Posted by blueberry1 on January 5, 2007, at 23:41:31
In reply to Re: I call it, 'Pani-sad.' :), posted by cgd092 on January 4, 2007, at 14:43:56
Pani-sad. Good work, horrible way to feel. I'm so sorry for that. I wish more people would show up with some suggestions.
I have some ideas but as you know this is a lot like throwing darts. I won't go into long explanations of my reasoning, but...
Xanax instead of lorazepam? But before that, try doubling the dose of lorazepam for 3 days to see if...it helps anxiety...if it worsens depression, helps it, or no difference. That way you'll know more about what it does for you. Xanax is usually better for panic and depression.
Paxil. When hundreds of general practioners were surveyed to find out what they thought were the best ssri's in terms of efficacy for anxiety and depression, paxil was at the top of the list. Other options are effexor (hard to get on and hard to get off), or lexapro (different enough from celexa that people notice). If you are really brave and want to take a chance, tramadol (works rapidly usually, but if it ever poops out it is very hard to get off).
Can you reduce or eliminate seroquel? I mean, with pani-sad ongoing, how useful is it? People here know I despise antipsychotics. Just how I feel from my experience with them. Short term, ok, longterm bad news. And actually, the very symptoms of pani-sad are not uncommonly caused by antipsychotics, even in low doses.
Just some ideas. Play with lorazepam. Xanax. Paxil. Effexor. On the fringe, tramadol. Eliminate antipsychotics.
I'm sure there are some really good ideas out there to add to my own thoughts, so I hope some more people will show up.
poster:blueberry1
thread:719297
URL: http://www.dr-bob.org/babble/20070101/msgs/719739.html