Bear With Me...Asking About Med Advice AGAIN!

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janetlee
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Date Joined Mar 2006
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   Posted 2/6/2007 3:54 PM (GMT -7)   
I am on 75mg of Paxil CR for GAD (my depression is mostly caused by the GAD). My shrink put me on 75mg, up from 50mg, even though the medical literature says that 50mg is the max dose for GAD. Anyhow, I've been managing to get by one day at a time, but still the anxiety is THERE. I want it gone!! It makes me dread getting up in the morning and I have to trudge thru the earlier hours of the day before the anxiety lifts enough to let me relax. I am, unfortunately, OVERweight somewhat. eyes I've always had weight issues, butI do think that the zoloft I was on for 12 years contributed some to my weight gain. Anyhow, I am on 60mg of buspar a day too. I take 30mg in the a.m. and 30mg at night. I do have xanax as needed but cuz the doc is so leery that I'll get addicted (I was on it for 12 years with no problem, but he's still leery). Because of that, I refrain from taking it most of the time. What I'm trying to ask then is this: Is there a med that he could try to augment the paxil? I see that some meds cause significant weight gain (although I told my mom I'd rather weigh 500 lbs. than be miserably anxious all the time, the doc would probably not prescribe one of those meds notorious  for weight gain). I go back to the shrink in 2 weeks and he doesn't seem to get PO'd when I tell him about research I've done and ask him his opinion about different meds. He knows that I'm just trying to educate myself so I can get better. He'd said that if the paxil didn't do it for me, we could try lexapro or effexor. I'm not exactly adverse to trying one of these, but it would mean starting all over again with a new med. Do you think that perhaps an augmenting drug might be preferable? Any thoughts, please share with me. maybe you've had a similar situation or know someone that has. Please help me to get informed before I go to doc in 2 weeks!
thanks!
HUGS!
janet

Post Edited (janetlee) : 2/7/2007 12:38:01 AM (GMT-7)


MsKittie
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Date Joined Jul 2006
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   Posted 2/6/2007 4:55 PM (GMT -7)   
Janet
 
I haven't taken those meds before but I'm sure someone will be along soon to help you out. PLease take care of yourself and keep us posted on how you are doing.
(((HUGS)))
   MsKittie
 
~*~*~*~*~*~*~*~*~*~*~*~*~*~*  
I have an illness, My illness don't have me.
~*~*~*~*~*~*~*~*~*~*~*~*~*~*                                      
 
Being happy doesnt mean everything's perfect.It means you've decided to see beyound the imperfrctions!God didn't promise days without pain, laughter without sorrow, sun without rain, but HE did promise strength for the day, comfort for the tears & light for the way                                        

 

 


Geebs
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Date Joined Jan 2007
Total Posts : 184
   Posted 2/6/2007 5:25 PM (GMT -7)   
BuSpar can aggravate anxiety at first. How long have you been on it? What about the Paxil? How long? Is the Xanax helping you?

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/6/2007 5:46 PM (GMT -7)   
thanks MsKittie.
Geebs,
I've been on buspar quite awhile. The paxil at 75mg for about 2 1/2 weeks. Before that I was on paxil 50mg for about 6-8 weeks. The xanax certainly helps, but I was hoping that maybe some med (such as Seroquel, Zyprexa, or Mirapex) could help. However, the first two have a rep for causing weight gain big time!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


a.l.
Regular Member


Date Joined Apr 2006
Total Posts : 279
   Posted 2/6/2007 8:00 PM (GMT -7)   

Hi-Janet-

Sorry to see that you are not getting the relief you need-

At one point, my doctor mentioned that she might add Wellbutrin to my Zoloft- don't know how that would mix with Paxil though-

Hang in there- it will get better!!!!


GFK
Regular Member


Date Joined Jun 2006
Total Posts : 275
   Posted 2/6/2007 8:09 PM (GMT -7)   
I took wellbutrin along with paxil for a few years, but the wb was to counter the paxil side effects, not for anxiety. Seems to me you should have been feeling some relief after this much time with the paxil. You may seriously want to try a different med soon (you should be able to tell by the time of your next apt).

Is your shrink a psyciatrist and the one prescribing your meds? I'd make it clear that your need the xanax (or another benzo he is more comfortable with?) during the phase-in with the SSRI.

Best of luck and keep us posted.
Karen

Geebs
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 2/6/2007 8:56 PM (GMT -7)   
Janet,

In my opinion, you've waited long enough for the Paxil and it's time to switch. You shouldn't be suffering like this at 75mg with no improvement.

I also think the BuSpar is probably doing nothing, which is not unusual, and it's time to stop it. You need to contact your psychiatrist and ask for an appointment sooner. You may want to increase the Xanax in the meantime to relieve the anxiety. If you feel the psychiatrist is not being responsive of your concerns, then it's time to find another one.

I know this is hard, but they have to find the right mix for you. Hang in there...but call the doctor ASAP.

GEORGE

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/6/2007 9:44 PM (GMT -7)   
Hi Everyone,
Thanks for the feedback! The anxiety is some better, but not nearly enough! I do have some hours of calm during most days at least!
As to Wellbutrin, another shrink tried using it to augment the zoloft when it pooped out, but the wellbutrin seemed to make my anxiety even worse. I took it for a week and couldn't bear it any more!!!
George,
I go to a MH clinic and I have to see whomever I can...I'm on medicaid and so the pickings are slim...
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


Howlyncat
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Date Joined Jan 2005
Total Posts : 24909
   Posted 2/7/2007 3:34 AM (GMT -7)   
I concur with Karen and geebs on this hun plese ask for a benzo and a different med at least this is not working for you
Love ya
Lyn
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Geebs
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 2/7/2007 6:30 AM (GMT -7)   
If the anxiety is not under control, increase the Xanax by .50mg until the dose is working for you.

Hang in there sweetie!

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/7/2007 7:43 PM (GMT -7)   
I'm trying George! ;)
Thanks,
Janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 2/7/2007 8:18 PM (GMT -7)   
I haven't tried those drugs Janet, but know the zoloft helped me add on the weight.

I'm up to about week 4 or 5 on the Prozac about just over 1 week of that on the higher doze and am slowly noticing I'm getting some periods of relief from anxiety.

My psychologist told me to take the valium as needed as when you have such a long term illness and are swapping meds you can't expect to heal within a week (even though we'd all love that) . I think we need to learn to not be so hard on ourselves, and use whatever is necessary to make our lives livable (for me that means my childrens as well).

Good luck, I'm seeing my pdoc tomorrow Lord knows how I'll pay though. Because the public system wouldn't help me at first because they didn't think I was sick enough (I wonder what those 2 stays in hospital were for now mad ) we scraped together the cash to see a private pdoc. Now the public system thinks we can do it all the time. nono

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/8/2007 7:08 PM (GMT -7)   
Aussie,
Let us know how your doc's appt. went!
hugs!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


MsKittie
Veteran Member


Date Joined Jul 2006
Total Posts : 789
   Posted 2/9/2007 8:07 AM (GMT -7)   
Aussie
 
Were all here thinking about you hun and were all awaiting to hear how your dr appt went. You are not alone.
(((HUGS)))
   MsKittie
 
~*~*~*~*~*~*~*~*~*~*~*~*~*~*  
I have an illness, My illness don't have me.
~*~*~*~*~*~*~*~*~*~*~*~*~*~*                                      
 
Being happy doesnt mean everything's perfect.It means you've decided to see beyound the imperfrctions!God didn't promise days without pain, laughter without sorrow, sun without rain, but HE did promise strength for the day, comfort for the tears & light for the way                                        

 

 


andwes
Veteran Member


Date Joined Oct 2006
Total Posts : 728
   Posted 2/9/2007 8:52 AM (GMT -7)   
Janetlee - This is just my personal opinion but I always thought the Xanax helped me more than anything with my anxiety.  My doc was the same way - NONE of them want to prescribe that because they say it's addicting - but I don't agree either, as I was on it for years and then went off with no problem.  I think it's because Xanax is no longer the "fashionable" drug and docs are pushed by drug companies to prescribe other things now.  I say you should go with whatever helps the most.  I didn't find much relief from going on anti-depressants because I always believed my depression was caused mostly by all the anxiety I felt.  No one knows you better than yourself so go with our gut and do what's best for you.  I decided last time I went to the doc that I was going to push him for the Xanax and now that I'm on it (and I only take it when I need to) I feel world's better.  That doesn't mean I never have anxiety and it doesn't always mean that the Xanax takes it away completely but it helps more than anything else - AND just knowing it's there sometimes helps to overcome an attack even without actually taking it. So good luck to you - I hope you can get the relief you need.  And keep reading the posts here - they've helped me tremendously.

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/9/2007 3:30 PM (GMT -7)   
Thanks Andwes!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/10/2007 10:36 PM (GMT -7)   
I have a question that I hope y'all will notice since I'm trying to keep it in this same thread...
Since I am doing some better (not 100%, but better than awhile), do i say the med is working for me or do I try something that will hopefully give me MORE relief? Now I'm not having as much anxiety as usual and when I do it's usually when I awake in the a.m. I manage to get thru it w/o taking any xanax and usually I'm fairly okay, but I do get some feelings of apprehension on and off...now if I were to start taking the xanax, I might feel almost "normal". For all those years on zoloft, I took xanax everyday, even when I didn't feel anxious (yes, I actually thought that I was supposed to take it on a regular basis, not "as needed"!) Anyhow, now I don't know if I'm truly better or going thru one of my short breather periods or if the paxil is actually helping...how much should I expect from an AD? Should the anxiety be practically gone most of the time to be considered "better" or is it considered normal to have some anxiety everyday, even with the AD? I truly don't know!!! I know that sounds ridiculous but it's true! It sounds nuts to say "I don't know if I'm doing well or not"! I hope I'm making senes here...I wonder about myself sometimes! DUH!!!!!
Thanks bunches all!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/11/2007 6:07 AM (GMT -7)   
bump
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


Geebs
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 2/11/2007 8:21 AM (GMT -7)   
The benzo issue is being actively debated again among psychiatrists since the SSRIs and other AD's have essentially taken over the anxiety market, which is one reason why they are so actively prescribed.

There is some evidence to indicate the benzos are, in fact, more effective for anxiety/panic than antidepressants and some people do better on them. Like any drug, the SSRIs don't work for everyone and sometimes benzos are superior. But the addiction factor scares a lot of doctors and this can be tough.

GFK
Regular Member


Date Joined Jun 2006
Total Posts : 275
   Posted 2/11/2007 8:27 AM (GMT -7)   
Janet,

Its not ridiculus! When I got going on paxil 10 years ago my anxiety did go away completely (except for the occasional incidents that even "normal" people would react to!). But then again, I was too niave to have any doubts that the med WOULD work (the power of the mind at work too?)

Was there a time on zoloft that you did not take xanax? If so, how did you feel then? If not, then the zoloft alone may not have been helping any more than the paxil. I seem to recall that you are up to a dose that is on the high end of the scale, so it shouldnt be that. Do you practice CBT and relaxation?

I would give it time to see if it is just one of your better periods. You went thru a really bad spell there and it sounds like you may be worrying overmuch about the light periods of agitation (habit??). The fact that you have been able to work thru those periods on your own is a big plus and shows tremendous improvement!

I get those periods now after weaining down to 10 mg paxil. I'm at my comfort level - where I can easily get thru those periods (like you). Try focusing on how much the paxil has HELPED and hopefully the habit of worrying about the med NOT working will be broken. Dont forget - you CAN take the xanax if you need a little bit extra help.

Good luck and keep us posted!
Karen

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/11/2007 10:58 PM (GMT -7)   
George and Karen,
You've both made excellent points and I really appreciate your input on this!
I always took xanax with the zoloft...it wasn't until about 8 months or so ago that I was informed to only take xanax as needed...I'd always been under the impression that I was to take it on schedule! Of course, I'd forget to take the Xanax in the middle of the day and ended up taking it in the a.m. and at night, so on my own I'd reduced the amount of xanax! So I really don't have any non-xanax w/xanax time to compare it with...!!! Sigh! I will see how I do in the next week and a half before pdoc's appt. and let him know what's going on w/me then!
thanx
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


porridge
Regular Member


Date Joined Jan 2007
Total Posts : 119
   Posted 2/11/2007 11:39 PM (GMT -7)   
Janetlee

I agree with others who say it may be time to try another SSRI. Everyone is different. It is essentially trial and error.to find the right one. Benzos are very useful. The goal should be to find the correct SSRI and then wean off the Benzo. Your Doc may want to drop the Buspar. I have heard very few positives from Buspar. It's just anecdotal You may want to suggest a different Benzo than Xanax. . I like Klonopin. Ativan may be a choice, too.

IMHO, Doctor fears of Benzos are WAY overblown. Anxiety sufferers do not want to abuse the drugs. they want relief. The Docs should be concerned about someone who has a history of substance abuse. If you stick to the prescription you should be fine. If your Doc refuses to prescribe a Benzo I agree with others. Get a new Doctor.

BTW, Wellbutrin is NOT good for anxiety. It's a stimulant. Great for depression. Some docs prescribe it to combat weight gain from another AD. I would not go that route.

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/12/2007 4:44 PM (GMT -7)   
Thanks porridge!
As all can see. there's a LOT of opinions and ALL make a LOT of sense!!! So it's very confusing as to really know what's best...!!! Sigh!!!! confused
I'll just have to wait until my pdoc appt. and see how I do in the meantime...if I get to feeling too rough, I'll definitely talk to him about changing!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet


Geebs
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 2/12/2007 7:29 PM (GMT -7)   
The other thing I wanted to mention is BuSpar can also increase anxiety when taken in combination with an SSRI. The reason is it acts as a 5-HT1A agonist and can be stimulating when taken with an SSRI (which also downregulate and increase 5HT1A over time). You might suggest to your pdoc that you stop the BuSpar and see if that helps.

Hope you feel better soon!

janetlee
Veteran Member


Date Joined Mar 2006
Total Posts : 1986
   Posted 2/12/2007 9:49 PM (GMT -7)   
Wowzie, george!
Who knew?!?!?!
Thanks!
janet
Yesterday's dead
Tomorrow's unknown
Today is here
And soon will be gone.
Use it wisely
Before it's too late
Remember to love
And forget to hate.
janet

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