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Is it safe to combine fluoxetine/prozac with lorazepam/ativan? I have some normal anxiety (OCD, generalized anxiety, social anxiety)/depression (mild-moderate) stuff going on and have been taking 40mg fluoxetine daily. Added on to that I might be including lorazepam 0.25mg taken daily at night to help sleep. I'm wondering if it's safe to combine prozac and ativan which are the common name brands of the generics I'll be taking.

Hopefully Helpful replied: "If your doctor recommends you take both of these medications, he/she must know it is safe. I do believe it is safe to take antidepressants and anti anxiety medications at the same time. I have done so. Please take good care of yourself. Best Wishes."

How much Lorazepam (brand name Ativan) can I take, safely? I don't use that much of this stuff to begin with, normally I take 1 mg, about 5 times a month. A bottle of 30 can last me up to 6 months. The last couple of times that I took some, I hardly felt any affect. I want to take one tonight because I'm going through a hard time after having a life-altering interview this past week, and just the anxiety of not knowing, is killing me! I know that the interview went well but, I have felt that before with other positions that I was not accepted for. The interviewer wrote a 9.5 on my resume, and told me that he was very impressed, and let me know at the end that I interview very well. I have been out of work since Sept. '07, with temp jobs here and there, I can't go much longer without an income. I live alone with my dogs, my mortgage just adjusted, and my first payment is due next month. I'm just all out of options but still have a lot of faith, no kidding! :o) I believe something good will happen soon, I truly hope that it's this job.. I want to take 1.5 mg tonight, is that safe?

Marci replied: "1.5 mg would probably be safe enough although it might make you a little more sleepy since you are only used to 1 mg a few times a month. If it helps you to settle down and have less anxiety, then do the 1.5 mg. I don't think you are supposed to feel a really big effect. It is just meant to calm you during stressful times, like what you are going through now."

chech1965 replied: "1.5 mg should be safe. I've taken up to two mg at a time, but no more. Good luck on the interview."

SC G replied: "Glad you have a positive outlook! Be careful with Ativan. When your anxiety peaks, sometimes you need more. Just start with your normal dose and then if you don't feel calmer in an hr try a half of one. You can always call your prescribing doctor and ask his/her opinion."

"McRib" NREMT-P replied: "Ahh I really feel for you! I sure hope you get the job! I would love to hear if u end up getting it!!! I would be SOOOO happy for you. But yes any ways 1.5mg as long as you do not drink alcohol or use other drugs with it should be fine."

Is it ok to mix different generic versions of the same pill? I'm on Ativan for panic disorder, and take the generic lorazepam. I was just given an extension on my prescription but it is a different manufacturer, my usual dose being two pills will it make any difference if one is purepac brand and the other sandoza brand?

B. replied: "I would go ahead and take the pills by two different manufacturers. If you are really concerned call the pharmacy and ask the pharmacist. You could call your M.D. but it will take a lot longer and a pharmacist is qualified to answer that sort of question."

? replied: "Should not be any problem. Work for MD 25yrs"

ET1982 replied: "Hi. Normally lorazepam is excreted from the body within 12 hours after you have taken the pill. So if you take less than two times a day, it is definitely safe and if you take it once a day it is no problem I would say too. Some patients that are taking generic drugs can experience a difference between tablets from different manufacturers. If you will have that problem you better talk with your doctor."

Have you found any difference between name brand medication and generic? specifically benzos, more specifically ativan (lorazepam). i don't see how 1mg of "x" could be any different than 1mg of "x" with a different name, but people insist that brand names work better? any experiences/knowledge is welcome.

Juxta roberto replied: "Brand names are heavily regulated. With generics, sometimes the dosages vary, so sometimes it's too little, and sometimes too much. Honestly, I'd take generic, but if you're really scared of an overdose or liver damage, take brand names."

rod85 replied: "Studies haven't shown a difference."

pharmman replied: "The FDA requires that a generic medication be the same drug molecule, the same dose, and that it is distributed throughout the body at the same rate as the brand name. The medication is the same. If someone says that the brand works better than the generic it is purely psychological. It would be like taking two identical cars and putting a Mercedes badge on one and a Kia badge on the other...you could bet that you'd have people swearing that the Mercedes badged car was better."

Counsellor Oneil replied: "I have found difference between branded Ativan and generics. Sometimes Generic do not give you same effect."

Ms. Lavigne has been a smoker for 35 years and has been diagnosed with asthma for 25 of those years.? She is on lorazepam, which can cause respiratory depression. because of a productive cough, she presents to your pharmacy with a request for her usual OTC cough syrup, although she cannot remember the name. What do you think her cough syrup may contain? List 2 brand name medications that contain this active ingredients?

Jean replied: "Heroin. Smack and dope."

AndreaRN5278 replied: "A common over the counter medication given for coughs is Guaifenisin. It is also an expectorant which will enable her to cough up the secretions. Guaifenisin is an active ingredient in several medications incuding Robitussin, Mucinex, and Humibid."

Mrs. Lavigne has been a smoker for 35 years and has been diagnosed with asthma for 25 years of those years.? She is on Lorazepam, which can cause respiratory depression. because of a productive cough, she presents to your pharmacy with a request for her usual OTC cough syrup, although she cannot remember the name. What do you think her cough syrup may contain? List two brand name medications that contain this active ingredient?

Voice of reason replied: "The Pharmacy is not the doctor. I would not recommend any OTC medicines without knowing ALL the medicine she takes and how they interact with the meds she's on. The pharmacy should call the doctor's office."

Doc replied: "The most likely ingredient in Mrs. Lavigne's OTC cough medicine is Guaiphenesin. It is beneficial in asthma because it draws water into the lungs which helps to thin the mucous to make more productive coughs. It is often combined with dexamethorphan to reduce and improve coughing spasms. It is also available in combination with Terbutaline, which is a short acting beta 2 agonist for asthma but this is not available without prescription in most countries. It is called Bricanyl Expectorant. Brands containing Guaiphenesin are: Robitussin and Mucinex."

Does benzodiazepine tolerance go away? I used to be so dependent and tolerant on Ativan that i had to go through detox using benzo withdrawal diazepam (which is the chemical name for Valium) treatment. I now have to take Ativan for a surgery I am having on my knee in two weeks. My orthopedist knows about my use of Ativan, and lord knows I'll never get hooked on that garbage again, but said he felt it would be ok for me to use it to help me relax the days after surgery. So my question is that will me tolerance to Ativan have gone away? I took my last diazepam (2mg) right before Christmas. He prescribed me QTYx15 1mg Ativan. 1mg used to do shiitake for me, but now I'm wondering will my tolerance to lorazepam (Ativan is the brand name) have gone away by now and will only a 1mg have a strong affect on me?

Alas replied: "You do not need Ativan for post-surgery, maybe before but not after. Especially because of your history. After the surgery there may be pain, so you may need pain killers, but your anxiety should be gone, because the worse is over. DO NOT take it, tell the doctor you don't want to take it. Stay strong. The Ativan will not make you feel as it did in the beginning even after all this time. The risks that it will kick in to your addiction are great, because you are so worried it will not be enough. Remember how hard it was to get off? Do not do it, not worth it, it will never be the same feeling you got when you first started using it. Trust me. Again, you do not need Ativan AFTER surgery, the day before is OK. I don't know of ANY doctor who would prescribe you Ativan after knee surgery anyway, even if you had no history of addiction. And I don't know any _ethical_ doctors who would prescribe it to you after surgery knowing your history. Ativan is not a post-op medication for knee surgery. Pre-op? perhaps."

Je Suis Napoleon replied: "Yes it does go away. I'm pretty sure the complete withdrawal from a benzo is 1 month (both from your urine and the effects it had produced in your brain). The month period is for your brain to re-adjust to be being back to normal with any trace amounts of effects from the benzo to be gone. After the month, yes your tolerance will be gone, so be careful, especially with your past."

deliriumtime replied: "No, your tolerance has not completely gone away, because it was fairly recent that you finished your withdrawal treatment. If it were years ago, then yes, your tolerance would be gone, but like Alas stated, why would you want to put yourself through that again? Also an RN, I have never heard of giving a sedative after a surgery, especially with your background with the medication, of which you stated the doctor was aware. Giving Ativan before surgery is slightly more common, even though this practice is waning. I would highly suggest that you tell your doctor you do not want the Ativan for post-op recovery or simply do not get the Rx filled, or if you already do, don't pick it up (if you already picked it up, flush them down the toilet ASAP). Benzodiazepines can be pretty scary and withdrawals from them are terrible, so I would suggest that it would be in your best interest to not take the Ativan at all, before or after your surgery. Hope this helps!"

Which anti-psychotic won't make me tired? Does anyone know any anti anxiety pills that will not make me tired? Alprazolam can have me asleep in less than an hour especially the time release. Lorazepam makes me act drunk. Diazepam doesnt make me too tired and brand Xanax i can't remember if i get tired as i usually end up taking it to relax when drinking. Anyone know of any?

I do care! replied: "ALL anti-anxiety pills will have the sedative side effect as they cause you body to relax. Therefore you feel tierd. So no medication in this class of drug will stop the sedation effect."

What is your experience with brand name/generic psyc meds? I take an MAOI: Parnate. I've taken it for over 10 years and it works pretty well. Well, now they have a generic and once I ended up with that in my prescription and felt terrible switching to it; like it made me feel bad and didn't work. Since then, I've tried to insist on the brand name but the pharmacies and even the Doctor have wanted to give me the new generic. It's easier to get, I have so much trouble with my mail in pharmacies, etc. I feel that it makes a difference: Brand name/generic? Any ideas? I want to possibly benefit from the generic but I'm not convinced it's as good (I know it's the same drug, but..well) If I try and switch over more slowly this time (mix it, like changing dog food), is it worth a try? Any experience out there with this and psyc drugs? I can't tell the difference with ATIVAN and my new Lorazepam. Thanks I know the pills don't contain the same exact ingredients, but I'm thinking if the drug inside is the same I should be able to get used to it slowly. Also, my doctor isn't resistant to prescribing the brand name, I just keep having mess ups with the mail-in pharmacies. And my expert doc is always out of the country, so sometimes I have to rely on back up doctors to write up scrips when they don't know me. Just will take MORE WORK.

Ms Merlin replied: "You seem completely resistant to change. Very normal for mentally sick patients though so you are not the only one. Just rely on the facts here. The active ingredients of a generic drug are the same as the original formulation (the brandname). Generics are identical in dose, strength, route of administration, safety, efficacy, and intended use. If you feel better taking a blue pill than a red pill, you should up your psychosocial councelling and add an extra dimension to it called: 'how to cope better with change' with the main leading question 'why do i feel i cannot trust a red pill as much as a blue pill although they have the same function'. Good luck."

TheFlowerLady replied: "While I have not taken the particular med you mention, I have taken quite a few over many many years and I have not had any type of real difference show up at all. In nearly every case, they are the exact same drug and in the exact same amount. I don't know what the problem could be unless some weird thing is happening with the other components of the generic drug as in what else is in the generic along with the medicine itself. I did have one doctor tell me that that is possibly what caused a reaction in me, but it was not a pych drug. I would ask you seriously not to mix your meds unless your doctor knows and approves it because that is always always dangerous. It is dangerous because you do not know all the information on the meds that your doctor and/or pharmacist does and you could seriously injure yourself. ALSO, your insurance, whatever it may be, probably will not cover the brand names and that is why your doctor is hesitant to prescribe a brand. If you are on any type of government insurance, your doctor can do a special standing prescription for the brand name of Parnate. I would make sure to tell him/her of the problem you are having because the doctor won't understand why you want the brand, unless you tell him/her! If you tell your doctor you are having psych problems with the generic he/she should help you with the generic. MAKE SURE TO TELL THE DOCTOR YOU ARE EXPERIENCING PROBLEMS (PSYCH) AND THAT YOU ARE NOT HAVING THIS PROBLEM WITH THE OTHER GENERICS. You might want to get a second opinion from another doctor."

Homework Angel replied: "Your body is telling you the truth: there IS a difference between generic and brand. By law, generics are only required to contain a certain percent of the active ingredients in the original medicine. They are not identical to the original. In some cases, this is ok. In others, it is clearly not. Frankly, it sucks to be forced onto generics that don't work for you either by insurance policies or because the brand discontinued manufacture. I recommend finding a different brand, preferably one that does not yet have a generic available. This can force insurance companies to help foot the bill (some insurance companies will only help pay for brand names when no generic is yet available). Or, pay for the original brand that works for you without insurance help. If the generics are causing you problems, talk to your doctor. If your doctor doesn't listen, go to a different doctor. Good luck! :)"

ASR replied: "Sorry, I can't help you with this one because I always take generic. It is a cost issue with me. But I know the vicious cycle of constantly changing meds. Here the advice a friend gave me try keeping a symptoms log. Like what you take, when you take it, what it was, if it is brand name or generic and if you ate food with it or not, what you felt, how long it lasted, well you get the idea, etc, Review it occasionally and you'll get a better understanding of how the meds are on your system. So will the doctors they tend to like data that is supportive of a patient request. Good Luck adjusting to your meds. Be Well"

Lea replied: "Generic drugs have to be within 95%-105% of efficacy of the brand's goal. That equivalent percentage is no different than a lot of the brand's has to be within. The major difference between them are with the inactive ingredients. There is no significant chemical difference between generics and brands. If there was, the FDA would not have approved the generic."

Feeling of numbness...? Okay, so I just started these new meds and im being treated for social anxiety and depression. I have been taking these for three weeks now and sometimes my body goes completely numb and it feels like there is no ground under my feet. I started feeling really nauseated whenever I ate something and it hasn't gone away yet. Could it be a reaction to the meds? My symptoms are: Shakiness (sometimes), feeling sick to my stomach, dizzy, thoughts like how it doesn't matter if i die tomarrow, numb (all over my body), and a feeling like im floating.....but not like in a good way. These have really started freaking me out and I didnt think its depression because im like really happy, in fact i feel like laughing more often than i used to. :) But im taking Venlafaxine (75mg its an off-brand Effexor) and this other med called....Lorazepam (1mg) Does anyone have an idea of whats going on? o.o?

themetallifan replied: "I wouldn't recommend seeking medical advice here. Go see/call your doctor asap, or get someone to do it for you."

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