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fishdude
Member
Reged: 12/27/01
Posts: 161
Loc: Very SW, Very hot.
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dsack wrote: "I must be one of the lucky ones. I usually take 200-300mg's 3 times a day. I've been taking it for about 3&1/2 years now with not a single bad side- effect. Go figure"
Wow. If I'm reading this right, you take a total Ultram dosage of 600 - 900mg a day? That's a HUGE dose! Everything I've seen on Ultram says that the seizure threshold gets worse with increased dose. The info provided from the Ultram manufacturer says you shouldn't take more than 40omg/day.
I'm glad it works for you at this dosage, but I'd sure be careful!!
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I know I have a brain, the MRI proved it!
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Whatsnew
Enthusiast
Reged: 09/27/03
Posts: 205
Loc: S.E. USA
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OK, I have never used or had any experience with ULTRAM, but... I have had experience personally and professionally with anti-anxietics and anti-depressants that are supposed to not be addicting (the anti-benzos, if you will). Personally, and most of the people I have talked to about this....we agree that benzos are addicting (as are most pain relievers, if for no other reason than they take away your unnatural pain!--duh,they work!!) I have never (myself DEFINATELY included) met a person who got any major relief from the newer anti-depressseants or anti-anxietics,
in fact I, and those I have spoken with have recieved major side effects from these 'medications'. However, I must say that some people have publicly stated that these meds.work well for them. God bless them, , if it were the same for the rest of us we could all lead fairly normal lives without the fear of the DEA or whoever trying to incarcerate us and our Drs. for helping us. I guess that is all I have to say for now, but please feel free to respond, in posts or PMs as I have obviously let the cat out of the bag that I have seen both sides, professionally and individualy.I thank you all for listening, and for being there.
Big D
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DBs member since Feb. '03
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lovepink
Goddess

Reged: 01/01/02
Posts: 1476
Loc: NYC Metro Area
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W/D's from the newer ADs are just as bad if not worse than many benzo WDs (particularly Effexor), not to mention the very real SSRI Syndrome (don't think I have the term right). Why is benzo dependence an "addiction" and AD dependence just a benign "side effect"? Physicians have no problem cutting benzo patients off cold turkey but are adamant that AD patients follow a careful taper regimen in order to avoid serious medical problems.
Let's call a spade a spade - both benzos & ADs can be addictive & create severe WDs.
JMO
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Lovepink
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BlackCat
Old Hand
Reged: 09/22/03
Posts: 409
Loc: Bed
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Since this thread morphed into a discussion of seizure risks associated with anti dep. and anti anxiety meds:
Can you suffer grand mal seizures from stopping benzos (like xanax) cold turkey? I thought I heard something about this, but perhaps it was stopping from a very high level. Any insights?
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yawkaw3
Pooh-Bah

Reged: 03/22/03
Posts: 1193
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Many drugs that act on GABA, including benzodiazepines, alcohol, and barbiturates can cause grand mal seizures when withdrawn.
It really depends how much you are using, for how long, the benzo itself, and your individual seizure threshold that will determine how severe the withdrawal. I think drugs like these, unlike opiates, should always be tapered under a doctor's supervision. Xanax should never be withdrawn faster than .5 mg every 3-5 days, and it really is best to do this taper with a doctor who is experienced with it. That would be a neurologist or a psychiatrist who can assess whether you need something to take the place of Xanax and will know what a safe taper is.
Your brain produces a ton of GABA, generally grand mal seizures are the result of heavy use over a long period of time, but that is not neccesarily the case for everyone, and it is obviously better not to find out the hard way.
SSRI's have never helped me, but they do work for plenty of people. Why no one pays attention to their withdrawal symptoms, but excessive attention is paid to benzo withdrawal is a mystery.
300 mg of Zoloft is quite a hefty dose. 200 mg is the highest FDA approved dose that I remember, but I could be wrong...and just because a dose isn't FDA approved doesn't mean it isn't safe, it just means the manufacturer didn't think it was worth it to do clinical trials on higher dosages.
Ultram is used as an antidepressant in Europe. It has effects on serotonin and is often a "thrown into the mix" antidepressant. Like it might be combined with, say, Klonopin and Risperdal for a patient with depression and excessive agitation.
As lovepink pointed out, serotonin syndrome is a very real and dangerous condition that can happen with serotonergic drugs. Usually people get it from high doses of two or more drugs, for example, mixing a MAOI or tricyclic with an SSRI, or even mixing two SSRI's. Note that psychiatrists may prescribe a regimen like that for some patients, but it is smart to ask if you are at risk for serotonin syndrome. Chances are he (the doctor) is very aware of the risk and is using dosages that will avoid it. If you are unusually euphoric one day after starting these meds with twitching and an increase in body temperature, it is worth checking out to see if you have the other symptoms. If you catch it in time, you need to be under medical supervision and should discontinue the meds that caused it, and it is usually can be resolved safely. You do not want to have it for a prolonged period of time or it will get more serious, can cause brain damage, and death is a possibility.
-yawkaw
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