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Re: Anafranil Day 1 is frightening! » alexcanada

Posted by tensor on March 26, 2013, at 14:48:40

In reply to Anafranil Day 1 is frightening!, posted by alexcanada on March 26, 2013, at 12:25:31

>
> I started Anafranil/Clomipramine 10mg yesterday evening. I also take 2mg valium total per day, and 1.25mg ritalin 2-3 times a day.
>
> Yesterday night i was extremely tired and slept soon after my dose. When i woke up about 5 hours later my mind would be wandering in bed a bit. Some bit of small imagination but it would feel very dark and negative. People's faces for instance in my mind would feel a bit fearsome.
>
> Recently I've been having insomnia but Anafranil may be making it worse as during the morning was extremely difficult to sleep.
>
> Lot of anxiety has emerged, feel very bothered, heart rate is up, head feels a bit warm, and sometimes heavy breathing especially if I allow my mind to wander while in bed. Earlier this morning I just could not stand to stay in bed, it just felt frightening to be there. I ended up watching a bit of TV to attempt to distract myself. While watching tv it felt bit different than usual. As if I am more able to somewhat feel emotions associated with anxiety such as tension. Easier to feel startled. Less emotionally numb but this anxiety and whatever else is severe and I just want these extremely umcomfortable and troublesome feelings to pass.
>
> Additionally I have developed a massive toothache. it's monsterous. I had to take a bit of gabapentin to try and subside it. Pain has gone down from a 9 to a 6. I only had a very mild toothache before Anafranil.
>
> Is this overall a bit frightening and I want to know if I should bother with continueing? I heard of someone having a very bad experience with 10mg Anafranil but they did better on 20. Might this be dose related? Or is this simply a sign of what I should expect? Does this med release norepinephrine early or is it something else? Because I feel very off. Something is very wrong today and I am scared to take another dose.
>
> Also should ritalin be avoided completely with Anafranil?
>
> It was very difficult to make this posting. I don't know how to wrap my head around this. Anxiety is harsh.

Clomipramine is the best anxiolytic med I have been taking. Don't be scared, your anxiety will diminish as the dose goes up. 10mg is just a startup dose, don't expect much until you hit 75-100mg. I really felt great at 150mg. It's a really good antidepressant.
I don't know your history, but if your anxiety is severe, stay away from stims until it's under control. You could talk to your pdoc about titrating faster, like 25mg every third day.

/tensor


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