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Re: Imipramine again » mattdds

Posted by Squiggles on January 19, 2004, at 12:29:55

In reply to Re: Imipramine again, posted by mattdds on January 19, 2004, at 12:05:58

> Hello,
>
> I had the same experience with imipramine. It was just too anxiogenic to continue with the trial. My social anxiety is normally well controlled with Klonopin and lots of CBT, but when I started taking imipramine, I would get all sweaty and nervous when talking to people. It creates a *lot* of anxiety, at least in my situation.
>
> Of course, as you mentioned, if it works, the side effects can be controlled with clonazepam or another similar minor tranquilizer, probably at a high dose - Klonopin felt like a sugar pill when I was on imipramine.
>
> I understand that imipramine *does* have the best track record for severe "endogenous" type depression. Not very useful for anxiety though, IMO.
>
> Why not imipramine + clonazepam (high dose) + sleep med like Ambien?
>
> Best,
>
> Matt

Thanks Matt;

Ambien also -- hmm - thanks for the suggestion;
I guess just raising the Klonopin would not
be enough? So far (about 2 weeks) the situation
is much better than Imipramine without clonazepam.

Many of the ADs seem to provoke anxiety --
there could many reasons for this - life
of the drug, drug itself, dose, in cases
where it is not the depression itself.
I think the cognitive therapy might be good
once the "organic" problems are taken care
of.

Squiggles


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poster:Squiggles thread:302657
URL: http://www.dr-bob.org/babble/20040118/msgs/302753.html