Re:Re: (duodenal switch) DESPERATE

[Guest guest]

Hi ,

OK, allow me to further clarify,

I did say that drugs in benzo class are addictive and offered natural

alternatives. But though they

are not my first choice a small dose for small duration is not out of line.

If you look at any drug in PDR you will find a list of possible side effects.

The side effects list for prozac and other SSRI's is unusually long and should

be disturbing

to any potential patient.

No smart defense attorney ever defended a violent client with the " xanax

defense " !

SSRI's were developed as antidepressants and in much lower doses are used

as

anti-anxiety agents. The fact that they are approved for this purpose doesn't

change my

opinion, and it is an opinion, that they should not be the first line of

defense.

Generally speaking, an actual panic attack really only lasts a few minutes;

that is true. But the effects

and residual anxiety last longer. Sort of like aftershocks of an earthquake. Not

to mention the anticipatory anxiety that can develop later.

Xanax can work relatively fast while klonopin is more long acting. I don't

know off hand

about the others in this class.

sounded like she may be in crisis so I was presenting a few alternatives.

Also, don't underestimate the sugar connection in IBS and anxiety disorders.

This I know from experience and it's safe to assume that most people on this

list aren't eating the way

they should. I know I'm not. : - )

I remind all that I am not a doctor, nor do I play one on television.

Unfortunately this is familiar territory for

me and hope my experience is worth something.

Good luck.

Will

[Guest guest]

Will

Many folks take SSRIs with no side effects. The PDR is the drug companies

protection against lawsuits. They list every known adverse reaction even if

it was one in 100,000. And yes, there are some nasty side effects to many

medications. Whenever a medication is considered a risk/benefit analysis

needs to be done. What may the patient gain from taking the med vs what are

the consequences of not taking it or dealing with side effects?

The dosage for anxiety and depression is essentially the same for the SSRIs.

As far as benzos go, I consider Klonopin a much better choice than Xanax.

The former is longer acting and the latter so short acting that people who

take it are in withdrawal too often. I agree that for short term use they

have an important role. A huge percentage of my patients have serious

anxiety disorders. This makes them very vulnerable to trying to medicate

their discomfort away. Alcohol, pot, and abusing benzos are very common

ways folks try and cope.

And I think that personal experience is very important. Each person

responds in a unique way to medications and other interventions. Hopefully

every prescriber listens closely to what the client has to say.

There are some great IBS sites on the net to help folks try and figure out

how to adjust foods to decrease distress. So many things impact the gut....

Thanks for your posts.. your concern and support for others is so valuable.

And just know that I try and offer the info I have as a professional.

Doesn't make me right. But I do have this thing about offering information

in my field. And I appreciate others who do the same and help inform me.

in Seattle

----- Original Message -----

> Hi ,

> OK, allow me to further clarify,

> I did say that drugs in benzo class are addictive and offered natural

alternatives. But though they

> are not my first choice a small dose for small duration is not out of

line.

> If you look at any drug in PDR you will find a list of possible side

effects.

> The side effects list for prozac and other SSRI's is unusually long and

should be disturbing

> to any potential patient.

> No smart defense attorney ever defended a violent client with the " xanax

defense " !

> SSRI's were developed as antidepressants and in much lower doses are

used as

> anti-anxiety agents. The fact that they are approved for this purpose

doesn't change my

> opinion, and it is an opinion, that they should not be the first line of

defense.

> Generally speaking, an actual panic attack really only lasts a few

minutes; that is true. But the effects

> and residual anxiety last longer. Sort of like aftershocks of an

earthquake. Not to mention the anticipatory anxiety that can develop later.

> Xanax can work relatively fast while klonopin is more long acting. I

don't know off hand

> about the others in this class.

> sounded like she may be in crisis so I was presenting a few

alternatives.

> Also, don't underestimate the sugar connection in IBS and anxiety

disorders.

> This I know from experience and it's safe to assume that most people on

this list aren't eating the way

> they should. I know I'm not. : - )

> I remind all that I am not a doctor, nor do I play one on television.

Unfortunately this is familiar territory for

> me and hope my experience is worth something.

> Good luck.

>

> Will

[Guest guest]

You're not kidding about the drug companies listing every known adverse

reaction to a medication. My mother is about to start taking Peg Intron

to control her Hepatitis C and one of the listed adverse reactions is

" homicide " !

Kathleen F

Open Duodenal Switch

Drs. Rabkin/Jossart

01/02/01 - 374#

05/29/01 - 282#

http://www.webniche.com/wls/

> Will

> ..snip.. The PDR is the drug companies

> protection against lawsuits. They list every known adverse reaction even if

> it was one in 100,000. And yes, there are some nasty side effects to many

> medications. ..snip..

>

> in Seattle

[Guest guest]

> No smart defense attorney ever defended a violent

> client with the " xanax defense " !

Probably true, for a good reason. People who freak out on Xanan

probably don't attack others, they just kill themselves, so they

don't get arrested, and thus don't need a defense. (Just burial.)

> Generally speaking, an actual panic attack really only

> lasts a few minutes; that is true. But the effects

> and residual anxiety last longer. Sort of like aftershocks

> of an earthquake. Not to mention the anticipatory anxiety

> that can develop later.

Sounds like a very good argument for taking Paxil, which can nip the

entire anxiety cycle in the bud before it gets rolling. It sure

works that way for me, at least. JMHO.

Tom

[Guest guest]

Sounds like a very good argument for taking Paxil, which can nip the entire anxiety cycle in the bud before it gets rolling. It sure works that way for me, at least. JMHO.

I just came off Paxil and that stuff made me eat...I was munching all the time. Now I'm on Wellbutrin (I was using Paxil for both depression and anxiety) and I forget to eat...I feel like its making me more normal. Does anyone know if Paxil is known for making a weight gain when on it?

~~* AJ *~~

BMI 58

NW Washington Medical

DR Heap, Richland WA

Working on 1st appeal

[Guest guest]

Paxil and Celexa are great-- if you have none of the undesirable side

effects. I think Serzone/Nefazodone is about the best of the lot for

anxiety. and I agree, Tom, it helps to prevent the attacks and removes all

that ongoing anticipatory anxiety.

in Seattle

----- Original Message -----

> Sounds like a very good argument for taking Paxil, which can nip the

> entire anxiety cycle in the bud before it gets rolling. It sure

> works that way for me, at least. JMHO.

>

> Tom

[Guest guest]

Yes! this is a common side effect. however post DS many people take it and continue to lose weight. Weight gain is common with all the SSRIs. Wellbutrin tends not to do cause weight gain.

in Seattle

----- Original Message -----

Does anyone know if Paxil is known for making a weight gain when on it?

[Guest guest]

Hi A.J..

Regarding the Paxil, my shrink told me that it definitely causes weight gain, and, therefore, was not one of my options in treating my depression. I, too, am on Wellbutrin, but, MAN that stuff makes me NASTY!!! Does it have that effect on you?

Pam

Pre-op in MD

Dr. Vanguri

Surgery date July 9, 2001