Posted by jackt on November 25, 2002, at 10:44:37
In reply to Re: GAD Treatment » jackt, posted by Ritch on November 21, 2002, at 23:46:00
> > I have been battling GAD for over 15 years and have not found a solution. I am a 37 year old male with the normal stresses of life. Over the years my tolerance to stress has diminished and I just can't handle much of anything. The anxiety used to be a fuel to get a lot of work done. But know I am burned out and it only leaves me drained and useless from the moment I wake-up. I have tried Effexor, Celexa, Buspar, Serzone, Remeron, Ritalin, Depakote and many of the benzodiazapines. The only relief I get is with the benzodiazapines. But the doses that I need to be effective don't let me perform at work. The lower doses almost make me more anxious because I am worrying about what I say and if I slurred my speech. Alcohol does the same thing for me, I just get more anxious trying to overcome the effects.
> >
> > I am now thinking about using some non-FDA approved drugs like tianeptine or reboxetine. For no other reason than I tried most of the other GAD treatments.
> >
> > I have heard that Effexor and Remeron work well with each other and as I remember Remeron provided me with a little relief. But that came with a price of being very sleepy in the morning. I was hoping that the Effexor would counteract the sleepiness.
> >
> > Other combos I'm considering are Remeron and Ritalin (for a boost in the morning).
> >
> > I am currently on my 9th day of 250 mg of Depakote taken at night. This is the only thing I am taking and it has had no effect on my anxiety. Another week and I will have to take some Klonipin to bring the anxiety under control. I am just about disabled now and can't function normally in my management position (although I try hard everyday).
> >
> > If anyone has had success with any drug or combination, please let me know.
>
> Try continuing with the Depakote, ADD the Klonopin at bedtime only (it has a long half-life), and ADD nortriptyline in the daytime 2-3 10mg caps, and give it 2-3 weeks. Just a suggestion.Ritch,
Thanks for the feedback. Your right, I need to start some Klonipin at night to bring me some relief. Couple of questions ...
1) What class of drug is nortriptyline? I have never heard of it.
2) I was curious about your suggestion to continue Depakote. Do you think it will have some synergy with the nortriptyline?
As far as I can tell, the Depakote has done nothing for me. Maybe my 250 mg taken at bedtime is not enough.
Thanks,
Jay
>
poster:jackt
thread:128617
URL: http://www.dr-bob.org/babble/20021122/msgs/129206.html