Anxiety causes depression? meds?

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Jenni462
Regular Member


Date Joined Feb 2005
Total Posts : 162
   Posted 6/26/2007 12:58 PM (GMT -7)   
Hello all,

I've had anxiety and some depression for most of my life, and i was just prescribed lexapro and clonazapem...i started on the clonazapem and am feeling very relaxed today and im already noticing not feeling as bothered by things that would usually frustrate me and get me worked up for hours. I'm liking this of course but i think starting the lexapro as well would be overkill, i dont have severe depression and i THINK any depression i have is because of my anxiety and its ability to exhaust me and eventually bring me down.

do you think it is wise to just stick with the clonazapem for now?
any other thoughts on this? id really appreciate it.

Thank you!
-Jenni

"whats so wrong with being happy? kudos to those who see through sickness" -Incubus


harry4
Veteran Member


Date Joined Mar 2005
Total Posts : 1449
   Posted 6/26/2007 1:07 PM (GMT -7)   

antidepressants also often control panic attacks and anxiety and work better in the long term than clonazepam, so do take both

you have a sensible doc who also is trusting you to not take too much clonazepam.....


recovered former longtime anxiety and panic attack sufferer and helper of other sufferers  but no training or  qualifications in medicine or psychology, any remarks that may be taken as advice must be confirmed with doctor or other health professional
emails are welcome but do mention healingwell to avoid risk of deletion as spam


Jenni462
Regular Member


Date Joined Feb 2005
Total Posts : 162
   Posted 6/26/2007 1:14 PM (GMT -7)   
thank you for your input. i really dont know what to do, dr's are quick to prescribe meds and i just think being on 2 is a little much...and i assume if i go on lexapro id be relying on it for a lot longer than just taking a clonazepam (very very small dose).

i really dont want to feel nothing at all :/
-Jenni

"whats so wrong with being happy? kudos to those who see through sickness" -Incubus


happypills
Regular Member


Date Joined May 2007
Total Posts : 83
   Posted 6/26/2007 1:32 PM (GMT -7)   

I am in the same boat.  I suffer mainly from hypochondria and OCD, my anxiety is secondary and as a result of all that I feel depressed at times.  My doc recently prescribed Paxil and Clonazepam.  I never took either one on a daily basis. I take the C on occasion.  However, it does not help me when I am in stressful situations.  I heard that a possible side effect of C, when taken alone, is worsening of depression symptoms.  I want to pursue "med free" methods.  Please keep up posted on how these meds work out for you.

Best wishes.  :-)


"Don't worry about a thing, 'cos every little thing's gonna be alright." - Bob Marley


debaser
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Date Joined Nov 2006
Total Posts : 1745
   Posted 6/26/2007 4:07 PM (GMT -7)   
I've been on Clonazepam for several months and am at the same dosage I started at. It's still effective and I've had no signs of tolerance or anything like that. I also have a tendency toward depression (lifelong -- anxiety/panic is a relatively new phenomenon for me) and I haven't noticed depression being a problem since I started the med. If anything, I was depressed about having constant panic attacks and now I'm not. However, it is a known side-effect so it's something you should be on the lookout for.

Anyway, while some doctors may indeed be quick to prescribe meds, I know of a lot of people who are taking both SSRI's and benzos such as Clonazepam/Klonopin. It's very common as far as I can tell. I think the goal is usually short-term benzo treatment because they work immediately whereas you have to be on an SSRI for a while before it starts working.

I haven't tolerated SSRI's well in the past, but someday in the future I'd like to ease off on the Clonazepam and try an SSRI again. It's not that I have any worries about the Clonazepam...it's just something I'd like to try if my doctor agrees.

Forgot to address your question directly: discuss it with him, but I bet your doc's intention is for you to definitely be taking both at the same time so you can stop the benzo later. He should've explained that to you.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/26/2007 4:19 PM (GMT -7)   

HI Jenni,

Good answer by Debaser. The question in my mind is always which came first the anxitety or the depression.  Did the depression cause the anxiety? Or was I depressed because I always felt anxious?

I have taken a antidepressant and a benzodiazpine together for years.  I am weaning off the Valium as my  physician thinks I should try  to go without it.

Weaning off Valium, Klonopin or any of those drugs is a long process if you have been on them for years.

Double check with your physician but I too think he is using the Klonopin to cover your anxiety until the antidepressant kicks in.

Just my 2 cents worth yeah


Respectfully
Kitt
 
Moderator Anxiety ~ Panic Disorders

Dx: Anxiety/Panic, Depression 
______________________________________________________
"If you doubt you can accomplish something, then you can’t accomplish it. You have to have confidence in your ability, and then be tough enough to follow through.” 
~Rosalyn Carter


happypills
Regular Member


Date Joined May 2007
Total Posts : 83
   Posted 6/26/2007 5:10 PM (GMT -7)   

Debaser:

I have read that Klonopin can make depression worse when a person suffers from actual depression.  In your case, the main problem was anxiety, therefore, it was not a problem for you.  The truth of the matter is I am COMPLETELY CONFUSED!  I read a response to someone from Dr. Gould from Medhelp and he said that it's not something to worry about.  Then I read differently elsewhere.  So I guess you're right, it's something to look out for. 


debaser
Veteran Member


Date Joined Nov 2006
Total Posts : 1745
   Posted 6/26/2007 5:35 PM (GMT -7)   
This is only my opinion, but that Dr. Gould is sort of a quack. I don't think he takes the time necessary to write a considered response.

That said, I had depression well before I had anxiety. I've had it since I was a kid. Truth be known, I have it right now and it's just not as bad as it used to be. In any case, I've been diagnosed and even admitted to a clinic for depression before, so I think it's safe to say I know what "actual depression" is. When I said I had a tendency toward it, I meant it.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


happypills
Regular Member


Date Joined May 2007
Total Posts : 83
   Posted 6/26/2007 5:46 PM (GMT -7)   
debaser:
 
Dr. Gould is probably not a quack, he's FREE that's why his responses are brief.  Well, the "other place" I read it was on the anxiety forum on Medhelp written by Ryan a.k.a. RCA.  I hope it doesn't make depression worse cuz I have a tendency towards depression too. And I have been taking the C or K quite a bit lately. 
 
BTW: Did you get my email?  Hope you are not worried about it.  It was completely unintentional.  I did not go looking for it.
 
Later

Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 6/26/2007 5:54 PM (GMT -7)   
Just a word of warning, having been on clonazepam for about 9months the withdrawal is awful. The least amount of benzos you use the better in the long term. They're great for emergancies but not for long term.

Jenni462
Regular Member


Date Joined Feb 2005
Total Posts : 162
   Posted 6/26/2007 8:21 PM (GMT -7)   
what kinds of withdrawal do they cause? is it more physical or mental?
oh man im really nervous about all of this, i know meds are there to help but i just wonder if i should continue to deal with my problems on my own like i have been all these years.
-Jenni

"whats so wrong with being happy? kudos to those who see through sickness" -Incubus


debaser
Veteran Member


Date Joined Nov 2006
Total Posts : 1745
   Posted 6/26/2007 9:45 PM (GMT -7)   
I did not get an e-mail, and am not sure what I might be worried about. I don't like Gould because he doesn't take his role there seriously. If he can't provide a thoughtful response, he shouldn't be doing it. There was a time when you had to pay to post in that forum, and not only did he not take his responses seriously, he often left them unanswered for days and days and days. I can remember a week and a half going by without him answering the questions.

RCA is a great guy who is extremely intelligent and well-read on the subject, but he's not a doctor. He's trained as an electronics engineer. I was trained as a political scientist. No matter, Clonazepam/Klonopin CAN cause depression, but it's not likely to: http://www.drugs.com/pro/clonazepam.html Seven percent of people in the clinical trials reported depression. To what degree? The numbers don't say. We know that one percent of the control reported depression and seven percent of the people taking the real stuff experienced it. So it's clear it can cause it, but the numbers don't say how intense the depression is...just that 7 in 100 patients reported it. It's something to look out for, without a doubt. But I don't think a doctor would prescribe it if he didn't think the benefits outweighed the potential risk of the side effects.

Clonazepam will cause physical and psychological withdrawal when stopped too abruptly. If you've been taking a steady dose for more than a week, you should probably taper just to be safe. The more you take and the longer you take it, the more slowly you'll have to go. I personally know several people who've withdrawn from benzodiazepines with little difficulty. I assume they're the silent majority. The ones who have had difficulty will naturally talk about it on the internet, and the more trouble they had the more vocal they will be. If you follow a tapering regimen you'll probably be okay, and there's no use worrying about it at this point.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


happypills
Regular Member


Date Joined May 2007
Total Posts : 83
   Posted 6/27/2007 10:03 AM (GMT -7)   
You didn't receive my email.  Hmmmm, strange.  Well I'll send it one more time. 
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