Posted by yxibow on June 8, 2008, at 23:51:42
In reply to Anxiety off the charts, posted by Sky Brite Line on June 8, 2008, at 23:15:33
> My new doctor wants me on seroquel, im going to just vomit.
>
> He will leave me on Xanax but does not want any thing that is benzodiapine to help me sleep.
>
> I dont know if im still intact? maybe i should tell him that.
>
> random.....If its "off the charts", sometimes Seroquel is necessary unfortunately, as I know. Are you especially sensitive to neuroleptics? I never dreamed of having to take them but they greatly increase my functionality -- I wish I could get off of it, but I can't just yet. There have been some unfortunate consequences with other agents, yes, but Seroquel is on the least end of the spectrum.
Vomit as in the idea of an AP or an actual reaction to one?
I mean, you can dial up on Valium for years like I did, along with the Seroquel, but eventually you become used to it -- there is no guarantee on how many months or years a person can get value. I still get value, but I no longer feel a "umph" And as you said you don't want a benzodiazepine anyhow.
Very few people respond to BuSpar which is another choice but not typically for "off the charts".
Paxil might be another choice but it takes a while to work as compared to the first benefits that might be seen by Seroquel earlier.
Anafranil (clomipramine), a tricyclic is another choice but has a bevy of anticholinergic side effects, for some, and again takes a period of time to work.
Xanax is something that I would only reserve for those ultra-anxiety periods -- in general any short term benzodiazepine like Ativan.
Remeron can have some 5HT blockade but that has to be dialed up to a high range and that doesn't also happen overnight and carries for most a weight gain in excess of Seroquel. Otherwise it is a very good antidepressant and somewhat of a mood/anxiety stabilizer.
I'm not sure what else to say, if there are continual panic attacks, high anxiety, sometimes something like Seroquel can help while one manages in therapy to learn to adjust to anxiety and hopefully lower their dose to just what is needed.
Thats all I can suggest
-- best wishes
Jay
poster:yxibow
thread:833710
URL: http://www.dr-bob.org/babble/20080606/msgs/833712.html