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Re: What do I do now?

Posted by JohnL on July 21, 2001, at 3:50:59

In reply to What do I do now?, posted by Else on July 20, 2001, at 14:19:08

> Right now I am freaking out a little bit because I'm turning into a nervous wreck again. I have a very high tolerance for sedatives and after a week on 2mg Klonopin daily I am back to being a nervous wreck. It should be noted that I also take 900mg Neurontin in addition to this. Now I used to feel OK a few days ago (and not drowsy at all mind you) but now I'm getting all worked up over nothing again. I recently (two weeks ago) stopped taking Wellbutrin because I didn't think it was helping at all and because it gave me those annoying tremors but now I am not so sure it was a good idea. When my doc asked what dose of Klonopin I though would be O.K. I said 2mg even though I really though three would be better (didn't want to look like one of 'em drug addicts, you know). Anyway. Now my doc is on vacation and I have to work next week and I am bouncing off the walls. Is this due to depression rearing it's ugly head because I dropped the Wellbutrin ( I'm ruminating but not really depressed at this point)? Should I go back on the Wellbutrin? Increase the Klonopin to 3mg like I though would be best from the beginning? What?
>
> And while I'm at it. This is a question for all of you anxious/dysthymic people out there. What have you found works best. Years ago I was on a combo of Prozac and Xanax for 6 weeks but it's kind of blurry now. Are there other drugs that would have the same effect as Wellbutrin (non-serotoninergic, very important), without the tremors? Any ideas? Suggestions? I don't know what to do anymore. I don't want depression and I certainly don't want anxiety (nor anticholinergic effects and the like...) Am I asking to much?
>
> I've tried:
>
> Prozac (20mg die), Xanax (0.25mg tid), Zoloft (100mg die), Depakote (500mg tid), Effexor (300mg die), Wellbutrin (150mg bid) Neurontin (300mg tid) and now Klonopin (0.5 bid + 1.0 HS). I found that anti-convulsants were useless, that drugs that enhanced my mood made me more anxious (Effexor & Wellbutrin)and that drug that made me less anxious made me more depressed (tranquilizers). So now what. Please somebody help.

Hi,
One word, Zyprexa. I have yet to see any single drug with as much promise as this one. Just because it is named as an antipsychotic, don't let that scare you. It has been shown in clinical studies to be effective for a wide variety of psychiatric symptoms. Personally I have seen more people get well with antipsychotics and/or stimulants than antidepressants, mood stabilizers, etc. In my own experience, and it's just my opinion, not fact (what in psychiatry is fact anyway?) Zypexa blows the ADs in the weeds. It works on dopamine, norepinephrine, and serotonin, all three, and has an anti-anxiety component to it. Mileage of course varies, but in this hit and miss game I believe Zyprexa offers better odds for success than just about any other choice I can think of.

Sedation is heavy at first. Don't worry, it goes away, and the good sleep might be a welcome relief anyway. Weight gain is often a problem, but can be avoided by drinking a large glass of water before meals, and by being careful with snacks. Best overall results when combined with Prozac.
John


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poster:JohnL thread:71077
URL: http://www.dr-bob.org/babble/20010720/msgs/71162.html