Posted by maddy4 on October 24, 2005, at 15:25:37
In reply to Re: Beta blockers for anxiety » maddy4, posted by Racer on October 24, 2005, at 14:38:21
> > my pdoc cringed when i told him my OB gave me WB for anxiety! (i have only anxiety/panic - no depression) when i tried WB my anxiety was thru the freaking roof - i mean an all day heart attack.
>
> While I do have an anxiety disorder, the depression is more of an issue. The bottom line is that Wellbutrin XL addresses my depression without side effects that create other problems, so that's what I take. It's a drug that I wouldn't give up, by the way, because of how helpful it is to me -- despite the anxiety problems, which it does not make worse. Another of those 'everyone's different' things, but I'm also on Cymbalta, which is a bit more sedating/anxiolytic.
>
> >
> > also seems odd to me your pdoc would give you WB since your anorexic. WB is contraindicated for use in people w. or who have had EDs
>
> The eating disorder thing with WB is a bit less clear than that. It's related to the seizure risk, and is probably a function of electrolyte imbalances caused by purging. Since I'm a restricting-only anorexic, and being treated for it with nutritional counseling as well as therapy, my doctor was willing to use WB XL. At that time, there had been no reports of the XL being related to seizures, which has since changed.
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> Whatever else I can say, I'm just so relieved that he was willing to prescribe it. (For what it's worth, it was first prescribed to me in the hospital after a suicide attempt. At that time, I simply wasn't eating -- picky eater, lousy food -- and yet the doctor put me on the regular WB. I think there's a pretty wide window of what doctors think is appropriate with this drug...)
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> Thanks for your input.so many pdos add WB to an SSRI cocktail to conteract weight gain - b.c WB has the reputation for weight loss - so it seemed to me that that was the contraindication.
i also see your point abt the electrolyte imbalance being an issue - but even w. restricting cant that throw your electrolytes out of whack?
has the WB made you lose weight and decreased your app? i guess that was my main concern i was pointing out to you.
at any rate - i am glad you have found smthg that is working!
im still working on that! :)
poster:maddy4
thread:569702
URL: http://www.dr-bob.org/babble/20051024/msgs/571439.html