Posted by zeugma on August 26, 2003, at 1:09:51
In reply to Re: anxiety attack- advice needed » zeugma, posted by jay on August 26, 2003, at 0:10:47
Thanks, Jay, for that thoughtful reply. You obviously have experience with anxiety and the way different meds can affect it. Yes, I have tried SSRI's. The experiences on them (and Wellbutrin) were so severe that I swore off meds for over ten years. nortrip and Strat are the only AD-type meds I have ever been able to tolerate. It's very, very hard for me to say what effect the two are having on my anxiety. My pdoc- beset by wishful thinking, perhaps- has been asking me what effect my cocktail of drugs has been having on my anxiety. I told him none. That is not quite true. I experience the anxiety differently- instead of becoming anxious for no reason that I can discern, I register each cause of anxiety with crystal clarity- lucid panic, if you like. The Strat in particular does this. Odd?
Anyway, about noradrenergic meds- they seem to wake me up. 75 mg nortrip did not wake me fully, not at all. With the full dose of Strat I feel about as awake as other people- an effect I only got after weeks on the full dose. I conclude from this that my ADHD seems to need all the norepinephrine it can get. Which is why I'm reluctant to ramp down either drug. I would only do it (at this point) as washout for an MAOI. but it seems more sensible, doesn't it, to just add Klonopin? Like you say, it seems irrational to let panic attacks happen before treating the anxiety. I can only attribute this to my pdoc's unwillingness to treat this aspect of my disorder.
poster:zeugma
thread:254014
URL: http://www.dr-bob.org/babble/20030823/msgs/254192.html