- Can Remeron Be Taken With Trazodone?
QUESTION:
Hi Dr. Heller!
Can you answer some BPD questions? I have a few questions about some of your statements.
1) Why do you say BPD is a form of epilepsy? 2) Have Prozac and Tegretol long-term risk? 3) Will I have to take this medication all my life to be able to function “normally”? 4) Is possible that Orap makes me hungry? 5) Is GAD also genetic, or does it go away with the years? 6) What causes GAD? 7) My mother and brother have ADHD and I have BPD and GAD. Is possible that the stress environment from the hyperactive mother and brother causes my GAD?
Thank you very much for your kind help!!!!!
ANSWER:
1) There are many reasons:
a) abnormal brain waves ( http://pks.947.myftpupload.com/BPD_EEG.htm) – with 1/3-1/2 showing significant temporal lobe abnormalities during dysphoria (anxiety, rage, depression and despair) and dissociation; b) response to epilepsy medications, particularly Tegretol (carbamazepine) – which has it’s greatest effect on the limbic system; c) the inability of BPD patients to stop their dysphoria (anxiety, rage, depression and despair) when they start crashing; d) the “post ictal” phenomenon many borderlines experience after a dysphoric spell; and, e) the commonly seen alcohol withdrawal dysphoria which strongly mimics an alcohol withdrawal seizure.
2) So far there’s no evidence of long-term risk with Prozac. Tegretol has a very small risk of bone marrow problems, liver problems, and low blood sodium – so relatively frequent blood monitoring is necessary. 3) Probably, at least the “as needed” medications. 4) It can. 5) and 6) The GAD is mostly genetic, particularly the cognitive component. Many people have anxiety for other reasons, which cause GAD symptoms – life stressors can trigger these. 7) Possible but unlikely. It’s more likely that at least one of your parents also has the GAD.
