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Re: Antidepressant-induced panic

Posted by Ritch on October 22, 2002, at 0:06:24

In reply to Re: Klonopin hangover/Effexor Apathy - Ideas?, posted by AnneL on October 21, 2002, at 22:31:53

> My first nocturnal panic attack was more than 20 years ago at the age of 18. My undiagnosed panic disorder went away after a year (no SSRI's back then, no Xanax either). I simply got fed up of being hostage to the fear and must have used some form of self-cognitive therapy. About 4 years ago, I tried Celexa and 4 nights later I ended up with a doozy of a panic attack (911, paramedics, the whole nine yards). Tried Paxil, same thing. Then 1 1/2 years ago or so went on Effexor, but kept having nocturnal panic attacks, really adrenaline rushes and Xanax kept rebounding on me so that's when I thought I could use a benzo with a longer half-life. Klonopin stopped them from occuring almost entirely. I only had a panic attack when I went longer than 24 hours without Klonopin and this was probably a withdrawal reaction. Really, in the scope of things my side effects are very small compared to others. I may need to taper down on Effexor and see if I can get off the Klonopin. I am pretty sure in my case that I have a morning hangover from Klonopin.
> :) Anne


Anne, it seems that you are REALLY sensitive to SRI meds such as Effexor, Paxil, Celexa. Has your pdoc ever discussed with you trying non-SRI AD's such as Remeron, TCA's, MAOI's to try to control your panic/depression? Also, have you ever had a neurological workup such as a 24-hr EEG to see if you might be having seizure activity in your sleep? My Mom had nocturnal generalized seizures, and we both have had panic attacks in the past.


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