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Re: Medications that don't touch the 5HT1 receptor? tiopenster

Posted by SLS on June 11, 2015, at 13:57:11

In reply to Re: Medications that don't touch the 5HT1 receptor?, posted by tiopenster on June 11, 2015, at 12:21:01

> Thanks for your input. I should state that my problem was anxiety, not depression. I only experience depression as a withdrawal side effect. When I would rapid cycle, it would be worse anxiety, normal, mania (rarely), and some times depression. Anxiety was always the core.

Thanks for the clarification.

I guess we'll need to rethink this a bit.

Anxiety can be a prominent symptom of a mixed-state bipolar disorder (or even unipolar disorder), especially earlier in life. Anxiety was a bigger problem for me than depression prior to my first severe depressive episode at age 17. Also, bipolar disorder and anxiety disorders can occur comorbidly. This might be a better explanation in your case.

How old are you now? How old were you when symptoms first appeared? Bipolar disorder usually appears earlier in life than unipolar depression.

Is your anxiety constant (like GAD), or is it more of a social anxiety?

I'm not trying to force a bipolar diagnosis down your throat. I am hoping to offer information that might make things easier for you to receive effective treatment. For instance, it might be interesting to discuss with your doctor combining Lamictal, Trileptal, and Paxil. Lamictal will help with bipolar depression. Trileptal will help stabilize you and prevent mania. Paxil will help with generalized anxiety disorder (GAD) and add enhanced antidpressant effects. Effexor can be substituted for Paxil, as it is also good for GAD, but Paxil is the best. If you get stuck, you can try discontinuing Paxil and Effexor and add an MAO inhibitor. Nardil is usually chosen when anxiety is prominent. Someone I know suffered from GAD, bipolar disorder, and a touch of panic disorder. Nardil monotherapy worked to bring her into remission of all symptoms. She would have been better off if she took a mood stabilizer at the same time, though, as the Nardil produced hypomania.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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