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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Sheilac on August 9, 2013, at 7:52:33
After not being able to wake up in the middle of the night due to a family emergency, I weaned myself off Geodon and Trileptal. I've kept the night melatonin and 2mg a day of Klonopin.
Problem is that I am having severe anxiety and panic attacks now. I think the Trileptal really helped with the anxiety, it just caused some depression.
Saw pdoc yesterday and she suggested Buspar. So far, not impressed. I took 10mg yesterday and my morning 5mg today, but was so full of panic, my heart rate went up and I had to take Klonopin before I could do anything. No caffeine either.
I am thinking more clearly. I don't think the Buspar helped with sleep at all.
I'm supposed to get up to 20mg a day.
I can't take too many more mornings and days with severe anxiety.
I also noticed that Buspar wears off after about 3-4 hours!
I'm thinking about adding back in a low dose of Trileptal at night to help with anxiety. Not sure how long Trileptal stays in the body, but I can't wake up in severe panic like this and wait a couple weeks for Buspar to kick in if it ever does.
I feel like I'm going crazy.
Is it possible that Buspar can make me feel more alert and help with depression, but not so much for anxiety? Same thing happened to me on antidepressants.
I've got to get some sleep and wake up calm. I don't know if I'm going to pass out or throw up. The anxiety is awful.
Posted by Twinleaf on August 9, 2013, at 8:01:21
In reply to Severe anxiety - Buspar added, posted by Sheilac on August 9, 2013, at 7:52:33
Do you think you could be having symptoms of the "discontinuation syndrome" one sometimes gets coming off an AP rapidly?
Posted by Phillipa on August 9, 2013, at 9:36:32
In reply to Re: Severe anxiety - Buspar added » Sheilac, posted by Twinleaf on August 9, 2013, at 8:01:21
Discontinuation is a good possibility. I've not heard of trileptal helping with anxiety. But then we are all different. Phillipa
Posted by sheilac on August 9, 2013, at 13:28:40
In reply to Re: Severe anxiety - Buspar added, posted by Phillipa on August 9, 2013, at 9:36:32
It's possible I'm having some discontinuation from Geodon. I didn't really notice any problems when I stopped Geodon. But when I stopped Trileptal I noticed a huge increase in anxiety.
The Buspar seems to give me a lift, which is great for my depression. I felt speedy and anxious this morning like I was going to have a full blown panic attack. I took 2mg of Klonopin to get me through the morning.
I can't live on Klonopin. I guess that is why I was wondering if Buspar was eventually going to HELP my anxiety instead of increasing it.
It's kinda like when you take an antidepressant and you feel good and a little hyper or anxious.
I don't think I can take it at night. It interfered with sleep. Maybe I'll take it in the afternoon (since it wears off so fast anyway).
I just wonder if a low dose of nightime Trileptal would halt the morning anxiety and let the Buspar help the depression.
Maybe Trileptal lasts longer in the body?
Odd combo maybe. But when I took Trileptal I didn't have to take much Klonopin at all.
I dread going to bed and waking up with panic.
Posted by Phillipa on August 9, 2013, at 20:50:22
In reply to Panic attack - Trileptal + Buspar?, posted by sheilac on August 9, 2013, at 13:28:40
I honestly don't know & I'm sorry. Phillipa
Posted by tensor on August 10, 2013, at 9:11:05
In reply to Panic attack - Trileptal + Buspar?, posted by sheilac on August 9, 2013, at 13:28:40
> The Buspar seems to give me a lift, which is great for my depression. I felt speedy and anxious this morning like I was going to have a full blown panic attack. I took 2mg of Klonopin to get me through the morning.
>
> I can't live on Klonopin. I guess that is why I was wondering if Buspar was eventually going to HELP my anxiety instead of increasing it.It usually takes a couple of weeks for Buspar to start working on anxiety, it's not a prn medication like clonazepam. Although it's possible to feel a boost in energy from it initially, happened to me anyway.
> I just wonder if a low dose of nightime Trileptal would halt the morning anxiety and let the Buspar help the depression.
>
> Maybe Trileptal lasts longer in the body?It's worth a try, although Trileptal leaves the body quickly, just like Buspar.
> Odd combo maybe. But when I took Trileptal I didn't have to take much Klonopin at all.
Trileptal can be used to easen clonazepam, and benzos in general, withdrawals. So it's not so strange.
> I dread going to bed and waking up with panic.
How about taking clonazepam at bedtime?
/tensor
Posted by Sheilac on August 10, 2013, at 13:19:57
In reply to Re: Panic attack - Trileptal + Buspar? » sheilac, posted by tensor on August 10, 2013, at 9:11:05
I already take Klonopin before bed and have been taking it in the morning as well.
Buspar has been activating and lifted my depression I ended up staying up very late last night - couldn't sleep.
So, instead of taking it am and pm, I took it at breakfast and lunch today. Yesterday I took my pm dose at 3:30 and went to bed at midnight! Haven't done that in years!Maybe a bedtime dose of Trileptal would help with the morning anxiety, along with the Klonopin. But so far, it has lifted my depression. Just need to work on my anxiety.
I'm a light weight, so for the average person Buspar might not be a viable antidepressant, but so far 10mg has helped me, but I need to limit it to daytime use.
If I take Trileptal during the day it will make me dopey. I wonder if it will work at bedtime for morning anxiety?
This is the end of the thread.
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