Posted by polarbear206 on June 12, 2013, at 19:34:29
In reply to Re: New PDoc RX Lamictal for severe anxiety..., posted by Vincent_QC on June 12, 2013, at 17:40:20
> > I think you have a very smart doctor and kudos to him for doing a thorough evaluation. Every initial visit should be like this for anyone who has psychiatric issues. Lamictal is a great drug used in combination with an AD. It was a life savor for me. AD monotherapy exacerbated my anxiety. The thing that only helped to make my AD work they way it shold was adding Lamictal.
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> Hey thanks for your positive input ;-) You are right, that PDoc is the best I see so far, very helpful, very smart, gentle, human...totally different from the previous one who did nothing for me and only keep saying that I was a passive-agressive patient and that all my symptoms was all in my head and not real (Intestinal pain who last 10 months, lost 60 pounds in 4 months, that bad PDoc never help me, always said it was all in my head, somatic anxiety, no real symptoms, fake to seek some attention from the others)... and I ending with 2 intestinal obstructions, 2 major surgeries, Advanced malnutrition state, 4 months of enteral feeding by a jejunostomy feeding tube connected into my small intestine... I almost die...
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> Anyway, what is your diagnosis? Do you have some super sensitivities to AD's like me or you can take them at the starting dose without increase of your anxiety?
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> What antidepressant are you taking? (SSRI like Lexapro?)...
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> I never had a great sucess with AD as monotherapy for the panic disorder and phobias with the exception of the Paxil... the main problem is that now my anxiety is so high that I react to 1 mg of Paxil and it's not psychological side-effects, they are real... I wait too long before starting it again when I was hit by the severe anxiety back in 2010...I Wonder if starting with the Lamictal first and see if I can tolerate it and then add the Paxil will help me more?
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> How many time it take for the Lamictal to work on you? What is your dose?
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> What kind of side-effects did you have with it?
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> Thanks again ;-)WOW!!! What horrible events you've been through!! I'm very sorry you have been suffering this long!! Lamictal is a pretty smooth drug with a low side effect profile. I have mild bipolar, which surfaced after my son was born. Started with severe paralyzing anxiety, insomnia and weight loss. Dx. with post partum depression. They started me on klonopin and imipramine in the hospital. I would later go through cycles of anxiety alternating with periods of Atypical depression and then periods of normalcy while I was on my meds. I tried many AD. Paxil worked well at times, then would poop out. I've been on Effexor and lamictal for a long time with great success. You mentioned they told you you were passive-aggressive? Do you have shifts in your moods? Are you sleeping and what is your daily sleep pattern like? When someone has trialed and failed multiple AD and if they exacerbate your anxiety, this raises a red flag that you could have an underlying affective disorder, which is best treated with a mood stabilizer and an AD if needed for depression is present. Rule of thumb is to start any drug low and slow. Also, introducing one at time. You have to be patient while titrating up on Lamictal. I noticed an effect within the first week I started it. I worked my way up to 200mg whete I maintained a good response. I take 300mg of Effexor.Hang in there and give it a chance. I also take Klonopin as needed for sleep, however I don't need it all that much. Hope this helps.
poster:polarbear206
thread:1045150
URL: http://www.dr-bob.org/babble/20130527/msgs/1045168.html