Posted by MM on August 2, 2001, at 2:11:29
In reply to I never had a panic attack for 2 years until now!, posted by AVR on August 1, 2001, at 23:50:51
Well some people get an "I don't care" or apathetic reaction to SSRI's. I don't know exactly what type of reaction you had (hopefully someone else will) but it sounds like you may have gotten psychotic on paxil. I don't know exactly how that could have happend (unless you were manic, but I don't know if many manic people think about killing people). I don't doubt that paxil could be the cause, as I have had my share of problems with SSRI's, and there seems to be some credible evidence that this reaction can happen.
I'm not quite sure what brain chemical causes panic attacks (I thought it was serotonin but I guess I am mistaken. Marijuana is a serotonergic drug BTW, and I get panicky on it too). I have tried many SSRI's and both the SNRI's, and I think if one doesn't work, the others most likely won't either, but I don't know for sure. Celexa might be quite different than paxil. Someone who knows will probably be able to answer that for you. I don't know much about dysthymia, but I'm sure there's other types of meds you can try. Sorry I didn't know anything :).
BTW did you tell your pdoc about the dreams and anger etc.?? You really should if you haven't because if that's the reaction you got, I don't know if he would prescribe another SSRI if he knew, and if he would after knowing that, I don't know if you have the best pdoc. I don't see why you should try ALL the SSRI/SNRI's before it's clear that you don't tolerate them well, just because they're trendy. JUST MY OPINON THOUGH.
poster:MM
thread:73018
URL: http://www.dr-bob.org/babble/20010731/msgs/73040.html