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Re: What do you take for your anxiety?

Posted by yxibow on January 15, 2006, at 21:33:34

In reply to Re: What do you take for your anxiety?, posted by christinav on January 15, 2006, at 20:26:57

> Well i have taken a lot of meds some i cant even remember. SOme work for awhile and then they stop. I cant tolerate SSRI's. Benzo meds (dont know the whole name of them) i cant take at all because they have an opposite effect on me. I cant take xanax it knocks me out. The smallest dose that is. I am very limited so i thought i would ask to see what other people take. Thank you for your input.

Some people have idosyncratic reactions to medications. It is also possible that you are among the 9% of people who have difficulty metabolizing at CYP 450 2D6, thus explaining some of your reactions to medications. Are you sure you have tried the entire range of benzodiazepines, because some are metabolized by the body at different points... the list of benzodiazepines out there still manufactured in the US is vast. Librium, the first, is still manufactured.

If none of the above works for you, there is BuSpar (buspirone), which works effectively for about 30% of the population. Its worth a try. It may initially make you feel a little dizzy.

I take Neurontin -- I dont think it works for most people alone, without a benzodiazepine, but it might work for you. Lyrica is similar to Neurontin, some people claim more success. There is also Lamictal, although it can cause a rash. There are other antiepileptics that are used for mood stability off label as well, including Depakote.

If none of the above works, I wouldn't normally suggest it since you are not psychotic and APs have a varied side effects, but perhaps a small dose of Seroquel or Zyprexa might work for anxiety.

MAOIs are the last resort and are generally more for depression. I would first see if you have tried all of the above, including all of the benzodiazepines, because they are metabolized by the body in different ways.

-- Jay

 

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