Anti Anxiety Meds...Which is best?

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bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 2/26/2009 12:50 AM (GMT -6)   
Need some suggestions here...I have heard of Xanax years ago, do the still make this or is there something better with less side effects etc?
 
Thnx
Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3X per week and canasa every other day
Natural anti fungal, anti inflammation supplements and Probiotics.
Bowel Soother and IntestiNew, Fish Oil, Calcium, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Reduced sugar in my diet by at least 70%
Reduced wheat products by 70% 
Could never tolerate artificial sweetners
I excersice daily (unless like now : (  I've lost too much weight)
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 2/26/2009 6:28 AM (GMT -6)   
I take Xanax but only a few times a week at a small dose as needed. I like it because it doesn't have the side effects of the anxiety meds that you have to take daily. It's addictive though so it might not be something that you want to take every day.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
LDN - 2/17/09 1.5 mg.
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


Samynic
Regular Member


Date Joined Aug 2008
Total Posts : 56
   Posted 2/26/2009 8:07 AM (GMT -6)   
zoloft :)
22 years old
Diagnosed with left-sided UC June 2005
First colonoscopy December 30, 2008- dx'd with Pancolitis

Have taken:
Cortifoam, Sulfasalazine, Cipro, Flagyl, Codine, Hydrocodone, Roxicodone, Canasa, Aloe Vera Juice

Currently:
Asacol, Dicyclomine,Zoloft, Presnisone, Calcium, Vitamin D, Zantac, Flintstones Vitamins with Iron


at wit's end
Veteran Member


Date Joined Jun 2007
Total Posts : 569
   Posted 2/26/2009 8:12 AM (GMT -6)   
I was just put on Lexapro 10mg two days ago by the nurse practitioner at my gastro doctor's office. My nerves have been bad over the past couple of years, especially when I flare, and no one really has wanted to give me anything. I was given Xanax two times only in a quantity of 30 pills each time and I have not been given a prescription for any more due to the fact that one doctor said it is addictive. But when it takes you several months to use up 30 pills that is not abusing them.
 
Lexapro is generally a good drug but it takes a few weeks to get in your system.
Diagnosed with left sided UC in sigmoid colon and rectum 1986.
Put on Azulfidine 2 X 3 a day and Rowasa enemas 60mg.
Have been pretty much in remission overall other than a few flares over the past 21 years.
Medicine changed to Asacol 400mg 2 pills X3 times a day. Taken off all meds in 2004.
Diagnosed with acid reflux 2005. Put on Protonix 40mg.
Have been using Canasa 1000mg suppositories nightly since January 2007.
Was put back on Asacol 400mg 2 pills 2X a day in July 2007 maintenance. 


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 2/26/2009 8:55 AM (GMT -6)   
A discussion with your GP is your best option. Depending on your symptoms and a few other things one med might work better for you than another.

I use Effexor XR for my anxiety and at time depression.

Better living through chemistry ;-)
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission
Asacol 12 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: end of March or early April
Last Prednisone dose:  7/15/08
 
Co-Moderator UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 2/26/2009 9:17 AM (GMT -6)   
I agree with a getting your GP involved in the decision. Not all drugs are alike and they work to combat a myriad of symptoms. Only your doctor will know which one would best suit your needs. Just remember it can also be trial and error and you might have to try a couple of them before finding one that works the best.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/26/2009 10:22 AM (GMT -6)   

bbc - yes, Xanax works great for me - but it is addictive.  At 68 I don't care!  I take minimum small amounts when I need it throughout the day.

I tried the others mention here - Lexapro, zoloft and another can't remember.  I felt "loopy" on them all but Xanax.  It just calms me down a little - nothing drastic.  None of my doctors will prescribe it BUT my primary care doctor so talk with yours.  My husband takes Xanax and Zoloft for post traumatic stress (Vietnam) and it changed him so much for the better.  Sometimes we just need a little "help" along with exercise, meditation and other things that are great!

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far.  Plan on adding 6MP (or?) at lowest possible prednisone dose.
Probiotic Align, Prilosec for GERD
 
 
 


JoMarie
Regular Member


Date Joined Dec 2008
Total Posts : 55
   Posted 2/26/2009 10:32 AM (GMT -6)   
I needed a little help last year getting through the anxiety when my son was diagnosed.  My doctor put me on Celexa.  This is one of the SSRI medications for depression and anxiety.  It is not a short acting one like Xanax, but long acting.  It takes several weeks to build up enough to help, and it may cause increased anxiety at first.  For that, my doctor prescribed Xanax as needed, but I didn't take that at all.  I was on it for several months, and just tapered down off of it recently.  I felt it worked well for me with minimal to no side effects. 
Jo

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/26/2009 11:27 AM (GMT -6)   
I take sertraline (generic Zoloft) and haven't had any problems with it. But, I'm on the lowest dose. Anxiety meds are different for each person, though, so you should talk with your GP about it.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, Culturelle probiotic, and Zoloft (25 mg).


bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 2/26/2009 12:25 PM (GMT -6)   

Thanks Guys : )

My GP rxd Clonazepam 0.5 mg but when I looked it up it says its for seizures and then panic attacks???


Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3X per week and canasa every other day
Natural anti fungal, anti inflammation supplements and Probiotics.
Bowel Soother and IntestiNew, Fish Oil, Calcium, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Reduced sugar in my diet by at least 70%
Reduced wheat products by 70% 
Could never tolerate artificial sweetners
I excersice daily (unless like now : (  I've lost too much weight)
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


WishfulMA
Regular Member


Date Joined Jul 2008
Total Posts : 197
   Posted 2/26/2009 1:00 PM (GMT -6)   
I have an Rx for clonazepam .5mgs. I take it at night to help sleep. I was prescribed it for major panic attacks years ago. It is addicting. I am also on prozac. I have tried paxil CR in the past...but that is not safe in pregnancy and lexapro. I personally would start with one of the SSRI meds prior to depending on xanax or clonazepam.
severe ulcerative proctitis - march 05 diagnosed
proctosigmoiditis - january 09 diagnosed
hospitalized - 3/08 for 6 days of IV steriods
hospitalized - 1/09 for 5 days of IV steriods / put on 6MP
past meds: colozol, sulfasalzine, hydrocortisone enemas, canasa, rowasa and prednisone 
current meds: 6MP (75mgs), Asacol 12 pills,  Rowasa Enema, Primal Defense Ultra Probiotic, fish oil, calcium w/ vitamin d 2x a day, prenatal vitamin & extra vitamin c and b12.
 
 


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 2/26/2009 1:33 PM (GMT -6)   
Be very careful with Zoloft, or any anti-anxiety meds for that matter. In addition to talking to your doctor, make sure you do research about possible side effects and the difficulty you may face when weaning off these drugs. Zoloft can be particularly nasty in that regard, and my doctor told me nothing about that.
DX:  Pancolitis as of 9/08 (Proctitis as of 1/08) and IBS
Current Treament:  Spinach/Sunflower Seed Diet
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Rowasa, Bentyl, Cortenema, Asacol, Iron, Zoloft, Acidophilus.
Status:  Remission
 
 
 
 


mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 2/26/2009 1:39 PM (GMT -6)   
hi there.  i have a script for .25 mg of xanax...i think that's the lowest dose.
i don't take one daily, but if i need one i have it.
also helps out with some of the prednisone "issues"

kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/26/2009 1:41 PM (GMT -6)   

Definitely helps with prednisone moodiness, etc.  I found for me that 1/2 of the .025 tablet more often - like 4 to 6 hours keeps a constant calmness but not "loopy" or anything.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008
Tried all mesalamines and enemas, Canasa, etc.  Colonoscopy 10/28 showed only few cm. left to heal -hydrocortisone enemas 12 days - much worse. Cannot tolerate mesalamine!
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 Feb. 21 - down to 20 mg. - no blood, no pain, no bad side effects so far. Starting 6-MP Feb. 28 along with 20 mg. prednisone.
Probiotic Align, Prilosec for GERD
 
 
 


ZLSJ
Regular Member


Date Joined Dec 2008
Total Posts : 263
   Posted 2/26/2009 2:07 PM (GMT -6)   
Anybody ever have any luck whatsoever with a natural/herbal remedy?

quincy
Elite Member


Date Joined May 2003
Total Posts : 30986
   Posted 2/26/2009 3:10 PM (GMT -6)   
I tried St. John's Wort for a while....I was more agitated than I could imagine. It was for depression I tried it, however...but ultimately, therapy using CBT was what helped with the anxiety.

ZLSJ..you should get your Vitamin D checked...mine was verrrrry low, and that in itself with low calcium could lead to some exacerbation of feeling anxious.

The bottom line is learning how to deal with all that emotionally and mentally ails us. We, who have a tendency to be anxious will most likely do so across the board....I find when my options are very limited (percieved that is) I'm much more anxious.

The goal isn't to have any anxiety, we probably always will...it's how to deal with it.

I do have a 'script for clonazepam (felt too long lasting grogginess and don't like it) and one for ativan (helps, but again don't like the grogginess feeling), but that could be because I'm also on Effexor XR. Before I was on Effexor, the Ativan worked awesome for anxiety, but I was taking it too often and became more depressed.

sigh....that was when my therapist was ill himself and off the a year and a half during my worst crisis ever....I then asked my GP for meds and was put on Effexor. It did help with the depression and I was able to deal with the anxiety more easily.

quincy
*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite..back to nightly (Jan 22)..tapered too fast
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3 
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5975
   Posted 2/26/2009 4:03 PM (GMT -6)   
     I tried to stay off the anti-anxiety meds too, but prednisone really did a number on my nerves.  The low dose of xanax helped.... .25 mgm.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.


Nor_TX
Regular Member


Date Joined Nov 2008
Total Posts : 360
   Posted 2/26/2009 4:26 PM (GMT -6)   
I have been taking clonazepam each night to help me sleep. I recently started on Celexa 20 mg a couple of weeks ago but because I couldn't sleep, I cut it in half. So now I am on 10 mg and it has taken the "edge" off my sadness. Lately I have been feeling sad because so much of my life has changed because of my UC and the drugs I am on and the reactions to them. I was feeling sad for myself and now with the Celexa, I feel a little lighter in spirit. Might just be my imagination, but I feel it is helping.

Nor
Presently on: 500 mg. Remicade every 4 weeks
                   15 mg. Methotrexate/injection weekly
                   12 Asacol daily


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 2/26/2009 4:36 PM (GMT -6)   
I've been doing amazingly well on Effexor XR for my GAD. My mom and I have very similar personalities and she's on effexor too so my dr figured I'd probably respond the same to it. I did feel kind of weird for a week or two well I was adjusting to it but love it now
Pop over to the anxiety and depression board. There are tons of super nice people (and I think a couple of them have crohn's) over there!
Sam(antha)
20 year old college student diagnosed with ulcerative colitis at 16
Remission since January/April 2006
400mg Asacol 2x, 10mg Elavil, 75mg Effexor XR for GAD

"Life is what happens when you are busy making other plans"
John Lennon


UC Dude
Regular Member


Date Joined Aug 2005
Total Posts : 438
   Posted 2/26/2009 6:26 PM (GMT -6)   
Kiss520 said...
Be very careful with Zoloft, or any anti-anxiety meds for that matter. In addition to talking to your doctor, make sure you do research about possible side effects and the difficulty you may face when weaning off these drugs. Zoloft can be particularly nasty in that regard, and my doctor told me nothing about that.


True!


Google zoloft withdrawal and you will learn a lot. My wife was a mess with debilitating dizzyness etc.

Have you tried therapy? CBT?
 


dodge08
Regular Member


Date Joined Feb 2009
Total Posts : 31
   Posted 2/26/2009 8:00 PM (GMT -6)   
I take Zoloft, and occasionally Trazadone to help sleep, and sometimes the odd ativan (that's the canadian name, I think it's the same as Xanax.
Male 38, diagnoised in 1998, first major flare in November 2008, have had 2 remicade infusions
have used pentesa, salofalk pills (mesalamine), and enema's.
Started salofalk again until I can get my next remicade.
currently decreasing predisone, take folic acid, calcium, vitamin D, HMP powder and a multi vitamin

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