Posted by BrittPark on January 17, 2003, at 12:07:50
In reply to I need a med, but which one? Need some suggestion, posted by Jaynee on January 16, 2003, at 20:02:35
Tummy troubles are often associated with anxiety. So I think you may be right in suspecting an anxiety disorder. If so, the front line treatment is a benzo (like ativan and many others). Next is an AD. You might try a TCA since they don't tend to cause stomach problems. They do cause constipation, dry-mouth and other anticholinergic effects. If you can tolerate them they are excellent ADs and anxiolytics. Perhaps the best approach is to start both an AD and a benzo (at adequate dosage) and see whether, after the AD has had time to work, you can lower or eliminate the benzo. If you still have to take a benzo, don't worry about it. Benzos are among the safest psychopharmaceuticals we have, and many people take them for long periods or indefinitely with no problems.
Feel Better,
Britt
P.S. I've had one trial of an SSRI (as an augmentation) and after 3 months discontinued because of the constant vague queezzyness and jitters (and because it didn't seem to be doing anything for me.) I take the first AD I was prescribed (20 years ago), imipramine.
poster:BrittPark
thread:136168
URL: http://www.dr-bob.org/babble/20030113/msgs/136271.html