Ryan-Help!

[david85]

i have been taking xanax xr for 6 months now. originally i started of 2 mg daily, but after a few months i started to feel better so i gradually lowered my dose to .5mg and have been on this dose for 3 months now.Is it possible that xanax xr can cause PVCs?, i seen in your earlier posts that you say xanax xr builds up rapid tolerance?well i am concerned because of these skipped heart sensations that i have been getting, i also have mitral valve prolapse since i was 16(now 22). My question is could the pvcs be caused by using xanax xr on a daily basis, because of the rapid tolerance you mentioned with shorter acting benzos, maybe i should dose the .5mg cxanax xr BID  DAILY...i have not had any feeling to raise the dose, i am anxiety free at this dose..However lately i have been noticing more pvcs?is this caused by xanax or a sudden development of MVP symptoms?When i read that you said even "xanax xr" can cause tolerance, i assumed the pvcs to be a symptom of the xr tolerance,which i am not even sure iam tolerant in the first place.. In fear of this, i switched to klonopin .5mg BID which i am on day 4, the klonopin just doesnt feel as good as the xanax to me. The Xanax actually has a antidepresant effect.Do you thing i can go back to xanax xr long-term and take a beta-blocker for the pvcs, im really scared right now and don't really know what to do.I am a nervous wreck right now
~David

[david85]

This worries me ryan, will this drug worsen MVP symptoms?
Cardiovascular:
Before initiating treatment, it is advisable to check the patient's blood pressure, because individuals with hypotension or a labile circulation may react to the drug with a fall in blood pressure. Regular measurements of blood pressure should be performed in susceptible patients. Postural hypotension may be controlled by reducing the dosage or administering circulatory stimulants.

ECG abnormalities have been observed in patients treated with clomipramine. The most common ECG changes were premature ventricular contractions (PVCs), ST-T wave changes, and abnormalities in intraventricular conduction. These changes were rarely associated with significant clinical symptoms. Nevertheless, caution is necessary in treating patients with heart diseases, as well as elderly subjects. In these patients cardiac function should be monitored and ECG examinations performed during long-term therapy. Gradual dose titration is also recommended.

[david85]

Ryan, im gonna ask my doc if i can try clomiprine,..i also wanted to point out that i meant i think have ADD as opposed to ADHD, i have never been hyper or anything, rather i have problems keeping my attention on some thing..Some people will say im a selective listener and rather inattentive, id always consider myself a poor listenter and would forget directions people give me and also ppls names.I think this affected me in High school since i had poor grades but am doing much better in college.
-David

[david85]

arent TCAs dangerous for Cardiac conditions like Mitral Valve Prolapse, especialy imiprimine?i will ask my p-doc anout this, but wont the clomipramine cause palpitations,if it will help my health anxiety that would be just what i need..

[david85]

also wanted to mention im having less pvcs while on klonopin, which is good but its making me slightly depressed at .5mg bid

[david85]

Ryan,
Its been a week since i made the xanax-klonopin crossover, exceot for a couple of things.Anxiety was a lil better when i was on xanax.Secondly i am having difficulty concentrating in my college classes, i feel slightly irritable, and my memory and cognitive ability doesnt seem as sharp. I am considering lowering the dose from .5mg BID to .25 bid, perhaps this will cause less agitation and improve memory?. Secondly,
i have been diagnosed woth ADD, the p-doc put me on focalin xr 5mg awhile back and it just made me feel like jumpinmg through the roof!!i was having palps,pvcs, made me feel like i was on speed..its probably because of MVP and my sensitve ANS.Are there any alternatives to Psychotrophic meds for ADD?Am i just gonna have to live with it?

[david85]

5 mg (Timolol), sounds like a plan..i should ask my cardiologist about this however my average BP is 120/80 and pulse is 72 bpm. Will 5mg of this beta blocker, cause my BP and HR to drop at dangerously low level?Secondly is the Half-life of this beta blocker 24 hours, so that i am pvc free for 24 hours?Thanks so much man, you know more about benzos than my p-doc, you should become a MD, you would probably save many lives.

[david85]

Thanks ryan i will follow your cross-over schedule, however i am out of Xanax Xr, because  my dad's employer needs proof that i am a full--time college student, so that the insurance can cover the copay for the Xanax xr. I do have regular xanax tablets availableand my klonopin as well..It probably wont be till next tuesday or so until i have access to Xanax Xr, should i wait?.Should i continue taking Klonopin .5 morning and night?Or should i take .5mg of the regular xanax in place of the XR following your schedule.I am a 22 year old college student with panic,hypochondriac and MVP, since you just told me of xanax withdrawl, i am afraid that i will die from pvc while switching to Klonopin. I know this sounds a little paranoid, but is there anything you can say to reassure me that this wont happen. I dont wanna die, especially from pvcs