Posted by ace on May 25, 2008, at 23:36:20
In reply to Re: Paxil dilema, posted by Markwell on May 23, 2008, at 7:47:48
> I'm just in a funk with a little anxiety. Which TCA would you recommend?
When you say a 'little anxiety', what do you exactly mean? Does it significantly impede your level of functioning? How long have you had it? Is it in response to certain life events, or is it a long-standing problem? Gosh, I hope I don't sound to nosey here!
With regards to the TCA, I would say Clomipramine would be a good first choice....A lot of people just 'throw' this drug in the corner as stricly an anti-OCD agent, but it can also have wonderful anti-anxiety and AD effects.
I take ativan but I'm so afraid of becoming addicted.I wouldn't worry too much about this! If your anxiety is at a level where you need it, take it.
Benzo's are great drugs which have been misused by people who did not need them! A person can become medically dependent on them, this is true. But with a very very slow taper off, (not 1mg per week!) they DO NOT have a horrendous withdrawal.
There is no evidence to suggest over time people need to administer a higher dose to retain efficacy. This phenomenon only happens in the FIRTS FEW WEEKS of therapy. Actually- evidence mostly shows people slowly need less and less of the benzo as time goes on!
Maybe I should try 20 mg of paxil (10mg currently) with the ativan. At 20mg I found noise and common annoyances more intense.Seems like the Paxil, at 20mg, creates this syndrome- I have heard of agitation caused frequently by all SSRI's. This could wear off, or maybe it won't....hard to say. I am not a big fan of any SSRI, but obviously, you must do what you feel best for you.
It is so hard to predict certain things with these drugs.....I would try the 20mg, but i would not suffer with any s/effect too long...
I hope this helped a bit!
Cheers mate,
Ace:)
poster:ace
thread:828222
URL: http://www.dr-bob.org/babble/20080519/msgs/831157.html