Posted by jujube on January 6, 2005, at 14:32:23
Ok, I am, no doubt, beginning to seem like a pain in the butt with my indecision and insecurities about my meds, but I am in need of some advice and guidance again. I'll try to keep this brief.
Since last Friday, I have not been able to take anything. This is really because of how my body reacts to aneastetic (had unplanned surgery on Friday) which results in, among other things, my already low blood pressure really dropping, my temperature remaining low, my skin feeling like a block of ice, and it taking days and days for things to get back to normal. Then there is the effect that pain killers, which I had to take, have on me after a few days of use.
Anyways, I had been taking Anafranil for the past 7 weeks, and had managed to go up to 75 mg for a few days before my accident by taking salt tablets to increase my blood pressure so that I could tolerate the higher dose. However, after 7 weeks (mostly at 50 mg), there has only been a modest improvement in mood, general and social anxiety relief and motivation. I was to have continued taking Celexa with the Anafranil, but kept forgetting to take it. I was happy to have experienced some increased energy and motivation and what I thought (hoped) was the beginnings of a return to my old self prior to Christmas after adding some natural supplements (Vitex, NADH and DMAE), but, since the surgery, those are not helping as much and I am feeling empty, scared and anxious. I feel like such a hopeless loser, and have been on the verge of tears all day.
Anyways, it has become increasingly obvious to me that I will not be able to tolerate a high dose of Anafranil. So, I was hoping to get some suggestions on what to try next. I could restart the Celexa at a low dose (for anxiety relief) and ask my pdoc for Provigil if that sounds like it may be effective. Or perhaps I could see if the pdoc is willing to prescribe Nortriptyline to combine with the Celexa. Or . . . I just don't know anymore.
I also have a prescription for Xanax, which I use as needed. I am wondering if Klonopin might be better for social and anticipatory anxiety.
Well thanks all for reading and sorry for the long-winded message. Any advice would be greatly appreciated.
Tamara
poster:jujube
thread:438552
URL: http://www.dr-bob.org/babble/20050103/msgs/438552.html