New med /Paxil and Wellbutrin??? Questions

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tylerman
Regular Member


Date Joined Oct 2006
Total Posts : 27
   Posted 1/10/2007 8:52 PM (GMT -6)   
Hello again everyone, i've been absent for awhile. Many of you remember my story..I have OCD and bad anxiety. In the fall i was a frequent poster here due to panic attacks that I was facing.

I am glad to say that I have been free of panic attacks since November 1, 2006 (OVER TWO MONTHS!). However, the anxiety is still there and I always have the predisposition of thinking daily that one will hit at any time and they will come back. They never seem to.

What used to cause my panic attacks was over-thinking everything I did...I would think to myself "is how i am feeling right now normal?" or "am i percieving the world in the way im supposed to?" And sometimes those thoughts would translate into me thinking that my thought process wasn't normal and I was going crazy etc..then I would get the tingly body, utter terror, and numbness in hands, and breathing problems. I still have these weird thoughts but they haven't been translating into panic attacks.

I think the Xanax that the doc prescribed me gave me confidence when I started using it because it calmed me down a lot. And in the back of my mind i always know that there is a way out if i started freaking...it is a good security blanket.

HOWEVER, these thoughts still plague my daily life..I do many more activities much easier now but the anxiety is always there and it is burdening my way of life.

My RX is: 60mg paxil daily (been on this for OCD for a LOOONG time..years). And .25mg xanax as needed daily.

Today when I saw my doctor, he was telling me that since the anxiety is persistent and daily bothering me that he would try to "Adjunct" my paxil with something else (I think thats the word he used). So he RX'd me Wellbutrin to take daily along with my paxil. Has anyone ever used this med with paxil before? And if so, how did they feel?

Sorry for the long post..I appreciate anyone adding feedback to this post!

P.S. Does anyone ELSE get a lot of anxiety from "over-thinking" and thoughts like "i'm not percieving reality correctly?"

Post Edited By Moderator (Howlyncat) : 1/11/2007 3:56:07 AM (GMT-7)


normalsnofun
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Date Joined Oct 2005
Total Posts : 2500
   Posted 1/10/2007 9:15 PM (GMT -6)   
I an happy you are in a better place right now...I do not know about meds so I can not speak on that front. I wish you the best and keep up the good work.
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Howlyncat
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Date Joined Jan 2005
Total Posts : 24909
   Posted 1/11/2007 5:55 AM (GMT -6)   
I too am happy you are doing loads better
You sound it
I remember your story very well
Sorry though I am not abe to help you with the meds thing but I believe there are a couple on here with same meds
I am sure they will chime in .........
Keep being strong and
keep posting letting us know how you are
Lyn

*I added a bit to title so hopefully those on these meds will answer okay *
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janetlee
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Date Joined Mar 2006
Total Posts : 1986
   Posted 1/11/2007 12:31 PM (GMT -6)   
I have GAD which sounds sort of like what you have. I know the anxiety is present with me to some extent all the time. In mid-2006, my anxiety was out of this world! My pdoc at the time added wellbutrin to my zoloft. All I can say is that the wellbutrin made my anxiety even worse!!! I threw it in the trash! I made an appt. with to see the doc again and thankfully got to see a different pdoc! Since then, I've had another pdoc (I go to a clinic so sometimes see different ones) and when I told him abobut the wellbutrin effect, he wasn't suprised at all!!! Wellbutrin isn't really for anxiety if you google it, you'll see what I mean. However, I'm not saying it couldn't work for you. That's between you and your doc. I don't have OCD, so that may make a difference...I dunno.
take care!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
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And forget to hate.
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GFK
Regular Member


Date Joined Jun 2006
Total Posts : 275
   Posted 1/11/2007 10:22 PM (GMT -6)   
I took Wellbutrin and paxil together for a couple years, but the WB was prescribed to alleviate the side effects of the paxil. It was a low dose and worked great for that.

You may want to try therapy and CBT to help with those thought patterns. I dont think meds alone are the answer. Therapy helped me tremendously.

Good luck,
Karen

PS - glad you are doing so much better overall!!

tylerman
Regular Member


Date Joined Oct 2006
Total Posts : 27
   Posted 1/12/2007 8:39 PM (GMT -6)   
I see a behavioral therapist and I am getting an anxiety book with tips and such next week. I haven't really started the behavioral therapy part, the last two times he was just getting to know me.

I swear, its almost like I have to talk to someone, ANYONE like once a week about anxiety to put it back into perspective. So that I can see that it is a normal thing. Throughout the week it can consume my mind, and the more i think about why it is happening, and what is happening, the more confused I get. And confusion about what is happening to you can cause MASSIVE anxiety attacks.

Thats why I think I need to post on this board more. Just to vent, and to read other people's stories.

Does anyone have any strategies that they use when they start having anxiety? Like, when I get those feelings of "i'm not seeing reality correctly" what should I do? Take a Xanax? LOL

Also, I think i'm going to ask for something besides wellbutrin, from what I've read and what I've heard from people that have used it is that its really not for anxiety. Is there another drug that people can combine with Paxil that helps with anxiety?

THANKS AGAIN!

PS thanks howly for adding to my title! At first I kinda freaked because I was like "I don't remember typing that as the title for this post!" LOL

Post Edited (tylerman) : 1/12/2007 6:41:40 PM (GMT-7)


GFK
Regular Member


Date Joined Jun 2006
Total Posts : 275
   Posted 1/12/2007 10:12 PM (GMT -6)   
Tyler... glad to hear you have started therapy. It takes a little while, so be sure to give it some time.

When my anxiety starts (the racing thoughts, tenseness, etc.) I remind myself that the anxiety is kicking in and I need to short circuit it. I'll do deep breathing, distraction (consiously try to switch my thought pattern by focusing on something else like reading, tv, chores, etc) and as soon as I can I'll do the relaxation exersizes I learned at therapy. When you're on the go, the distraction is the easiest to employ.

As far as the meds, I think you combo of paxil (ssri) and xanax (benzo) is good. Maybe your doc can adjust your dose or take another dose of xanax later in the day if needed.

Karen

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 1/13/2007 6:56 AM (GMT -6)   
Great input karen
Could you email me plz
Luvs
Lyn
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 Never compromise your self nor your dignity...with that ...My God
 Family and Great Friends ........I have it All
 
 Dream, Reach and Believe ......You can Do It........We are Here For You 
                God Bless .........Lyn
Make The Best of The New year .......You Can and Will Reach your Goals
                              Loads of Love n Support
                                        Lyn   
Co Mod @ Crohns
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 Moderator @ Anxiety/Panic
 
 
                                  
                          
                                  


tylerman
Regular Member


Date Joined Oct 2006
Total Posts : 27
   Posted 1/14/2007 10:44 PM (GMT -6)   
Thanks for all the input. It helps me a lot. Sometimes im not really anxious, im just scared all day? Does anyone have that? I guess being scared is kind of like anxiety?

LivingWithCrohns
Regular Member


Date Joined Jan 2007
Total Posts : 58
   Posted 1/22/2007 4:08 PM (GMT -6)   
Hi Tylerman,

I suffered from major panic issues along with depersonalization/derealization after being diagnosed with some other health problems. My pysch put me on zoloft daily and klonopin as needed. He ended up raising my zoloft dose up slowly until it actually started working for my panic. But, after about a month I started having a lot of feelings of depression and loneliness that seemed to be coming from the drugs. The doc then added welbutrin xl at a low dose to help with that.

Long story short, I was on this combo of three drugs for about 8 months and though I didn't have many panic issues, I felt like a walking zombie. I didn't really care about much of anything and felt so numb. Not sure if it was the welbutrin/zoloft combo or what. I ended up gradually tapering off all the drugs and now just take the klonopin as needed during attacks.

That was all about 2 years ago but now my panic issues have returned and I am thinking about getting back on some meds. Just not sure which ones...
28 year old male
Diagnosis:
Diagnosed with UC in April '03
Diagnosis changed to Infectious Colitis in Dec '03
Diagnosis Changed to Crohn's March '04
Meds:
On Asacol 400mg 6x daily.Use Cipro 500mg 2x daily for 7 days when flared
Procedures:
4 colonoscopies to date, no surgeries, 1 hospitalization


Geebs
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 1/22/2007 4:17 PM (GMT -6)   
Klonopin is notorious for causing depression or depressive feelings over time. My psydoc refuses to prescribe it for me. He will only use Xanax for his panic patients and only short-term, as needed. The SSRIs all helped me with both anxiety and depression after 4-6 weeks.

I've had the feeling of being scared all day. Sometimes the anxiety and depression comes out in different ways. What I do when that happens is get busy, even if I don't feel like it. My favorite method is to start cleaning the apartment. It sounds silly, but when I do things like cleaning or doing laundry, it helps keep the negative thoughts away.

Taking a nice long walk helps too!

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 1/22/2007 4:23 PM (GMT -6)   
Has your therapist mentioned " Anticiapatory Anxiety"????
There are a few ppl here that do suffer from that
It basically means you are going to anticipate a bad dy and thats all you will ahve
I think CBT would do wonders for you personally
Just my few cents worth
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 Never compromise your self nor your dignity... 
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