what to do next....

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sunshynman
New Member


Date Joined Jul 2007
Total Posts : 14
   Posted 7/31/2007 7:36 PM (GMT -6)   
I have been living with panic for some time now. Looking back I've always had it, but the bad panic attacks started around 10 years ago. At first I was given paxil, but the sexual side effects were terrible for me. Next I tried wellbutrim, but it didnt work for the panic. I then went on lexapro. It was successful for the panic, but the side effects were tough. I had anger issues, was always tired, gained weight, had the sexual side effects (was less server than the paxil, but annoying none the less). I went off it around Feb this year. The withdrawel was trying, but bearable. My MD perscribed me Xanax to take if panic popped up.
 
At first things were good. I even had some high stress problem (I flipped over my bicycle handles and broke both my elbows, one requiring surgery). about two months ago, I had my first panic attack in a long time, It was after a day of driving about 12 hours.  So at the time it was an isolated issue and the Xanax seemed to work. I was feeling good, exercising regularly, lossing weight and generally feeling healthy.
 
But the last month has been hell sad . Stress at work and financial problems have caused a bad relaps. I've had numerious panic attacks and extreme anxiety. My MD perscribed EffexorXr. I keep reading good and bad post about it. I am nervious to try it because of the same possible side effects. I have never tried CBT or a therapist. The anxiety is so extreme right now that I feel like crying at least once every day.
 
Although the Xanax works with little to no side effects, It only last a short time (maybe 8 hours). Im afraid to take it as well because everything I read say its addictive. The nurse at the hospital when I had my surgery told me klonopin was better than Xanax because it stayed in the system longer.
 
Id like to not go on the Effexor, but I dont think I can wait for any type therapy to start and be helpful. 
 
Anyone have luck with Effexor vs. Lexapro? Should I just try to use the Xanax or maybe the Klonopin for now, and find a therapist? I've tried reading some of the CBT theroy books, and see how they may help, but its not quick enough to stop the problem now.   

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/31/2007 9:08 PM (GMT -6)   

Hello sunshy,

Welcome to Healing Well. I am Kitt.

Here is my humble opinion. If Effexor frightens you perhaps you could ask for Cymbalta. There are many people on many different meds.  I would love to try Effexor as I hear good things about it but the withdrawal scares me.  I have been on antidepressants for 24 years. So I have gone through a few.  Everyone of course has different reactions to the meds and combos.

The longest acting benzo is Valium and it holds it's blood levels steadier than Klonopin. Klonopin is a good drug but you should be taking it on a regular schedule not just when your in a panic attack.  It also should be taken at the same times everyday. Again I am not a professional, these are just my personal opinions.

Therapy, CBT, can work wonders but takes hard work. Please do get started on it asap.

Meanwhile I am sure you will get answers from other members with good advice and support.

Hoping the best for you.

Reference: 7th Edition The Pocket PDR



Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
******www.healingwell.com/donate******
_____________________________________________________
"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

 

Post Edited (stkitt) : 8/1/2007 8:23:02 AM (GMT-6)


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 8/1/2007 9:01 AM (GMT -6)   
Welcome to HW

I was just put on Cymbalta finally gave in for the AD I needed too at this point in my life
I have had great resuts so far as well I take valium for in between times when panic is bad

Many have good to say about effexor and many have bad to say all depends on the person i would think

I toitally agree with lil sis that CBT and other self help techniques would greatly benefit you as well as a therapist

Please know now that you are no longer alone and we are here to help you wen possible ........

The ppl and support is phenomenal and I do hope you will stick around

More with experiences with effexor should post soon and give their input

Stay with us plz and again Welcome to HW

Check out resources at side in yellow as well

and read other posts pertaining to this med

Take care

LYN
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americandancer
Regular Member


Date Joined May 2006
Total Posts : 39
   Posted 8/2/2007 8:52 AM (GMT -6)   
Lyn, are you taking cymbalta for anxiety or depression? How is it working for you so far?

sunshynman
New Member


Date Joined Jul 2007
Total Posts : 14
   Posted 8/2/2007 12:06 PM (GMT -6)   

Well I started the effexor yesterday. It's ok so far. I’m a bit lightheaded and nauseas but everyone says that will pass in a few days. I haven’t noticed any major side effects. I did get a few hot flashes where I sweated a little bit heavy for a couple minutes. But I’m use to putting up with sweating, I sweat in an AC room, even if I don’t feel hot.

I felt really good yesterday, I think the relief of making a decision and the Xanax I took in the morning helped. My anxiety is coming in spurts today, but much more manageable than before. I can see myself looking for greener pastures from my current job soon (which was the biggest source of the panic/anxiety). But not until I feel like the effexor is working to control the panic attacks.

My MD wanted me to go from 75Mg to 150 after a week at 75. I am more inclined to stay at the 75 and see if the pa's stop, and up it later, if it doesn’t seem to work at 75. I see him in a few weeks and will bring up seeing a specialist. I know he believes that drug therapy works. He didn’t want me to go off the lexapro because it worked. But I just didn’t want the side effects. I guess my mistake was stopping it w/o getting some therapy first. I know I want be able to deal with the anxiety on my own.

Thanks for the thoughts... If anyone has more opinions on Effexor let me know, I'd like to keep myself more informed this time!

 


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/2/2007 12:59 PM (GMT -6)   

Dear Sunshyman,

I am glad to hear you are doing better and that you made your choice.

Keep posting and stay with us.

Hoping the best for you  yeah   


Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
******www.healingwell.com/donate******
_____________________________________________________
"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

 


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/2/2007 1:05 PM (GMT -6)   

americandancr,

Hi, this is Kitt.  I am sure Lyn will be along. I also take Cymbalta for Depression and Anxiety.  I have been on it about 6 months and I take a very large dose.............120mg divided twice per day.  I think it works well most of the time but I do have break through episodes of depression.  My anxiety flairs with situations that trigger it as does my depression.

Overall I would say it is a good drug.

Hope this helps you some.

Stay with us and keep posting. This is a great forum. :)


Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
******www.healingwell.com/donate******
_____________________________________________________
"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

 


americandancer
Regular Member


Date Joined May 2006
Total Posts : 39
   Posted 8/2/2007 2:32 PM (GMT -6)   
Thanks, Kitt. I didn't want to hijack the thread, but wanted to see if the cymbalta was working.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/2/2007 5:54 PM (GMT -6)   

No problem, I am usually here everyday and try to catch everyone.

I know Lyn is busy getting ready to move or she would be here. :)


Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
******www.healingwell.com/donate******
_____________________________________________________
"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

 

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