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I wonder about Kaiser. (pdoc + SSRIs for anxiety)

Posted by HelenInCalif on August 2, 2007, at 18:04:03

In reply to Re: pdoc likes SSRI not Klonopin for anxiety: I don't., posted by linkadge on August 2, 2007, at 17:13:29

Yes, when I'm talking with doctors I'm very careful to keep my statements short and sweet. I went into more details here because those details inform my history as to why I dislike SSRIs.

on my history:
Could the fact that I'm taking a schedule II med- ritalin- affect how they'd prescribe a schedule IV medicine?

Back in 2005 I got a feeling that Kaiser HMO generally discourages use of Klonopin for anything but short term use. Instead, it seems like they think of SSRIs for anxiety as a one-size-fits-all solution.

Which strikes me as a too-general a rule if it's true. i.e. that they'd rather have patients face the real side effects of a SSRI than deal with the possibility of a patient getting tolerant or addicted to Klonopin in the future.

Maybe Klonopin requires too many followup visits as compared to an SSRI, and that discourages the former's use.

As said, I felt the side effects of Celexa and every earlier SSRI I've had strongly: the only reason those effects were tolerable was because depression was worse. Weight gain, dry mouth, totally lost sex, and nasty pains if I didn't stop slowly-- plus weird side-effects for the first few weeks like tremors- my hands would shake. Extra shakes during a job interview? That isn't helpful.

But for my anxiety of right now, I don't have weeks to wait nor do I have time to put up with the other side effects... which, for Celexa, seems to include anxiety itself!


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poster:HelenInCalif thread:773587
URL: http://www.dr-bob.org/babble/20070730/msgs/773603.html