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Re: GAD + PD( Can't start SSRI because of akathesia) » lesnsmn

Posted by Vincent_QC on February 24, 2010, at 8:44:06

In reply to Re: GAD + PD( Can't start SSRI because of akathesia), posted by lesnsmn on February 23, 2010, at 9:38:56

> 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.

Thanks for your answer ;-)

I'm living the worst time of my life now for sure.

I will have to do the same process than you I think and start with very low dose... but I don't know which SSRI to try next...

It's seem that the more I wait before starting my meds and the worse it will be, probably because I have many apprehensives thoughts about the meds and my heart phobia as well as my new symptoms of anxiety that appear every 1 or 2 weeks...

I see my PDoc next monday and will have a long talk with him.

What I find strange is that even with 6 to 8 mg of Rivotril a day, I still have panic, excessive worries about my heart (blood pressure, low pulse rate), many anxiety related symptoms like constant head pain, tickling at severals extremities of my body who increase my anxiety and trigger panic, eyes pain, jaw pain, extreme fatigue, insomnia, chest pain, legs pain, extreme sweating from hands and feets, tremor, difficulty to speak (articulates the words), dizziness ( faint sometimes).

Now I can't go outside my house without thinking that I will die. Driving my car is really hard also and with the poor concentration and cognitives abilities I have, I can't do anything special to change my minds... so i'm sit on the couch at daytime and watch TV and think about my problems... and return in my bed at daytime to try to sleep...

It's seem that each time I have a new symptom that appear, I focus on that symptom and have it for 1-2 weeks... after I return to older symptoms that I had before... it's like a recurrent circle.

I really don't know what to do and witch SSRI will be the best for me now.

The Paxil was ok for the panic and the GAD type of anxiety but never work for the agoraphobia and the social phobia I have. It caused too much weight gain and side-effects (extreme fatigue and sweating) who was worse than the primar anxiety problems that I had before being on that med... I can't exercise on that med and just want to sleep. I Was put on the Paxil several times in my life, each time, it's helping me with the panic and the recurrent thoughts and worries but in a long term view, it was a disaster because the weight gain and the lack of emotion or motivation to do something in my life was killing me. Not really good for the self-esteem.

The Cipralex do nothing for the anxiety, just gain weight on it and make me more depress and tired, to the point that I had to use it with stimulants meds (Ritalin and Wellbutrin) who worse the anxiety... it was not logical to use stimulants to encounter the side-effects of the Lexapro, especially when the primary problem is an anxiety disorder!!!

The Celexa don't do a single thing on me, just the weight gain again...lakc of energy also.

The Zoloft do nothing for the anxiety disorders and tend to increase the anxiety when the dosage is above 100mg day. More neutral for the weight.

The Prozac is not more helpfull for the anxiety and have the same effect than the Zoloft as he increase the anxiety at 20 mg dose and more. Neutral for the weight.

The Remeron is ok when you lack of sleep but is not good for the anxiety. It's also usefull for the relieve some side-effects caused by the SSRI at the begining of a new treatment. It's especially good for the nausea, the intestine problems caused by the anxiety. Probably because of the 5HTP3 antagonist activity.

The Nardil or the Parnate are not effective for anxiety disorders, well on me. The hypotension is a way too much for me. The Parnate almost kill me because of the hypertensive crisis that I had on it.

The Parnate destroy my life in fact. It's why i'm having a lot of anxiety now. I always fear of dying from a heart disease, even if I know that I have nothing wrong with my heart.

So that's hard to know witch meds to try next. The off-label meds are not working on me also (Beta-blocker, Clonidine, Mirapex, Neurontin, Lyrica, Sabril, name them... I try everything except the Lamictal, the lithium and the others old anticonvulsives meds or mood stabiliser...).

I feel stuck in a situation that I will never be able to escape...


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