I was put on effexor just after being in a bad car accident, which was in October 07. I had a lot of anxiety about driving, being on the road at night, and being on the interstate to be specific. The effexor reduced my overall anxiety, and gradually I became comfortable driving again. Being on the road at night still brought on some anxiety, but not panic anymore like it was just after the accident. My doctor also gave me a prescription for Klonopin to take as needed when driving became too much and overwhelmed me.
Fast forward to last week. I drove home from my bf's apartment at night, and when I got off the interstate and was 5 minutes away from home, I had a truck behind me that was swerving and was getting really close to me. (I might add, so you understand, that we were hit by 2 drunk drivers that lost control of their cars in the accident) I had the worst panic attack I've ever had as I drove with the truck behind me. I thought the driver was drunk, and was going to lose control and come after me. My thoughts went completely irrational, and I lost it. I made it home, took a klonopin, and relaxed.
Today I had an appointment with my dr, and brought up that quite some time after the accident, I had a panic attack. He seems to think that my effexor might need to be upped, because my underlying anxiety may not be controlled by the medicine anymore. He told me to think about it, and when I see him again in a few weeks, we'll talk about if or when my meds might change. He said it's up to me, and I can think about what I feel like I need to do. He said basically I need to decide whether the dose of effexor I'm on along with klonopin is ok with me, or if I want to up the dose of effexor and see if that requires me to take less klonopin.
I'm confused about it. I don't know if I really need my meds adjusted because in general, I'm able to deal with things, and with the clonipin I'm able to keep myself from panicking. I take them sparingly, but when I know I can't deal with situations, or when I know I'm going into a very stressful situation. I wonder also if I will ever drive at night without being anxious to some degree. I'm not sure if that's something I'll ever be able to forget completely.
Have any of you been in this "borderline" area where you really don't know whether or not to change meds? Any insight or advice would be greatly appreciated.
31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed