Posted by Zanzibar_inJanuary on May 11, 2005, at 0:44:06
In reply to Re: Unlikely » PM80, posted by Phillipa on May 10, 2005, at 17:09:02
My dx is depression with psychotic feaures, and (sometimes- it seems to be cyclic) severe anxiety. Started 150mg of Seroquel last weekend, and less than an hour after my first dose, had my first panic attack in over a year. I wasn't anxious about taking the med. The panic attack was pretty horrifying, and my auditory hallucinations were exasperated(sp?) for the next 48 hours. I havent taken the Seroquel again, and feel much better than I did last weekend, though still depressed and experiencing fleeting auditory hallucinations. I called my pdoc to schedule an "emergency" appt., but can't get in until Monday.
Before the Seroquel, I was taking the antipsychotic Zyprexa -for two months, but it didn't help.
I'm also on 150 mg Wellbutrin .
I do not feel horrible right now, but last weekend was hell. I am afraid- if I don't respond well to these atypical antipsychotics...I'm sure my doctor will have me take something older, and I've heard they have much more severe side effects..I have asked my pdoc about trying a Benzo in the past, but she would not prescribe any, stating that "i feel you are too young to start taking such a powerful habit-forming drug". And she said it's not good to be on benzos when you are depressed.
BUT I wonder if it is my anxiety that is CAUSING the depression and the reality distortions? She's not easy to talk to, but I think I'll press the issue on Monday, cause things just cant go on this way. Also- the SSRIs are not really an option- they tend to make me severly agitated...I respond paradoxically to so many of these drugs it seems.And ontop of all of this, I wonder if my dx is wrong? I dont have an official SchizoAffective diagnosis, but I think that's very likely. Or whatabout manic depression?
...Or maybe its just pathological anxiety?Like I said, my pdoc isnt easy to talk to--I dont know how I'm going to fit all of this into my 15 min apointment.
But i DO know I wont be taking any more Seroquel. ..but is that smart? I know it takes a couple weeks to adjust to new meds, but I dont want to risk another panic attack, and considering how I didnt respond well to Zyprexa, isn't it pretty likely the way I felt last weekend was a result of the seroquel?
i appreciate your replys. Do you have any additional advice?
poster:Zanzibar_inJanuary
thread:495867
URL: http://www.dr-bob.org/babble/20050510/msgs/496275.html