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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 37. This is the beginning of the thread.
Posted by ravenstorm on November 26, 2004, at 20:55:11
Severe paxil withdrawal over a year ago.
Have tried:
All the SSRIs
Neurontin (too tired to function or stand up!)
Benzos-Xanax, klonopin, ativan etc--paradoxical reactionAnything out there besides Nardil or Zyprexa/seroquel (can't take anything else that causes weight gain as I'm already on remeron!!!!) Also, I don't seem to get on well with anything that affects norep. (like WB, and even remeron makes me angry/uptight all the time) so I think effexor/cymbalta are not good options for me.
I know people generally have no luck with Buspar, but would it be worth trying? How bad are side effects with it? (SSRI's make me sick as a dog--would that be the case with buspar?) Since I have all sorts of paradoxical reactions, maybe I'd be the one person buspar works for?? (Ha, Ha!) How does Buspar work anyway?? What would it do in combination with remeron?
Anything else left??????????????????????????????
Posted by mmcconathy on November 26, 2004, at 21:19:08
In reply to Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 20:55:11
Buspar i belive releases some serotonin in the nerve synpse, but im not sure directly how it does it.
You still have a whole round of Old generation sedatives that might help (eg barbiturates), but i dont approve of those until last call.
Nardil may help, a potent MAOI that has been praised for years for its anti-social anxiety effect.
But that's it, theres other posters that may help.
Help her out you all.
Take Care
Posted by jujube on November 26, 2004, at 21:29:29
In reply to Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 20:55:11
Sorry, I can't help you with your Buspar question. I did try it a number of years ago, but it didn't work for me. Perhaps I did not give it enough time. Apparently, it can take up to 4 weeks for it to become effective (like a SSRI).
Have you talked to your pdoc about a TCA? I am currently using Anafranil (started less than 2 weeks ago). I have heard the side effect profile of TCAs can be quite bad. So far, at 50 mg of Anafranil, the side effects have not been bad at all (dry mouth, some dizziness, fatigue). Anafranil is, I believe, one of the more sedating TCAs, but I have heard that Pamelor and Tofranil are not as sedating and also work on anxiety and depression.
Tamara
Posted by ravenstorm on November 26, 2004, at 21:42:45
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by jujube on November 26, 2004, at 21:29:29
Tried nortriptyline and had such severe side effects that I couldn't get to a therapeutic blood level. The main problem was severe heart racing/pounding, dehydration (Peed out six pounds the night I took my first 10mg pill!!), and dizziness (fell down the stairs and broke several toes). Haven't been eager to try another one of those. Good thought though!
Posted by alexandra_k on November 26, 2004, at 21:43:35
In reply to Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 20:55:11
How about relaxation training / mindfulness medication?
Posted by alexandra_k on November 26, 2004, at 21:44:45
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by alexandra_k on November 26, 2004, at 21:43:35
Posted by ravenstorm on November 26, 2004, at 21:47:17
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by jujube on November 26, 2004, at 21:29:29
OH yeah, Nortrip. didn't help my anxiety at all, (maybe exasperated it), but then again I didn't get up to a therapeutic level.
I have heard that buspar can actually sometimes take as long or longer than an SSRI to work (sometimes up to eight weeks). What side effects did you experience on it/starting up on it?
Thanks to both of you for taking time to reply to my query.
Posted by Racer on November 26, 2004, at 21:47:24
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by jujube on November 26, 2004, at 21:29:29
Let's see, buspar is certainly worth a try -- I haven't tried it, myself, but I figure anything is worth a try, in case it works for you, right? Otherwise, how about a beta blocker? Propranalol worked a minor miracle for me, and at the doses used for anxiety it's pretty much side effect free. (My blood pressure runs quite low, but I haven't had any real problems with it, either.) Another option to talk to your doctor about is a calcium channel blocker, like Verapamil, which is being studied as a mood stabilizer in women. Might be worth a shot.
The only meds I've taken for anxiety are propranalol and Xanax, so I don't know much else. Xanax is a nightmare for me, though, when it comes to anxiety -- if I need something for anxiety, I'm already too upset for Xanax to calm me down. Instead of calming me, I get more agitated, but tend to black out from the drug. It's very, very frightening. None of that with propranalol -- I just relax. On the other hand, I haven't taken it during any crises -- yet -- although when I started it I was certainly in a crisis state.
I hope that helps.
Posted by ravenstorm on November 26, 2004, at 21:53:02
In reply to Re: Is there anything left I haven't tried for anx, posted by Racer on November 26, 2004, at 21:47:24
I meditate almost daily and exercise 4-5 times per week.
Posted by alexandra_k on November 26, 2004, at 21:54:53
In reply to Re: alexandra K, posted by ravenstorm on November 26, 2004, at 21:53:02
Do you find that you can help your body to relax by meditating when you start to feel yourself getting anxious?
I mean, you can sort of do it with your eyes open as you go on your daily life as well as in a regular time and place.
Posted by ravenstorm on November 26, 2004, at 21:55:11
In reply to Re: alexandra K, posted by ravenstorm on November 26, 2004, at 21:53:02
Racer--
Cool. Now I have at least three meds I can bring up to the doctor. He just wants to keep throwing benzos at me!!! God knows I wish they would work for me like most other people. Sounds like you are one of the "rare" ones who doesn't do well on them either.
Posted by ravenstorm on November 26, 2004, at 21:58:32
In reply to meditation » ravenstorm, posted by alexandra_k on November 26, 2004, at 21:54:53
No, it does not seem controllable by meditation, relaxation techniques.
Posted by alexandra_k on November 26, 2004, at 22:03:56
In reply to Re: meditation, posted by ravenstorm on November 26, 2004, at 21:58:32
Doesn't it even help a little?
I mean if meditation is about bringing your body into a state of relaxation and then you develop the ability to be able to do this when you feel anxious...
Oh well, doesn't work :-)
Posted by ravenstorm on November 26, 2004, at 22:14:45
In reply to Re: meditation » ravenstorm, posted by alexandra_k on November 26, 2004, at 22:03:56
I don't have panic attacks anymore (well, I am living a pretty limited life right now, maybe if I was trying to do more I would freak out) so I know it has helped with that. But I still have some very intense physical anxiety on a daily basis. Hard to describe, but I can actually shake from it, stomach is in knotts, feels like I'm bursting out of my skin. I can keep it from going into an attack through breathing etc but that is it. Most times, there is no outside event causing this feeling. I am feeling it for no reason at all. I can't just continue to live like this. I need pharmacological help.
Posted by alexandra_k on November 26, 2004, at 22:37:27
In reply to Re: meditation, posted by ravenstorm on November 26, 2004, at 22:14:45
Sure. I guess that I am just wary of anti anxiety medications for a variety of reasons.
Maybe if you keep practising with the meditation it will get more effective?
It certaintly can't hurt, and it may help your medication out too.
Hope you feel better soon.
Posted by jujube on November 26, 2004, at 22:49:30
In reply to Re: meditation, posted by ravenstorm on November 26, 2004, at 22:14:45
I am sure you have already thought about this, but have you had your blood sugar checked? Anxiety with physical symptoms (e.g., shaking, dizziness, nausea, etc.) can be a sign of hypoglycemia. A person does not have to be a full-blown hypoglycemic, however, to experience the adverse effects of drops in blood sugar. This may sound stupid, but prior to your appointment with your pdoc, next time you have an anxiety attack, try eating some almonds or a small piece of cheese with a cracker. If the anxiety goes away, you will know that blood sugar could be the culprit. My family doctor explained that to me. She is an anxiety/panic sufferer, and she explained that when she starts having what she considers an "attack", she thinks about when she last ate, what she ate, and then has a little bite to eat if the "attack" could have possibly been caused by a drop in blood sugar. This practice has helped me out at times too.
Tamara
> I don't have panic attacks anymore (well, I am living a pretty limited life right now, maybe if I was trying to do more I would freak out) so I know it has helped with that. But I still have some very intense physical anxiety on a daily basis. Hard to describe, but I can actually shake from it, stomach is in knotts, feels like I'm bursting out of my skin. I can keep it from going into an attack through breathing etc but that is it. Most times, there is no outside event causing this feeling. I am feeling it for no reason at all. I can't just continue to live like this. I need pharmacological help.
Posted by jujube on November 26, 2004, at 22:55:33
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 21:47:17
> OH yeah, Nortrip. didn't help my anxiety at all, (maybe exasperated it), but then again I didn't get up to a therapeutic level.
>
> I have heard that buspar can actually sometimes take as long or longer than an SSRI to work (sometimes up to eight weeks). What side effects did you experience on it/starting up on it?
>
> Thanks to both of you for taking time to reply to my query.I don't recall having experienced any side effects when I started Buspar. But, as I said, I didn't take it for more than a couple of weeks, and even then I wasn't consistent with the dosing (multiple doses). And, yes, Buspar's effects do not kick in immediately. It apparently takes up to 4 weeks for it to reach full effect (like a SSRI).
Tamara
Posted by ravenstorm on November 26, 2004, at 23:22:50
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by jujube on November 26, 2004, at 22:55:33
Actually, I am hypoglycemic and unfortunately the remeron makes it worse. I used to have to make sure I ate no more than four hours apart. On remeron my blood sugar plummets about every 2.5hours but I just can't eat that often or I will get huge. From now on I will know, if a med causes weight gain, its probably from messing with your blood sugar, and I won't take it. Unfortunately I am stuck on this remeron at least until spring if not longer if I can find nothing to replace it with.
Alexandra, I know you mean well, but if meditating, amino acids, supplements, vitamins, and every other alternative therapy were going to cure me, I would be cured by now. In fact, if my husband had not badgered me to go through the final paxil withdrawal (I was only on 2mg for a year to keep from going through withdrawal) in order to try supplements, I would not have gone through the past year of hell, including over nine months of severe suicidal ideation etc etc. I would have a life right now if I had stayed on paxil rather than listening to everyone who said I should be able to meditate etc etc myself better. No one tells a diabetic to meditate themselves off insulin.
Posted by alexandra_k on November 27, 2004, at 0:44:49
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 23:22:50
> Alexandra, I know you mean well, but if meditating, amino acids, supplements, vitamins, and every other alternative therapy were going to cure me, I would be cured by now. In fact, if my husband had not badgered me to go through the final paxil withdrawal (I was only on 2mg for a year to keep from going through withdrawal) in order to try supplements, I would not have gone through the past year of hell, including over nine months of severe suicidal ideation etc etc. I would have a life right now if I had stayed on paxil rather than listening to everyone who said I should be able to meditate etc etc myself better. No one tells a diabetic to meditate themselves off insulin.
I wouldn't tell someone with diabetes to meditate themself off insulin.
I wouldn't tell someone with bi-polar to meditate themself off mood stabilisers.
I wouldn't tell someone with psychosis to meditate themself off anti-psychotics.I don't know very much about medications...
Or medical conditions...
I suppose I was thinking that anxiety would seem to be something that meditation could assist with, however.
I realise that meditation is more or less hard depending on what is going on with your body.
I have trouble relaxing with meditation when I have pumped myself full of coffee and coke.But it sounded to me like you had tried loads of different medications and they hadn't really assisted.
I am weary of benzo's because if they work they work too well. Pop a pill and wait for the wave of relaxation and before you know it you are hooked to the instant release: both psychologically and physically.I don't mind what you do, I was just trying to provide an alternative perspective...
I can only speak from my experience because I am not a professional. All I know is that meditation, while not a cure, assists me more with anxiety than any drug ever has.
But that is just my experience. And I do not mean to be gloomy about your prospects for improvement. I mean to be in glowing praise of the power of meditation to alleviate anxiety.
Take care.
Posted by banga on November 27, 2004, at 1:53:59
In reply to Re: Is there anything left I haven't tried for anxiety, posted by alexandra_k on November 27, 2004, at 0:44:49
Some of the newer antipsychotics have a side benefit of helping anxiety. Geodon helped me, and it does not cause weight gain. But as always with these drugs, some swear by it, some others report very serious negative reactions. In any case, just putting that out there, but important to discuss this with your pdoc.
In my case, I discontinued Geodon to find other means, but I know it is there if other tings dont work and I hit a rough spot. Effects showed after about 4 days.
I also was helped by Anafranil, but it can cause weight gain.
Good luck.
Posted by jujube on November 27, 2004, at 7:52:02
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 26, 2004, at 23:22:50
Ravenstorm,
You mention that you have tried natural supplements. Have you tried 500 mg of niacinimide, three times a day? This dose is supposed to be very good for anxiety. Also, to help stabilize your blood sugars, perhaps supplementing with L-Glutamine (500 mg in the am upon rising and even another 500 mg mid-morning) and 400 mg of chromium (200 mg in the am upon rising and 200 mg before going to bed) might help. Both of these supplements are also supposed to help stablize blood sugar. Finally, have you tried accupuncture? If not, it might be worth a try.
I hope you find something to help you.
Tamara
> Actually, I am hypoglycemic and unfortunately the remeron makes it worse. I used to have to make sure I ate no more than four hours apart. On remeron my blood sugar plummets about every 2.5hours but I just can't eat that often or I will get huge. From now on I will know, if a med causes weight gain, its probably from messing with your blood sugar, and I won't take it. Unfortunately I am stuck on this remeron at least until spring if not longer if I can find nothing to replace it with.
>
> Alexandra, I know you mean well, but if meditating, amino acids, supplements, vitamins, and every other alternative therapy were going to cure me, I would be cured by now. In fact, if my husband had not badgered me to go through the final paxil withdrawal (I was only on 2mg for a year to keep from going through withdrawal) in order to try supplements, I would not have gone through the past year of hell, including over nine months of severe suicidal ideation etc etc. I would have a life right now if I had stayed on paxil rather than listening to everyone who said I should be able to meditate etc etc myself better. No one tells a diabetic to meditate themselves off insulin.
Posted by ravenstorm on November 27, 2004, at 9:56:33
In reply to Re: Is there anything left I haven't tried for anxiety » ravenstorm, posted by jujube on November 27, 2004, at 7:52:02
unfortunately, my stomach is so sensitive, I can not take B vitamins. (Some of them come sublingually so I take those) I think that is the reason I get so sick on SSRI's too. My stomach is just so weak. I was using chromium picolinate and it did work on blood sugar, but had stomach upset with it (but not anywhere near as bad as the others) and it also seemed to affect my mood, which I didn't put together with the picolinate until I read some studies out of Berkley and the UK that picolinate can affect neurotransmitters and can also cause chromosomal damage. They were adamant about not using picolinate.
I have not tried glutamate but will look into trying that. Maybe it will do what the picolinate did without the problems.
Thanks for the suggestions.
Posted by ravenstorm on November 27, 2004, at 10:04:33
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 27, 2004, at 9:56:33
About the antipsychotics, I'm reserving those as a last resort (but yes I am considering them). So Geodon and Abilify are the ones that are weight neutral right? With my luck with meds, I'll be the one in however many thousand that ends up with TD or what not. Thanks for the suggestion though. It is good to hear about peoples positive experiences with the new anti-psychotics.
Thanks everybody for the suggestions!
Posted by ravenstorm on November 27, 2004, at 10:18:52
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 27, 2004, at 9:56:33
Alexandra,
So you wouldn't tell someone with bipolar or psychosis to meditate themselves off medication, but you would tell someone with suicidal major depression with comorbid anxiety too?? That doesn't make sense. The suicidal ideation only lessened after adding remeron. Unfortunately, I can only take a low dose which is not doing enough for the anxiety or the depression. I never had anxiety like this before going on paxil/going through withdrawal. (Yes, I had social anxiety and GAD but never this physical, for no reason whatsoever anxiety) To some extent I believe it is medication induced and I am looking for something to add to the measly amount of remeron to help balance me out. Like I said, I tried for over nine months to get energy healings, meditate etc etc and I wanted to kill myself everyday until I was finally able to get onto an AD.
I understand your reluctance about benzos. But I can't take benzos so it isn't really pertinent to this conversation. On that note, though, on other boards, there are people who say they would pick benzo or opiod withdrawal over effexor or paxil withdrawal anyday. I have not been through benzo or opiod withdrawal so I don't know if that is true or not. My withdrawal was the worst my pdoc had ever seen.
I think we have covered the topic of meditation thoroughly, so what is your motivation by continually bringing it up again?
Posted by crazychickuk on November 27, 2004, at 12:10:04
In reply to Re: Is there anything left I haven't tried for anxiety, posted by ravenstorm on November 27, 2004, at 10:18:52
No affence but if u r gonna try an ap leave geoden till last.. try zyprexa first..
good luck with your find...
hope it all works out for u, keep us posted when u found the right one..
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