Posted by lesnsmn on February 23, 2010, at 9:38:56
In reply to Re: GAD + PD( Can't start SSRI because of akathesia) » Vincent_QC, posted by Bob on February 18, 2010, at 17:11:19
I've been dealing with a very similar situation. I had taken zoloft and lexapro at different times for depression and had no problems when starting to take them. About 6 months ago, I developed some anxiety problems and tried to get back on lexapro. It caused panic attacks and increased anxiety. Same thing with zoloft (and celexa and Pristiq).
Finally, my primary care physician consulted with a psychiatrist who said that I should be starting with much lower doses and very gradually increase the doses. So I started with 1/4 of a 25mg pill of zoloft. I did that for about 10 days, bumped up to 1/2 a pill. I stayed on that for 2 weeks and then tried the whole 25mg. Turns out that was probably too much of a jump because the increased anxiety got out control again. Backed off to 1/2 pill and am now at 3/4, and hopefully will be able to increase to the full 25mg(which is still a pretty small dose).
I did have increased anxiety even changing by these little amount and there were some very uncomfortable times, but it was manageable and it leveled off eventually. I'm finally starting to feel the benefits of the drug. I'm anticipating some more bumps in the road, but at least the good days are starting to outnumber the bad.
poster:lesnsmn
thread:937296
URL: http://www.dr-bob.org/babble/20100216/msgs/937743.html