Posted by vic80 on June 8, 2010, at 18:22:44
mx: MDD
Rx: Milnacipran 25mgx2
Propranolol 10mg LA
Lorazepam 0.5 mg as neededThis is my 4th week on Milnacipran - the dosage has had to be tinkered with due to various effects like tachycardia and anxiety etc- but as though after the 2nd week I feel into deep dark depression - mainly caused to this feeling of impending doom and panic induced suicidal ideation.
I tried taking 12.5mg twice daily but didnt notice much difference.My pdoc has finally settled my dose at 50mg to be taken twice daily and added propranolol 10mg LA to offset tachycardia and anxiety - the problem is that this is tiring me out like hell and I have heard beta-blockers like propranolol can worsen depression.
My current depression is almost totally based in panic which i feel mainly around evening.
And the obsessive intrusive thoughts have doubled up.COming to the important point, I have noticed that lorazepam which I started first at .5-.5-1.0mg in mid april, and was tapered down to 0.5 mg once daily - tho past 5-6 days owing to intense panic and anxiety with morbid thoughts, I have been taking 1mg.
I notice that lorazepam makes me feel nothing is wrong with me at all.... my mind is cleared up - I am in a ok mood - I infact cannot believe when I am on Lorazepam that I could have such dark depressive thoughts.... I am in total control of myself - no feelings of unreality - no fears nothing.... it lasts well upto lorazepam lasts.
and I wake up in the morning feeling terrible.through the day my mood remains very morbid and depressed.. till I take a lorazepam.
HAVE I GOTTEN HOOKED?
Of late I am wondering if I could ask my pdoc to prescribe me a longer acting benzo like xanax xr.
Would it worsen depression in the long run. I also have some form of depersonalization, which I am scared might get exacerbated with benzo withdrawal.
Any comments?How would anafranil be - its got amazing ratings at askapatient.com and is supposed to deal very well with obsessive thoughts and anxiety. Though the thought of a TCA worries me no ends - anticholinergic effects cause my REM to mess up and brings about feelings of unreality - something I suffered majorly while being on escitalopram.
ATTN: Bleauberry - what do u say about my milnacipran progress? should I go in for a change of med, or wait another week or 2?
poster:vic80
thread:950401
URL: http://www.dr-bob.org/babble/20100604/msgs/950401.html