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Re: Low Dose (~20 mg) Anafranil ??

Posted by edward602 on December 25, 2001, at 15:19:12

In reply to Low Dose (~20 mg) Anafranil ??, posted by rod on December 25, 2001, at 13:13:11

> I am taking 40 mg of Citalopram (does not help me much). A few days ago I started anafranil (37,5 mg), quick response at the first 3 days (really started feeling good), then got worse again. After 1 week dosage of anafranil up to 75 mg - > very bad (anxious, confused) - > reduced to ~20 (a quater of the pill)- > felt better again. 1 week quater of pill - > felt good the time, and increased it to 37,5 - > bad again Question: Should I listen to my body or my Doc (he wants me to take 75 mg). I do not believe that the path to relief goes through hell at the first few steps. Too many times I believed Doctors and then the medication directed me into a dead end. But my Doctors opinion is that treatment of anxiety disorders (I have GAD, social phobia and thereby caused depression), with medication fist leads to an increase of anxiety, panic until the "counter-reaction" of the body "heals" the illness. I dont know if I should believe him (he does a lot of research in hospital and university, so he is indeed a specialist, in some way). If anyone tells me that his way of treating anxiety patients is right (incuding ignoring patients personal opinion), I might obey his orders.
>
> thanks
> rod


My pdoc has the same opinion and again he has lots of experience at a major teaching hospital. He treats my anxiety, which is often just awful, as a symptom of depression that will often et worse on ssri's before it gets better. At first I did not complain enough at how bad the anxiety was but now I am more ready for it. Currently on 60 mg. celexa and taking ativan for the anxiety. My pdoc seems pretty confident -- he usually is -- treat the underlying depression and the anxiety will resolve itself. Now I am going to steel myself and try to make it to a holiday party. But first I'll take an ativan. Demand a benzo so you can eliminate the anxiety in the short-term and better figure out how you are reacting to the anafranil.

Edward


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poster:edward602 thread:87847
URL: http://www.dr-bob.org/babble/20011222/msgs/87848.html