stimulants are causing anxiety. Pure ADHD will become calm, and anxiety goes away with stimulant. However, many of us can get increased heart rate, and as long as your pulse is > 80, any beta blocker is a good solution. I personally have a family history of PSVT, and take a long active, B1 selective blocker, Bisoprolol. It is generic and like Betaxolol is long acting with the least side effects.
2. Benzodiazepines all have anterograde amnesia (memory) and have risk of tolerance, and dependence, plus finally addiction. ADHD comes with 25-50% risk for self-medicating, dependence and even abuse.
3. While many tranquilizers work indirectly through Gabanergic affects (calming the brain) - pregabalin (Lyrica) is Scheduled due to it's potential for dependency. Gabapentin, is currently not scheduled, and seems to be very effective for the anxiety. However if you really time it, you should find it occurs after your stimulant wears off. If you are getting anxiety from the stimulant, get a good psychologist to re-evaluate you for possible co-occurring Bipolar II (17-41% of ADHD can occur with Bipolar II).
4. SSRIs, if titrated SLOWLY, are life-savers for us. 20yrs ago, the psych put me on Paxil, but titrated it too quickly. Now, I learned to take 30 days on the lowest dose (Lexapro has the least side effects), then go up every 30 days. i.e. Lexapro 1/2 of a 5mg tab and in 30 days, you will NOT know you are on it. Then take whole 5mg, then 30 days later, go to 10mg, which is plenty.
Sexual side effects come with any SSRI/SNRI. However, wellbutrin can offset that.
But then Wellbutrin also needs to start slow.

Get a good, careful Psychiatrist (no family practice or internists) and let them work with you one by one, because no rush.

In terms of Gabapentin withdrawal seizure? Not likely. But, I had an associate that got that from Baclofen. But then he was on a high dose (Baclofen is established to help stop heavy drinkers cravings, when nothing else works).

FYI - Gabapentin, like Valium derivatives exert their affect through the Gaba A or alpha receptors (indirectly) while Baclofen does it through Gaba beta.

Final - Remember you must take your heart rate if using beta blockers for anxiety; HR < 65 means hold off the beta blocker.

lntense
07-01-16, 11:02 AM
The meds I use are .5mg of klonopin (if needed) but the one that helps my physical symptoms, shaky hands, rapid heart rate etc is propranolol 40mg.


I don't take these everyday but when I'm presenting something for work or doing a speech I take. 40mg Adderall XR, .5mg Klonopin, and 40mg Propranolol. Puts me in a perfect state, but I of course can't take this everyday..

Laserbeak
07-12-16, 11:32 AM
Back to the original question:


So Im wondering, what kind of medication are there that can be used alongside stimulants without messing me up longterm?

Some of the stronger beta-blockers like metoprolol might just do the trick for you. They are not physically addictive, but do share some of the results of the benzodiazepines. They are often used by professional speakers to relax themselves before a public speech. They also lower your blood pressure, reduce awareness of heart (i.e. feeling your heart beat) etc.

Corina86
07-12-16, 04:14 PM
I want to add that the effect of beta-blocker is very different from the one of benzo's. Benzo's tend to "shut down" my brain a bit, which is great for relaxing and falling asleep, but awful for work. Bisoprololum makes my body relaxed; the heart beat most of all, but my focus is still fine. Also, compared to benzos, I didn't build any tolerance at all for the beta-blocker and I have no withdrawal symptoms if I take a break from it. However, the beta-blocker isn't helpful for insomnia or a bad anxiety attack. I guess it's a matter of symptoms and how each person reacts to every med.

Anewme
07-23-16, 12:05 PM
I'm on clonazepam and concerta. I find my anxiety is worse on Ritalin and concerta because of the crash. Anyhow someone who's been on Ativan for 9 years in my 20's and on clonazepam on and off for 12 years as long as you take it as prescribed it's not that bad. I suffered from tremors after long term use and they made me go in a detox facility to withdraw. It was ridiculous sticking me with people detoxing off heroin and I was fine. I have detoxed off it cold turkey twice when i got pregnant since then and had zero issues. With any drug it's deciding if the benefit outweighs the bad which is for your doctor to decide. I can't take any anti depressants so benzodiazepines are my only choice.

MrJohnSF
07-29-16, 12:08 AM
I'm just f'n ******. I'm livid.

I'm disgusted that my dam DOCTORS at the Veterans Administration are dangerous and useless. I've been going to the Phoenix VA for 6+years I finally got fed up with my ad/hd, anxiety, depression. I was first diagnosed with PTSD, how I don't ******* know, I don't have nightmares, I don't trip out, I don't have intrusive thoughts, etc. I do though have EVERY ******* symptom for combined AD/HD according to the DSM V since I was a child, severely affecting my social life, and work. It's ridiculous how poorly I have been treated and abused because I'm "A hyper spaz" "can't remember/follow through with ****", etc. etc. etc. I've ******* had it, I'm 45 my life is half over at least, and I can't get a VA doctor to diagnose me or put me on stimulants.

I have had 12+ Psychiatrists over the years, so last year I got on ACCESS here in Arizona (by lying and telling them I have no other insurance) and was able to go to a place called Jewish Family Services which I met with 3 different psychiatrist one a vet, all told me that they will not place me on a stimulant since I have anxiety, same with most at the VA telling me that they won’t give me an upper and a downer at the same time, it’s bad? WTF? Now I read this post today and find out a **** load of you have had doctors that will do that exact thing? Why can’t I get them to help me, what am I possibly doing wrong? Oh’ I had a DUI and the pharmacist over heard me talking to another vet and put in my file that I’m an addict warning, so they told me the next day and had me sign something saying that I will never be given benzos. Same with Jewish Family services psychiatrist after I told them I have a DUI form 7 years ago. I stopped drinking 5+ years ago.

So I returned to the V.A. first psychiatrist at the West VA in surprise Arizona was a female doctor, who told me after diagnosing me with ADD (thought that was not a correct diagnosis) that I don’t need their help that effectively I have ran through all my options their and that it’s not that bad that the CEO of JETBLUE is ADD ? Damn, I was ready to jump the table and kill her, I instead thanked her and went to her boss and told him what she said, he apologized and I’m seeing him, who now he’s reluctant to dignose me with ad/hd as it’s very involed process. So I was placed on Wellbutrin 150x2 which helps a little, but my side effects are a little ****ty, vision is a little off, headaches, nausea, but I’d rather have that than have full blown ad/hd, anxiety, depression, as it provides a little relief.

Is this a insurance thing? VA and ACCESS are for poor people at best, I think. SO, I looked around and found one, yes one doctor who is taking clients in my area (chadd search, support group to adhd is not even her it’s of a100 miles away in Tucosn, ) sorry I digress, I’ve lost so many jobs and gilfriends for my scattery brain ********. One doctor, that lady answering the phone said he does not prescribe ANY medication it’s AD/HD therapy? Come on… So what’s the trick? Oh’ and I can get the med’s since I live next to EL Mirage, AZ where my neighbors and their neighbros etc have pills, galore vyvance, Adderall, benzos, meth, weed, etc. Seriously I have full blown access to all, but I refuse to put anything in my body, I NEED TO FIND OUT IF THE MEDS WILL HELP ME and want to do it right with a doctors prescription and supervision I’m too old to deal with ******** self medication crap, I’vedone that all my life as a coping mechanis for undiagnosed AD/HD. My wife says it's because I'm honest and they won't give meds with a DUI in my past, no habit forming meds ever I guess? Anyone else?



Semper Fi,

I need help.
:thankyou:

sarahsweets
07-29-16, 06:39 AM
Why canít I get them to help me, what am I possibly doing wrong? Ohí I had a DUI and the pharmacist over heard me talking to another vet and put in my file that Iím an addict warning, so they told me the next day and had me sign something saying that I will never be given benzos. Same with Jewish Family services psychiatrist after I told them I have a DUI form 7 years ago. I stopped drinking 5+ years ago.

I would seriously look into the pharmacy thing...An old DUI is nobody's business if you are sober now. Many real addicts have a history and they are not treated like criminals for the rest of their lives. Find out who made this 'mark' in your file, see a manger about it and insist it be removed. There are such things as HIPPA laws and they were broken.
What did you sign? I personally would never have signed anything.Have you tried to honestly point blank asked why an old DUI precludes you from legit, well studied medical treatment? There are avenues to appeal and investigate this. I wouldnt just accept it and I would rescind anything signed.

One doctor, that lady answering the phone said he does not prescribe ANY medication itís AD/HD therapy?
I would do a google search about this. Sometimes its office policy to tell cold callers that they never prescribe stimulants to weed out the drug seekers.

My wife says it's because I'm honest and they won't give meds with a DUI in my past, no habit forming meds ever I guess? Anyone else?


This also doesnt make sense. What if you have surgery? Does that mean you have to be in pain?

mickadd
12-15-16, 09:28 PM
There are tests for ADHD. Two years ago I took the TOVA test (Google it) which is a computerized test that takes around 15 minutes to complete; it tests your reaction time to quickly appearing symbols on the screen and can tell when you're losing your attention. It's cool. And it's well respected and would give someone concrete evidence of being ADHD.

sarahsweets
12-16-16, 04:38 AM
There are tests for ADHD. Two years ago I took the TOVA test (Google it) which is a computerized test that takes around 15 minutes to complete; it tests your reaction time to quickly appearing symbols on the screen and can tell when you're losing your attention. It's cool. And it's well respected and would give someone concrete evidence of being ADHD.

There are no tests for adhd. Despite the popularity of things like the Tova- the results could indicate no adhd for someone that does have it and vice versa. These tests can be great for looking into other things but I dont believe they should be considered adhd tests.