Posted by blueberry1 on January 12, 2007, at 19:21:58
In reply to Switching form Lexapro to Zoloft, posted by bigpopper on January 12, 2007, at 17:10:16
Will zoloft work better than lexapro? No way to predict. Could make things work, could be a miracle. Start-up side effects of zoloft are unpredictable. Some get sleepy, some stimulated. Transition will be lexapro withdrawals and zoloft start-ups at the same time. Zoloft should cut down or prevent lexapro withdrawals. Who knows, maybe lexapro has been an aggravating factor, and that removing it may bring improvement rapidly. Maybe could happen.
Personally I think 50mg zoloft is too much to start. If it were me I would cut the tab in half and do 25mg for a couple weeks.
I hate to say it but practically every day there is a story of an apathetic lame pdoc. I know there are good ones out there somewhere. The best drug knowledge and best service I ever got was from a nurse practioner (specialty in psychiatry and naturopathy). Go figure. She put 4 pdocs to shame. Second best was a GP. Hey, how many 10 month chunks of life does this pdoc think you have to play with anyway? Does he think life is an eternity? Does he think people have some super human power to endure excruciating symptoms indefinitely? What if it were HIM?
Is the issue primarily anxiety/panic? If so, why not just do xanax monotherapy? If it is depression also, then xanax alone could be fine, but might need something else with it.
I hate suggesting antipsychotics. But if you wanted to sleep soundly and wipe out that anxiety/panic (kicks in at 2 hours instead of 6 weeks), 2.5mg to 5mg zyprexa can do that.
poster:blueberry1
thread:721756
URL: http://www.dr-bob.org/babble/20070107/msgs/721814.html