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While Taking Stimulants For Depressionannd Anxiety How Do We Tackle
Posted on
Fri, 11 Jan 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 11 Jan 2019
Answered on
Last reviewed on
Question : While taking stimulants for depressionannd anxiety how do we tackle the symptoms of crash ASAP
ex: extreme tachycardia, and rebound anxiety ?
Sometimes clonazepam helps but takes painfully long time to act
Taking methyl amphetamines and bi phentin
ex: extreme tachycardia, and rebound anxiety ?
Sometimes clonazepam helps but takes painfully long time to act
Taking methyl amphetamines and bi phentin
While taking stimulants for depressionannd anxiety how do we tackle the symptoms of crash ASAP
ex: extreme tachycardia, and rebound anxiety ?
Sometimes clonazepam helps but takes painfully long time to act
Taking methyl amphetamines and bi phentin
ex: extreme tachycardia, and rebound anxiety ?
Sometimes clonazepam helps but takes painfully long time to act
Taking methyl amphetamines and bi phentin
Brief Answer:
Clonazepam mouth dissolving tablet can be helpful
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Symptoms of crash such as extreme tachycardia and rebound anxiety can be helped with use of Moth dissolving clonazepam better in compare to clonazepam as per say. This is because mouth dissolving tablets bypasses the stomach and readily becomes available for action.
The next best alternative is alprazolam as this gives early response in compare to clonazepam and similar medications.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Clonazepam mouth dissolving tablet can be helpful
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Symptoms of crash such as extreme tachycardia and rebound anxiety can be helped with use of Moth dissolving clonazepam better in compare to clonazepam as per say. This is because mouth dissolving tablets bypasses the stomach and readily becomes available for action.
The next best alternative is alprazolam as this gives early response in compare to clonazepam and similar medications.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Clonazepam mouth dissolving tablet can be helpful
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Symptoms of crash such as extreme tachycardia and rebound anxiety can be helped with use of Moth dissolving clonazepam better in compare to clonazepam as per say. This is because mouth dissolving tablets bypasses the stomach and readily becomes available for action.
The next best alternative is alprazolam as this gives early response in compare to clonazepam and similar medications.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Clonazepam mouth dissolving tablet can be helpful
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Symptoms of crash such as extreme tachycardia and rebound anxiety can be helped with use of Moth dissolving clonazepam better in compare to clonazepam as per say. This is because mouth dissolving tablets bypasses the stomach and readily becomes available for action.
The next best alternative is alprazolam as this gives early response in compare to clonazepam and similar medications.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can you please let us know
If the tachycardia is due to anxiety or a drug side effect
And let us know the doses of alprazolam and clonazepam
If the tachycardia is due to anxiety or a drug side effect
And let us know the doses of alprazolam and clonazepam
Can you please let us know
If the tachycardia is due to anxiety or a drug side effect
And let us know the doses of alprazolam and clonazepam
If the tachycardia is due to anxiety or a drug side effect
And let us know the doses of alprazolam and clonazepam
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
Although it is not possible to answer the question without checking temporal association between use of medication and tachycardia, principally speaking drug induced tachycardia often lasts longer (hours or round the clock) however tachycardia due to anxiety is often short lasting.
Regarding dose of alprazolam and clonazepam it is advisable to start with lowest possible dose which is 0.25 mg for both options. In case that does not help the dose can be increased by your psychiatrist depending on the response.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
Although it is not possible to answer the question without checking temporal association between use of medication and tachycardia, principally speaking drug induced tachycardia often lasts longer (hours or round the clock) however tachycardia due to anxiety is often short lasting.
Regarding dose of alprazolam and clonazepam it is advisable to start with lowest possible dose which is 0.25 mg for both options. In case that does not help the dose can be increased by your psychiatrist depending on the response.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
Although it is not possible to answer the question without checking temporal association between use of medication and tachycardia, principally speaking drug induced tachycardia often lasts longer (hours or round the clock) however tachycardia due to anxiety is often short lasting.
Regarding dose of alprazolam and clonazepam it is advisable to start with lowest possible dose which is 0.25 mg for both options. In case that does not help the dose can be increased by your psychiatrist depending on the response.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
Although it is not possible to answer the question without checking temporal association between use of medication and tachycardia, principally speaking drug induced tachycardia often lasts longer (hours or round the clock) however tachycardia due to anxiety is often short lasting.
Regarding dose of alprazolam and clonazepam it is advisable to start with lowest possible dose which is 0.25 mg for both options. In case that does not help the dose can be increased by your psychiatrist depending on the response.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Dr XXXXXXX XXXXXXX
Where do u practice
Can u let us know your address?
Thanks
Where do u practice
Can u let us know your address?
Thanks
Dr XXXXXXX XXXXXXX
Where do u practice
Can u let us know your address?
Thanks
Where do u practice
Can u let us know your address?
Thanks
Brief Answer:
I am practicing in XXXXXXX XXXXXXX
Detailed Answer:
Dear XXXXXXX
Thanks for asking.
I am currently practicing in XXXXXXX XXXXXXX
I do not have any problem in providing address but I must acknowledge that psychiatric treatment often requires long term follow up and it becomes very difficult with passage of time when the distance is too far. In my opinion it is always better to contact nearest psychiatrist.
In case you belong to XXXXXXX or Northern XXXXXXX you can easily approach me at XXXXXXX
Thanks again.
I am practicing in XXXXXXX XXXXXXX
Detailed Answer:
Dear XXXXXXX
Thanks for asking.
I am currently practicing in XXXXXXX XXXXXXX
I do not have any problem in providing address but I must acknowledge that psychiatric treatment often requires long term follow up and it becomes very difficult with passage of time when the distance is too far. In my opinion it is always better to contact nearest psychiatrist.
In case you belong to XXXXXXX or Northern XXXXXXX you can easily approach me at XXXXXXX
Thanks again.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
I am practicing in XXXXXXX XXXXXXX
Detailed Answer:
Dear XXXXXXX
Thanks for asking.
I am currently practicing in XXXXXXX XXXXXXX
I do not have any problem in providing address but I must acknowledge that psychiatric treatment often requires long term follow up and it becomes very difficult with passage of time when the distance is too far. In my opinion it is always better to contact nearest psychiatrist.
In case you belong to XXXXXXX or Northern XXXXXXX you can easily approach me at XXXXXXX
Thanks again.
I am practicing in XXXXXXX XXXXXXX
Detailed Answer:
Dear XXXXXXX
Thanks for asking.
I am currently practicing in XXXXXXX XXXXXXX
I do not have any problem in providing address but I must acknowledge that psychiatric treatment often requires long term follow up and it becomes very difficult with passage of time when the distance is too far. In my opinion it is always better to contact nearest psychiatrist.
In case you belong to XXXXXXX or Northern XXXXXXX you can easily approach me at XXXXXXX
Thanks again.
Above answer was peer-reviewed by :
Dr. Yogesh D
Ok thanks
It is just for visit
Our local psychiatrist gave her 40 mg thrice daily methyl amphetamine
Today is the first day and with that she is feeling ok after a long long long time
Also she is tapering acetalopram for 4 weeks and will look at possibility of adding a TCA
So can U let us know what are the effects of very long term use of stimulants
And if TCAs are safe with such does of stimulants or with any dose for that matter
It is just for visit
Our local psychiatrist gave her 40 mg thrice daily methyl amphetamine
Today is the first day and with that she is feeling ok after a long long long time
Also she is tapering acetalopram for 4 weeks and will look at possibility of adding a TCA
So can U let us know what are the effects of very long term use of stimulants
And if TCAs are safe with such does of stimulants or with any dose for that matter
Ok thanks
It is just for visit
Our local psychiatrist gave her 40 mg thrice daily methyl amphetamine
Today is the first day and with that she is feeling ok after a long long long time
Also she is tapering acetalopram for 4 weeks and will look at possibility of adding a TCA
So can U let us know what are the effects of very long term use of stimulants
And if TCAs are safe with such does of stimulants or with any dose for that matter
It is just for visit
Our local psychiatrist gave her 40 mg thrice daily methyl amphetamine
Today is the first day and with that she is feeling ok after a long long long time
Also she is tapering acetalopram for 4 weeks and will look at possibility of adding a TCA
So can U let us know what are the effects of very long term use of stimulants
And if TCAs are safe with such does of stimulants or with any dose for that matter
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
The main risk with long term use of stimulants is addiction. The chronic use without medical supervision can cause increase heart rate, blood pressure and body temperature. There are many others which can develop with higher dose such as stroke, heart attack, malnutrition among others.
TCAs should be avoided or should be used in lowest possible dose when you are taking stimulants. It can not be considered safe but when necessary they can be prescribed under regular monitoring.
I hope this helps you.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
The main risk with long term use of stimulants is addiction. The chronic use without medical supervision can cause increase heart rate, blood pressure and body temperature. There are many others which can develop with higher dose such as stroke, heart attack, malnutrition among others.
TCAs should be avoided or should be used in lowest possible dose when you are taking stimulants. It can not be considered safe but when necessary they can be prescribed under regular monitoring.
I hope this helps you.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
The main risk with long term use of stimulants is addiction. The chronic use without medical supervision can cause increase heart rate, blood pressure and body temperature. There are many others which can develop with higher dose such as stroke, heart attack, malnutrition among others.
TCAs should be avoided or should be used in lowest possible dose when you are taking stimulants. It can not be considered safe but when necessary they can be prescribed under regular monitoring.
I hope this helps you.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
The main risk with long term use of stimulants is addiction. The chronic use without medical supervision can cause increase heart rate, blood pressure and body temperature. There are many others which can develop with higher dose such as stroke, heart attack, malnutrition among others.
TCAs should be avoided or should be used in lowest possible dose when you are taking stimulants. It can not be considered safe but when necessary they can be prescribed under regular monitoring.
I hope this helps you.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Pl let us know how to treat insomnia and grogginess due to stimulants
She is taking 40 mg thrice a day. And that has
Inability to sleep
Very early waking up feeling tired
And irregular sleeping times during the day
Today she reduced the dose
She is taking 40 mg thrice a day. And that has
Inability to sleep
Very early waking up feeling tired
And irregular sleeping times during the day
Today she reduced the dose
Pl let us know how to treat insomnia and grogginess due to stimulants
She is taking 40 mg thrice a day. And that has
Inability to sleep
Very early waking up feeling tired
And irregular sleeping times during the day
Today she reduced the dose
She is taking 40 mg thrice a day. And that has
Inability to sleep
Very early waking up feeling tired
And irregular sleeping times during the day
Today she reduced the dose
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
For management of insomnia due to stimulant use the first thing is to decrease the dose of stimulants. Since she is taking 40 mg thrice a day I feel omitting the last dose of day can be helpful. In case this is not possible the last dose can be taken as half dose (20 mg) as cutting down the last dose may help in reducing the possibility of insomnia.
In case the above option is not feasible or not helping much, the other option is use of sleeping pills such as zolpidem. I often recommend 10 mg of zolpidem to be taken half an hour before going to bed. Since this is prescription only medication you will need a prescription to buy it from pharmacy.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
For management of insomnia due to stimulant use the first thing is to decrease the dose of stimulants. Since she is taking 40 mg thrice a day I feel omitting the last dose of day can be helpful. In case this is not possible the last dose can be taken as half dose (20 mg) as cutting down the last dose may help in reducing the possibility of insomnia.
In case the above option is not feasible or not helping much, the other option is use of sleeping pills such as zolpidem. I often recommend 10 mg of zolpidem to be taken half an hour before going to bed. Since this is prescription only medication you will need a prescription to buy it from pharmacy.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
For management of insomnia due to stimulant use the first thing is to decrease the dose of stimulants. Since she is taking 40 mg thrice a day I feel omitting the last dose of day can be helpful. In case this is not possible the last dose can be taken as half dose (20 mg) as cutting down the last dose may help in reducing the possibility of insomnia.
In case the above option is not feasible or not helping much, the other option is use of sleeping pills such as zolpidem. I often recommend 10 mg of zolpidem to be taken half an hour before going to bed. Since this is prescription only medication you will need a prescription to buy it from pharmacy.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
For management of insomnia due to stimulant use the first thing is to decrease the dose of stimulants. Since she is taking 40 mg thrice a day I feel omitting the last dose of day can be helpful. In case this is not possible the last dose can be taken as half dose (20 mg) as cutting down the last dose may help in reducing the possibility of insomnia.
In case the above option is not feasible or not helping much, the other option is use of sleeping pills such as zolpidem. I often recommend 10 mg of zolpidem to be taken half an hour before going to bed. Since this is prescription only medication you will need a prescription to buy it from pharmacy.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Just one more question
Can she take a third dose biphentin?
Are methyamphetamine and biphentin compatible
And if so how much dose ?
Can she take a third dose biphentin?
Are methyamphetamine and biphentin compatible
And if so how much dose ?
Just one more question
Can she take a third dose biphentin?
Are methyamphetamine and biphentin compatible
And if so how much dose ?
Can she take a third dose biphentin?
Are methyamphetamine and biphentin compatible
And if so how much dose ?
Brief Answer:
Both are same
Detailed Answer:
Hello,
Thanks for reverting back to me.
Biphentin means methylphenidate controlled release. I mean to say that the salt is same in both the names but the preparation is different. Controlled release medications generally last longer in compare to immediate release medications.
The maximum recommended dose of biphentin is 80 mg per day for adults and any prescription beyond this range should have valid indications. In my opinion third dose should be avoided by all possible means as the side effects become more prominent beyond the recommended dose range.
I hope this answers you further.
Thanks and regards.
Both are same
Detailed Answer:
Hello,
Thanks for reverting back to me.
Biphentin means methylphenidate controlled release. I mean to say that the salt is same in both the names but the preparation is different. Controlled release medications generally last longer in compare to immediate release medications.
The maximum recommended dose of biphentin is 80 mg per day for adults and any prescription beyond this range should have valid indications. In my opinion third dose should be avoided by all possible means as the side effects become more prominent beyond the recommended dose range.
I hope this answers you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Both are same
Detailed Answer:
Hello,
Thanks for reverting back to me.
Biphentin means methylphenidate controlled release. I mean to say that the salt is same in both the names but the preparation is different. Controlled release medications generally last longer in compare to immediate release medications.
The maximum recommended dose of biphentin is 80 mg per day for adults and any prescription beyond this range should have valid indications. In my opinion third dose should be avoided by all possible means as the side effects become more prominent beyond the recommended dose range.
I hope this answers you further.
Thanks and regards.
Both are same
Detailed Answer:
Hello,
Thanks for reverting back to me.
Biphentin means methylphenidate controlled release. I mean to say that the salt is same in both the names but the preparation is different. Controlled release medications generally last longer in compare to immediate release medications.
The maximum recommended dose of biphentin is 80 mg per day for adults and any prescription beyond this range should have valid indications. In my opinion third dose should be avoided by all possible means as the side effects become more prominent beyond the recommended dose range.
I hope this answers you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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