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Thread: more anxiety med q's - sorry - effoxor, paxil, benzos

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    Default more anxiety med q's - sorry - effoxor, paxil, benzos

    ok. right now im taking ativan. i'm considering trying xanax and then *possibly* moving to something daily if i dont like how the ativan makes me feel. i think if i suggest something like klonopin, my dr will be freaked out. he didnt want to give me ativan as it was. and i dont know if *i* want to be on klonopin or anything.. i feel like that's more heavy duty.

    so on to the daily meds..

    he suggested paxil cr. he really wanted to try a daily before giving me the benzos.
    my mom, and others, have suggested effexor.

    my biggest problem with taking meds (and the thought of this depresses me SO SO much) is when do you stop? how do you know youre still you? meds can change you so much im scared and i dont know if its worth it.

    what do you guys think? and please, lets talk about how well these meds work when used *correctly*. in my last thread, girls were talking about addiction with the benzos, because their dr prescribed it to be taken daily. while a dr prescribed it, that still isnt the correct way, so those things arent helpful to me.
    Last edited by britt244; 03-04-2008 at 07:09 PM.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I think you should try your best to stear clear of all meds if possible and seek therapy. I know how it is to have panic attacks though. If you have them on a regular basis and need something more long-term than Paxil or Effexor are your better options but neither are easy to quit. Paxil is associated with more weight gain but a lot easier to get off of than Effexor. I'd say take the LOWEST dose you possibly can and get therapy. I think life is so fast paced now we try to the kick our problems under the bed and throw a fancy bedspread on top. I think it's probably the easiest way to deal but not the most efficient. I'll admit that's what I've did but I've also had therapy. I need more therapy but unfornuately I don't have much of a support system right now so I need myself. If you have a good support system than take the time to get yourself better instead of kick it under the rug like I did. I think it gets better but it doesn't go away, kicking it under the rug just postpones dealing with it.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I'm done with meds. Its tough though, as I permanently fucked up my brain chemistry, and am very prone to depression and anxiety. But I can't imagine being stuck taking all of these pills for the long-term. Except for Aderral.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by greenidlady1 View Post
    I think you should try your best to stear clear of all meds if possible and seek therapy. I know how it is to have panic attacks though. If you have them on a regular basis and need something more long-term than Paxil or Effexor are your better options but neither are easy to quit. Paxil is associated with more weight gain but a lot easier to get off of than Effexor. I'd say take the LOWEST dose you possibly can and get therapy. I think life is so fast paced now we try to the kick our problems under the bed and throw a fancy bedspread on top. I think it's probably the easiest way to deal but not the most efficient. I'll admit that's what I've did but I've also had therapy. I need more therapy but unfornuately I don't have much of a support system right now so I need myself. If you have a good support system than take the time to get yourself better instead of kick it under the rug like I did. I think it gets better but it doesn't go away, kicking it under the rug just postpones dealing with it.
    mmk. i would like any more comments like "stay away from drugs" not to be in this thread because they are not helpful. i am not going to stay away from drugs nor do i want to hear that i should. i understand that youre trying to help and maybe you havent been following my struggle to FINALLY get drugs to help.

    i have been in therapy. i am going to go back into therapy. but some people need drugs. i used to be very anti drug and now i know that i NEED SOMETHING because my BRAIN CHEMISTRY is out of whack. i am TERRIFIED of going on medication and like youre saying, i feel like taking a pill is just covering up the problem. but there has to be a way to work through it at the same time. and if not, well, i'll just cover up the problems because the problems arent fixable - the problem is my brain and the chemicals in my brain. however, then i worry that i'll be on something forever, which is far from what i want.

    so please, no more "dont get on drugs" in this thread. it is NOT what i am asking and i do not want your opinion on whether i should or not. save that for a pm. i am asking about experiences with the drugs ive named, and a little bit venting because im scared of taking drugs (to the point that i cry when i even talk/think about it). i would love to be able to get better without drugs, but ive gone without them long enough to know that sometimes, drugs *are* necessary.

    also, please refrain from trying to make this into drugs are good vs drugs are evil.

    Quote Originally Posted by Katrine View Post
    I'm done with meds. Its tough though, as I permanently fucked up my brain chemistry, and am very prone to depression and anxiety. But I can't imagine being stuck taking all of these pills for the long-term. Except for Aderral.
    thats how i feel. im so scared to take something long term. i just cant see another solution. and its even worse bc i feel like its my own fault. i had minor anxiety prior to using illegal drugs and now its out of control. i dont know what other options i have.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    greenidlady, you say paxil is associated with more weight gain.. ive had multiple doctors tell me that the controlled release formula does not have this side effect. it's one of my main concerns before taking something.

    also, my mom's best friend is on paxil. she just stops taking it sometimes, and as far as my mom knows, has never had any withdrawal problems. this is different from what ive heard, but i thought it was interesting.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I just wanted to say don't you EVER think you need to apologize for making a thread asking for advice. That thread title made me sad.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by BrunetteGoddess View Post
    I just wanted to say don't you EVER think you need to apologize for making a thread asking for advice. That thread title made me sad.
    awww. thank you

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I think the most important part of getting on any medication for a mental illness is to have an open, trusting relationship with your prescriber. You need to be comfortable asking every question you have, and be comfortable with their ideas surrounding drug therapy. Ask how long you think you will need to use them. Some doctors advocate short-term, some think being on drugs for life is fine. What do you want? What are you comfortable with?

    I've been on various meds for my various issues for over 7 years now, and it's been trial and error and many doctor changes over that period of time.

    You will know if you feel different in an undesirable way. If you feel like a zombie compared to feeling less anxious, etc, and it's important to have a doctor who understands medications for mental illness and is willing to listen to you.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I've taken effexor, paxil cr and klonopin..And others..Effexor made me jittery.I didn't like that about it. Paxil cr worked pretty well for me.I take klonopin only at bedtime along with 2 amitriptyline. It helps me sleep and I feel good the next day. I have insomnia and social anxiety. These seem to have worked well in dealing with all of my issues. I haven't had any bad side effects with either, but I guess it depends on the person.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by britt244 View Post
    in my last thread, girls were talking about addiction with the benzos, because their dr prescribed it to be taken daily. while a dr prescribed it, that still isnt the correct way, so those things arent helpful to me.
    That's not neccessarily true. For me, I have bouts of really bad anxiety/panic attacks where I sometimes end up taking valium every day.

    For me, or people like me who actually need it and don't abuse it, the risk of getting addicted to it is extremely low because you only take it when you're seriously having a panic attack. It doesn't make me tired, loopy, buzzed, anything. In fact, I wouldn't even say it makes me feel better, although I guess it must. It just makes me feel like my symptoms are more managable (sp?)

    I havent had a valium in months, but I wouldn't be surprised if sometime in the near future I had to take it a few days in a row. It's more about How and Why you are taking stuff like valium or klozapem (again, sp?) then the frequency.... make sense?? (Now, that said, you should never just wake up and be like ho hum i should take a valium to prevent a panic attack...it's more if you're in the midst of one. That's why you can't put a time limit on how often you should take it cause some people can have bad panic attacks every day for months and really need them)
    l
    That said I also would not want to be on something every day. I was on Lexapro a long time ago and it made me at total space cadet. Forget that shit.

    I think that people have too much of a stigma with taking benzos and the like. For some people they really ARE a great option. If you have very bad physical panic attacks (like I do where my heart is like a million beats a minute and I'm numb and can't walk all of a sudden...lovely) something that physically slows your heart rate and breathing (like valium) is really ideal.
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    BrunetteGoddess
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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I took Paxil when I was 14. Didn't really do much for me.

    R used to be on Lexapro before we lost our health insurance, and I was on it for a while. It DOES make you jittery, but he said it really helped him.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Britt I hope that my advice and info might be able to help you. My mom is on Lexapro and she says that it has "changed her life" and she is much happier. She says it's much easier for her to get through the day and the little things don't bother her as much. She was suffering severe depression after her dad and two best friends passed away. So, I think that there is some merit to these drugs for some people. I am considering trying Celexa myself. I got a script for it and I feel confident that I can work with my doctor on dosage or trying something new if it doesn't have a positive effect on me. I just know I need to do something about my anxiety and depression, because I feel like I'm wasting years of my life feeling the way I do.

    I've had drug issues in the past so I want to steer clear of benzodiazapines. I mean, they make me feel better, but I have seen a nasty side of their use, which is true addiction and horrible withdrawal.

    In terms of your question regarding how long you have to take the drugs; well, that is up to you and how they affect you. My doctor says that ideally an SSRI or other antidepressant or anxiety med would help you get out of the funk you've been in so you can get on with your days, get therapy and improve your life gradually to the point where you feel better without them. Other people just have different brain chemistry, and feel like they should be on the drugs forever. It's really up to you.

    There are so many drugs for anxiety and depression that it seems overwhelming. I'm at the point now, though, where I don't want to go on living the way I have been. I smoke so much pot because I'm constantly nervous and sad, and I know that it just exacerbates the problem and all my other problems. I'm ready to make a change, but I'm scared.

    I've heard that some people have to try a lot of different medications before they find the one that fits for them, that really, truly improves their life. I wish you luck, and PM me if you ever want to talk in more detail.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by zxcire View Post
    I've been on various meds for my various issues for over 7 years now, and it's been trial and error and many doctor changes over that period of time.
    that trial and error is a big no no for me. this is NOT a good time in my life to deal with that. i just graduated college, i broke up with the guy i was dating but i still see him every week at work, i started a "big girl" job that half the time i hate add to those major changes the more minor things like my dui, worrying that i'll be dancing forever and then what because i really dont think i want to do anything else, i worry about my parents because even though theyre not OLD, they will be one day (and i dont think this is something normal that people think about!) and that i'm letting them down with my dui and dancing and everything. i cant deal with medicine making me feel worse. that just isnt going to happen right now. you know?

    Quote Originally Posted by Luxxxe View Post
    I've taken effexor, paxil cr and klonopin..And others..Effexor made me jittery.I didn't like that about it. Paxil cr worked pretty well for me.I take klonopin only at bedtime along with 2 amitriptyline. It helps me sleep and I feel good the next day. I have insomnia and social anxiety. These seem to have worked well in dealing with all of my issues. I haven't had any bad side effects with either, but I guess it depends on the person.
    ive been told by other that effexor made them jittery.. and now BG is saying lexapro did the same to her husband.. that scares me to death. when i have anxiety, i feel jittery. that would not in ANY way help me or lessen my anxiety.

    vegasprincess, i totally agree that if you have anxiety and youre taking it correctly (those girls were talking long term taking it every day) you arent going to get addicted. my dr said the same. but my ativan definately does make me feel like i'm in a dream world. taking it when i dont need it though, like i did the first night to "test" it out, didnt make me feel anything.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by sun child View Post
    In terms of your question regarding how long you have to take the drugs; well, that is up to you and how they affect you. My doctor says that ideally an SSRI or other antidepressant or anxiety med would help you get out of the funk you've been in so you can get on with your days, get therapy and improve your life gradually to the point where you feel better without them. Other people just have different brain chemistry, and feel like they should be on the drugs forever. It's really up to you.
    thats so scary though because i feel like when youre on medicine, youre not the same person. and when you get off it, are those issues supposed to have magically gone away? you know? i dont really know how to describe it. but once you start i feel like when do you stop?

    I've heard that some people have to try a lot of different medications before they find the one that fits for them, that really, truly improves their life. I wish you luck, and PM me if you ever want to talk in more detail.
    i just typed up why this is yet another problem for me in my response to zxcire. having to go through the ups and downs of trying different things really isnt something i think i can handle right now.

    good luck to you, too, btw. this freaking sucks and i just want it to go away and im sure you feel the same.

    Quote Originally Posted by Yoni View Post
    I think Klonopin is less heavy duty and less of an addiction risk because it stays in the body longer. Its half life is 18-50 hours. Xanax has a half life of 11.2 hours and Ativan has a half life of 9-16 hours.
    yes, less addictive. but it wasnt talking about that.

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    zxcire
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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by britt244 View Post
    thats so scary though because i feel like when youre on medicine, youre not the same person. and when you get off it, are those issues supposed to have magically gone away? you know? i dont really know how to describe it. but once you start i feel like when do you stop?

    I felt terrible when I stopped taking them. I've tried maybe 5 times to go off all psychiatric medications, and I have always ended up crawling back. First there are the withdrawal symptoms, which can be severe, then there is the possible return of your original symptoms. It sucks, sucks, sucks.

    I don't know the validity of this statement, but I have heard that taking SSRIs or long term psychiatric meds actually heightens your chances for a later relapse of the original condition...I'm not sure how that would be quantified in the real world, but I feel unable to function without my medications for more than six months at a time. Then I end up in a tailspin.

    Now, I suffer from major depression with anxiety, it's not primarily an anxiety disorder, so the information regarding your anxiety might be different, but there is so much to think about with this type of drug. I sometimes wish I had never started taking them, but I honestly think I would have offed myself if I hadn't. A fine double edged sword.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    ^ that's exactly why i'm so scared. i don't know what to do.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Britt, I dont wanna hound your threads but I just wanna give some input.

    You are right when you say that when used correctly, they wont be addictive.

    Some people DO need them for the rest of their lives cause their brain just needs that extra boost of serotonin and some people can come off... (Like I did.) The only way I came off was cause I used it for approx. one year and I also went to therapy to help me deal with whatever it is I am dealing with. (I go to therapy 2 times a month, still) (Obviously you have to find a good therapist too... I know you hada hard time, and I did too in the beginning... but you just have to shop around)

    ONLY YOU will know when its time to stop... but even with that, its when you have been able to analyze your probs and how to deal with them. The great thing about meds is that you can think clearly... you can feel better and tackle your problems without being clouded. (I felt clouded and depressed and anxious when I wasnt on them)

    Kwim?

    I think you are taking the right steps. You SEE that you need something and you are going to do whatever it is you need to get yourself better. Believe me, this anxiety/panic fucker CAN be beat. I promise... IT CAN but it IS a struggle. But once you grab that fucker by the horns, you can do such great things.

    *ok that sounds like a fuckin commercial* But its true.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by britt244 View Post
    thats so scary though because i feel like when youre on medicine, youre not the same person. and when you get off it, are those issues supposed to have magically gone away? you know? i dont really know how to describe it. but once you start i feel like when do you stop?
    It doesnt just magically stop, but therapy really is soooo important. Meds help control those uncontrollable feelings, while therapy helps you understand WHY you feel that way and what you can do to better yourself. A GREAT doctor is key though. They are hard to find but you can find one if you keep searching.


    ALso, I know you say trial and error isnt a good thing for you right now, but you dont have to do a med for a long time before you realize it sucks. If you dont like the first med for the first week or two, then just tell your doc, "look, this is making me feel like this, and its causing this...etc and I dont want to take it"

    The only prob too is that some meds take a couple of weeks to kick in. My lex took 2 weeks to start working. At week one, I had THEEEEEEEEEEE worst panic attack ever, but I called the doc and asked and they said that sometimes the feelings you already have are heightened but thats because the med is starting to kick in. So just give your med two weeks... if its not agreeing with you (some just dont) then let them know.

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    beauty21queen
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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Paxil and Zoloft did diddly squat for me .....well zoloft I broke out in hives and didn't know what was going on .My grandmother scared the shit out of me and told me I had aids so thats why I went to the doctor and then found out I was allergic .Paxil has worked on alot of people I knew just not me I didn't feel any diffrent and it certainly didn't help with my panic attacks.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    ^ What is your current dosage of Ativan? How often do you take it?

    I know this sounds silly, but: How do you want to feel? Normal? Calm? Happy? Less sad? Better able to take on the world? Not suicidal? What are your expectations or, better yet, what do you want exactly out of your meds?

    I am trying to figure this out from reading your posts and I'm not doing a very good job of it.

    One other question: Do you want to treat your short-term depression and anxiety over stressful events in your life, or do you have a chronic, ongoing problem that you are trying to tame?

    All psychopharmacological treatments have the potential for addiction and abuse. All of them. Add to that the wildly different reactions, tolerances, side-effects and perceived/actual benefits you see from those of us who use them, and it will leave you in a complete and utter state of confusion. I am just amazed these drugs got through Stage III trials. I've never known two people to react to any of them in remotely the same way.

    I take 8 mg of Ativan a day, four 2-mg doses. This is enough to stop a charging rhino from 30 yards. At first I couldn't miss a dose or I would feel anxiety creeping up from behind. Also, while on this high dose of Ativan if I drank any coffee, I would suddenly become absolutely paranoid. Paranoia? Craziest side-effect I'd seen.

    I find that now I'm actually less dependent on Ativan -- I can skip a dose or two during the day and not notice it. So high doses do not automatically mean addiction or dependency. It totally depends on your brain chemistry and your psychological comfort with the med.

    I also take 600 mg of Wellbutrin SR (four 150-mg tablets) and that too is generally considered to be a high dose. But Wellbutrin is not an SSRI, it does not play with your seratonin at all, but it is an uptake inhibitor for dopamine and norepinephine. Other benefits: NO sexual side effects (anorgasmia is common with the SSRIs) and more people lose weight on Wellbutrin than gain it. This is the opposite case with SSRIs. It also acts faster than most SSRIs, which can take months to become fully potent.

    Wellbutrin and other antidepressants are not designed to make you "happy." They are designed to build a floor underneath you, for lack of a better example. I've found it to be remarkably free of side-effects, except the good ones. Well, if you consider not eating all day to be a good side effect. What it really does is reduce your craving for food. You still get hungry when around food, you just don't when walking around.

    One caution -- After accepting what my psychiatrist prescribed for me pretty much on faith, I eventually ended up doing the research and just straight-out asking him for exactly what I wanted. The combination I ended up works really well for me, but it took a few months. My point here is not to rely on what the doctors tell you. I normally don't say this, but these drugs are different. You are a guinea pig when you start out because nobody, not you, not the doctor, not the PDR, not anybody or anything has any idea how you are going to react. Lexapro for me was a complete disaster. I could actually feel it under my scalp and it destroyed my sexuality so completely that I felt I'd actually been castrated.

    Low doses of Ativan is a good place to start. Don't get too concerned about addiction unless you move up the scale on dose or frequency. Xanax is a little rougher than Ativan -- I mean you don't feel the "smoothness" that is characteristic of Ativan. Klonopin is often prescribed for moderate anxiety and also for sleep disorders.

    My advice, FWIW, is to see how low doses of the benzos work for you before jumping to an SSRI. It takes a long time to find out if the SSRI is really working for you. Docs like to try mixing antidepressants and antianxiety meds almost like a Pavlovian response. It doesn't mean you have to follow it. You choose what you want to put in your own body.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    ill probably come back to your post later, TOO, but a few things.

    my pills are only .5mg. i need 2 for them to work. im going to ask him to up them the next time around. i take them randomly, for example, i took them last tuesday, then not again til this monday and tuesday. i needed them this weekend but i hadnt brought them to work with me.

    i am with you 100% on doing your own research and figuring out what you want. i dont trust the doctors to tell me. thats why im asking EVERYONE i know what things did/do for them and doing a lot of research. so many doctors prescribe things incorrectly, or without thinking long term, or whatever else, and i just don't feel ok taking something just because i was told to. i told my dr i wouldnt take smething daily, and then no xanax, because i was told ativan was smoother. so he gave it to me.

    my biggest problem with the ativan is its making me extremely sad a few hours after the original calm feeling and i'm having a hard time waking up the next morning. i took it 2 days in a row, with the 2nd dose being yesterday afternoon around 3. i had to drag myself out of bed just now, around the time i usually aim to leave for work.

    haha, the reason you probably cant figure it out is because i dont really know. im not suicidal, and i dont like to think i'm depressed. i think my anxiety makes me depressed sometimes. i want to feel calm, and some other things that i dont talk about on here really anymore. i have a lot of thoughts that arent normal.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by britt244 View Post
    greenidlady, you say paxil is associated with more weight gain.. ive had multiple doctors tell me that the controlled release formula does not have this side effect. it's one of my main concerns before taking something.

    also, my mom's best friend is on paxil. she just stops taking it sometimes, and as far as my mom knows, has never had any withdrawal problems. this is different from what ive heard, but i thought it was interesting.
    I didn't take the controlled release formula just the regular Paxil.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Quote Originally Posted by britt244 View Post
    ive been told by other that effexor made them jittery.. and now BG is saying lexapro did the same to her husband.. that scares me to death. when i have anxiety, i feel jittery. that would not in ANY way help me or lessen my anxiety.
    I have never felt jittery on Effexor, it knocked me off my ass when I first started taking it. It was kind of a euphoric, la la land state. It wasn't bad at all, in fact, it kind of felt good but it took a couple weeks for me to get to the point where I wasn't sleepy. I think I needed the rest though because I worried myself to death before and had panic attacks regularly.

    The thing is about the internet you are going here different stories about people's experiences, which is what you seem to want. Some are going to be good, some bad and some terrible. I think you have to keep your mind open and go into it that way. Sometimes people get psychosomatic because they think they are going to have a side effect when in fact they won't have it all. What works with your chemistry may not work with other's chemistry.

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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    I take an SSRI called luvox. It has been good for me apart from shaky hands but that doesn't really bother me.

    I was on 100mg but have recently increased the dosage to 150mgs since my surgery which triggered a lot of anxiety for me.

    I have been on and off (but mostly on) SSRI's since I was 14. I don't think i can live without them at this point of my life. I don't know if I ever will be able to.

    Your point about them making you a different person is really interesting actually. I have always wondered if I would have turned out a different person had I not have ever taken them. Because I have been on them since 14 - the years where my personality was largely being shaped, I wonder if I turned out to be different to what i would have been without them. I suppose I will never know.

    I definately feel a lot less emotional and reactive to things.
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    Default Re: more anxiety med q's - sorry - effoxor, paxil, benzos

    Hey brit, I've been on an ssri for 5 years, with a 1 year break. I stopped taking it because I felt my anxiety was under control and my life was moving in a positive direction. That said, after my mom died, I kinda lost it. Understandable, I know. This happened at the end of August and by the beginning of January, I was having full blown panic attacks and was scared to leave my house. So I went back on my meds (celexa and buspar) and it's getting better every day. I'm also back in counseling to deal with my grief.

    I don't know how long I'll be on meds, but I know they've helped me in the past and hopefully will help me again. Oh, and since brain chemistry can sometimes be genetic, any med that has worked well in your family is a good place to start.

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