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Misc Desperate for your advice on meds for debilitating anxiety

Didn't read the whole thread but doxepin really helped me. I suffer from GAD and SAD, 30 mg before bed really helps me sleep plus it makes me A LOT less irratable and anxious during the day... It also helped my depression. I'll soon up my dose to 50 mg.
 
I think the need for a good nights sleep is at times umderestimated in its importance In treating anxiety. I know, for me at least, a good night sleep is way more effective then any benzo for controlling anxiety.
 
I've found Mitrazapine to be quite calming, and also old school anti histamines. I havent read the whole thread so dont know if benzos have been mentioned...

They will work miraculously for the first few weeks. But, if you dont stop after a couple of weeks chances are you'll end up addicted to them, they only mask your underlying problems, and if and when you come off the benzos their will be rebound anxiety. So they are the last thing I'd reccommend as a sustainable solution.
 
This shit is all depending on how much anxiety you are going through...

There are a lot of drugs that are good for moderate anxiety...


Then... there are drugs that are good with slight anxiety...
 
Psychedelic Jay said:
This shit is all depending on how much anxiety you are going through...

There are a lot of drugs that are good for moderate anxiety...


Then... there are drugs that are good with slight anxiety...
Click to expand...

Okay, So what non-benzo would you recommend for someone with severe anxiety?


self-diagnosis
 
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High Anxiety said:
Okay, So what non-benzo would you recommend for someone with severe anxiety?
Click to expand...

If you want to cure your anxiety and not just medicate it out of existence? CBT combined with learning about physiology to understand what is occurring within your brain and body to produce the feeling of anxiety you're experiencing. Start with the hypothalamus-pituitary-adrenal axis and work your way in from there. It helps to understand that we are evolved mammals that sometimes have difficulty teaching our body not to look at a letter from the IRS as a lion running you down in a jungle.
 
Psychedelic Jay said:
This does not exist.
Click to expand...

Well guess im a bit soL then...

Thank you pinpoint. I am just getting into neurobiology myself and would like to go to school for something that would move in that direction. Problem is, I can't speak in front of more than one person at a time without being on the verge of a panic attack. Im starting to think I might have damaged my brain.

I hope everyone is doing better esp you op. Good thread you created here
 
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ZacherySwan said:
I am past the 60 year old age mark. and I have had chronic anxiety all of my life. I can share my experience in this
perspective. I started going to Psychiatrists in the year 1969, and continue to do so, this year 2013.
I have taken 75% of all of the ethical pharmaceutical SSRI's SNRI's, Tri-Cycle old school anti-depressants, nearly all of
the benzodiazepines ever released, many barbituates, in my youth in the 1960's and 1970's, and, many non-barbiturate
hypnotics, from the 1980's, to ease my high wired persona, from the notorious Methaqualone, to Glutethimide (Doriden in the USA) to Abbott Pharmaceutical Placidyl, to anti-hypertensives, old school, like Inderal (propranolol) or Corgard (Nadolol) to
the tranquilizer-antihistamine "hydroxyzine" a/k/a Vistaril/Atarax, to the "major tranquilizers a/k/a anti psychotics, such as
the new generation atypical anti-psychotics, "Seroquel" (quetiapine fumarate) to Lamictal (lamotrigine) to old school
phenothiazines, and more, Bipolar agents, like Abilify (aripiprazole), Risperdal (respiridone) to mood stabilizers, the gold
standard (lithium from 300mg per day to 1,200 mg per day) to Tegretol (carbamazepine) Trileptal (Oxcarbazepine) to
Calan (calcium channel blockers) to old school, long acting phenobarbital, and, out of desperation, the past 7 years, using
controlled doses, of the narcotic agonist-antagonist, European KrKa Fortral (Pentazocine Hydrochloride) tablets, and, in the
past 2 years, even USA Oxycodone, a/k/a "Percocet" (never, ever more than two tablets of the 5mg oxycodone with 325mg
of Acetaminophen daily) as a combo to ease depression to add to my high lifetime anxiety. Unorthadox, yes,
absolutely. But the only thing left, in my world view, is ECT, "Electro-convulsive therapy" and I have personally seen the aftereffects of what I considered two brilliant males, have their brains destroyed from all of the electricity, from this technique, that scares the H..l out of me. I know of one female, that survived the ECT, and, she does live a balanced life, with no serious side effects long term, but 2 bad cases out of three is not good enough for me.
I married into the medical model health profession, thus, I have had more psychoanalysis, than anyone, I have ever met in
my travels all over the USA, years of Cognitive-Behavioral therapy, to practitioners of Aaron Beck's Cognitive Theory, to
Rational Emotive Therapy, to Cognitive Restructuring (Remapping) to the late Dr. Victor Frankl's Logotherapy, to "Guru
Addiction" (following charismatic speakers all over the USA, to get re-charged, with the likes of John Bradshaw, on any
subject he speaks of, to Anthony Robins "Unleash the Power Within" to Nick Hall Ph.D's Change Your Beliefs, Change Your
Life" seminars, and lots more on Dr. Hall, to large hotel group awareness "transformation" seminars that last 3 to 5 days..
such as Werner Erhard's 1980's EST, later, the spinoff, "Forum" via Landmark Education, to "LifeSpring" by founder
John Handley........................................
To 3 years of "A Course In Miracles" deep metaphysical reading and classes, more Guru's like Brian Tracy (Canada) to
Stephen Covey to Zig Ziglar books, tapes, and seminars, later Emotion Freedom Techniques, (EFT) ................................
even I sought out the most radical form of AA, the so-called Nazi AA groups to later, Alanon, Co-Dependants, to ACOA 12 Step groups, to burning myself, completely out....................................yet, in spite of all of this, plus geographic re-
locations all over the USA, I carry me with me, and my high anxieties.

I do not have the authority to write prescriptions.....................I can share two experiences with you concerning two
benzodiazepines.....................Valium helped me out initially, by a quantrum leap, but taking it daily, I personally built
up a tolerance from 3 x 5mg per day, to 4 x 10mg per day: by the 5th year, I was up to 80 mg per day, and the magic was
gone. I was hospitalized "once" to withdraw off of alcohol and particularly Roche Valium, and, that was at age 33. It took me
6 months to feel half way normal, and 10 days to detox with supervision, taking 1st cousin Roche Librium.

At age 45, I began Upjohn/ (now) Pfizer Xanax, and it, like Valium, worked miracles for my high anxiety, but in my case,
within 18 months of taking Xanax/Tafil daily, I was on 6 milligrams per day. It turned on me, a horror story. I got panic
attacks, when, the alprazolam started wearing off, extreme tightness in the chest, wide mood swings, and hot and cold flashes.
I spent US $5,000.00 to enter a clinic to withdraw off of alprazolam, from 6 mg to zero, it took me 90 days to just do that,
and, I did not really feel normal for nearly one year. "I am afraid of Xanax personally". "Alprazolam"

The safest benzo, I have ever taken is Roche Rivotril or Roche Klonopin (both Clonazepam) which comes on very, very
gradually. "Not my favorite benzo at all, but the only safe one so far, that I can manage". " a anti-seizure med as well".

I wish you good luck in your endeavors. sorry for my "wall of text" I just did not know how to summarize my story, any
shorter. I still struggle, presently, trying to abstain, from my venture, of playing around with Oxycodone, felt great at the
beginning, but, I fear it now, and, my sources are drying up, so I am forced to change again, in my search for serenity!!!!
Click to expand...


Thanks heaps for all the info mate, really was a help, especially hearing about tolerance and withdrawal with some benzos.
Your message makes me feel a little bit good because I am taking Clonazepam and am finding it very effective for the GAD and SAD.

I take daily:
- 6mg Clonazepman (3 x 2mg doses throughout the day)
- 600 mg Lyrica daily (2 x 300mg doses)
- 80 mg Propranolol (2 x 40mg) Only if needed
- 75mg Imipramine Hydrochloride (at night before bed)

I will admit, as a lawyer, I do feel my cognitivie ability is affected. i forget words, cant string sentences effectively, and one of my colleagues thought I was drunk, BUT HEY, freedom from the hellish anxiety!!!!!
 
flyhighk said:
Didn't read the whole thread but doxepin really helped me. I suffer from GAD and SAD, 30 mg before bed really helps me sleep plus it makes me A LOT less irratable and anxious during the day... It also helped my depression. I'll soon up my dose to 50 mg.
Click to expand...

Is doxepin similar to mirtazapine?
 
I concur that Avanza makes you feel sluggish in the morning. I was on 30mg tabs before bed and it probably took me until lunch time to feel non-groggy.
I take clonazepam now which works great, still makes you feel like your a bit drunk but it's great got keeping the anxiety at bay.
 
I'm curious if any of you have experience with buspirone. I don't have many patients on it, but those that are seem to be doing well. No dependence issues and the MOA is novel.
 
cbtodacb said:
I concur that Avanza makes you feel sluggish in the morning. I was on 30mg tabs before bed and it probably took me until lunch time to feel non-groggy.
I take clonazepam now which works great, still makes you feel like your a bit drunk but it's great got keeping the anxiety at bay.
Click to expand...
I now take my dose 3-4 hours before bed. When I take it just before bed, I sleep for 11 hours which sucks.
 
Nardil seems to help a lot of ppl so i heard,,but ask your GP what options are available,,,Good luck
 
I used to have hideous anxiety too, but my medication has it stabilized. I take 20 mgs of Lexapro, 100 mgs of Lamictal, and 1-4 mgs of Klonopin. Klonopin works well to stop a panic attack, and it lasts a long time. For immediate, FAST intervention on a panic attack, I have found that Ativan or Xanax is much better. I also recommend Tension Tamer Tea. I have to drink it in conjunction with my meds, if I'm having an attack. After years, I will say that my anxiety has stabilized and I take 1 mg of Klonopin daily. A good psychiatrist will prescribe you what you need, but if your condition is as debilitating as you state, your doctor is being too conservative. Some doctors do not want to prescribe good benzos because of addiction, but I say, you know what else is addictive? Agoraphobia. For awhile, I had such panic and anxiety that I couldn't leave the house. Thankfully, those days are over for me. I hope they end for you as well!
 
ZOLOFT - it totally blocks anxiety ,Lexapro is insanity for anxiety !

Lexapro made me feel great though .
 
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