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Dr. Bob is Robert Hsiung, MD,
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Posted by invisiblemanpa on April 18, 2004, at 5:48:39
After a few small bumps in the summer and fall, I had been feeling much better. I have been treating for severe depression and social / general anxiety for about 3 years. I have dealt with the anxiety for my whole adult life, the depression struck after the death of my father, nasty divorce, custody battle, career struggles, job loss, yadah, yadah..anyway I finally was put on a cocktail of 150mg of Effexor, 75 mg of Wellbutrin, 1 mg 3 times a day of Ativan and now 50 mg of tarazadone because I could not sleep. Wether or not the black demon was creeping back slowly I am not sure but last week all hades let loose, almost every sympton, from mood swings, not getting out of bed, not being able to leave the house, not communicating, not answering emails for interview etc..came back. I don't feel suicidal but I don't see any future anymore. I was doing real well to getting involved in Church etc.
My question is do you think getting the psych Dr. to increase the Effexor to 225mg and the Wellbutrin to SR to at least 100 would help. Also the Ativan / Lorazepam seems to do nothing. I have tried taking more and it does not even put me to sleep. I used to be able to just take one and I could easily get through a presentation, 6 on one interview....etc......now nothing ......Has anyone had luck with the extended relief Xanax...Any other suggestions for something like Ativan. I don't want to be knocked out, just the edge of the fright and flight syndrom taken away.
Thanks!
Posted by aspirin2004 on April 18, 2004, at 9:36:04
In reply to Bottomed Out Again....This Time Was a Surprise, posted by invisiblemanpa on April 18, 2004, at 5:48:39
I believe Ativan is the better of the two choices.
Posted by Sad Panda on April 18, 2004, at 13:15:30
In reply to Bottomed Out Again....This Time Was a Surprise, posted by invisiblemanpa on April 18, 2004, at 5:48:39
> After a few small bumps in the summer and fall, I had been feeling much better. I have been treating for severe depression and social / general anxiety for about 3 years. I have dealt with the anxiety for my whole adult life, the depression struck after the death of my father, nasty divorce, custody battle, career struggles, job loss, yadah, yadah..anyway I finally was put on a cocktail of 150mg of Effexor, 75 mg of Wellbutrin, 1 mg 3 times a day of Ativan and now 50 mg of tarazadone because I could not sleep. Wether or not the black demon was creeping back slowly I am not sure but last week all hades let loose, almost every sympton, from mood swings, not getting out of bed, not being able to leave the house, not communicating, not answering emails for interview etc..came back. I don't feel suicidal but I don't see any future anymore. I was doing real well to getting involved in Church etc.
>
> My question is do you think getting the psych Dr. to increase the Effexor to 225mg and the Wellbutrin to SR to at least 100 would help. Also the Ativan / Lorazepam seems to do nothing. I have tried taking more and it does not even put me to sleep. I used to be able to just take one and I could easily get through a presentation, 6 on one interview....etc......now nothing ......Has anyone had luck with the extended relief Xanax...Any other suggestions for something like Ativan. I don't want to be knocked out, just the edge of the fright and flight syndrom taken away.
>
> Thanks!
>You could try a beta blocker instead if you feel the Benzos aren't helpfull. I'd be inclined to drop the WB & increase Effexor to 225mg. Effexor should be able to to what WB does & it reduces anxiety when it gets working.
Cheers,
Panda.
Posted by Racer on April 18, 2004, at 15:14:48
In reply to Re: Bottomed Out Again....This Time Was a Surprise » invisiblemanpa, posted by Sad Panda on April 18, 2004, at 13:15:30
I'll second the call for upping the Effexor, since I found it very effective at reducing my anxiety when I started it, although it didn't do much for my depression. We added Prozac for the depression, just a small dose (10 mg), and that seemed to work.
The bad news is that it only worked for a couple of years before the breakthrough depression became full blown depression, and then I had the fun of withdrawing from it.
The good news is that that was just my experience, and your mileage WILL vary.
Talk to your doctor about this. See if maybe you're dealing with Effexor poop-out, and maybe refer him to the link below about ketoconazole. I've been reading up lately on drugs to augment ADs and reduce cortisol, and it seems as if a lot of doctors are researching the same thing lately.
Good luck!
This is the end of the thread.
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