Posted by chemist on July 12, 2004, at 15:36:55
In reply to Re: Sounds like a question for CHEMIST!, posted by cpallen79 on July 12, 2004, at 14:22:05
> Hi Chemist, what do you think?
i think panda secretly works for an HMO and is dividing his case load :)
seriously, i am not a fan of buspar: i have taken it, and would choose a lollipop over buspar if given the choice for an effective anxiolytic. my immediate guess is that your body got used to the little dabs of seroquel over the week or so and the buspar was not addressing the *transient* anxiety that can be experienced when titrating up on lexapro (note i wrote *transient*), that the adderall immediate release was a bigger surge of stimulation than you had had before with the extended release, and that you simply were/are overstimulated. in my opinion, the lexapro should slowly be taken to 20 mg - as your comfort level allows - and you should back off on your adderall for a while, or at least take in divided doses until things smooth out, and ditch the buspar. now, we will have you in some quasi-stable state, and sleep will likely need be addressed, as will breakthrough panic and/or daily anxiety. my usual line is, go with klonopin, perhaps 0.5 mg bid. if benzos are not an option, next up is trazadone, a drug i am not particularly fond of, but you can certainly tweak the dose for sleep and for daytime. my stance on trazadone has changed largely to favorable reports from other posters, and i think my experience is the outlier. finally, if you find that trazadone is making you too groggy, go with ambien for sleep and perhaps lower the lexapro for the anxiety. still, i am a fan of the benzos, but this may not be the case for you. please do let us know if this is of any use.....all the best, chemist
> I currently take 12.5 MGs of Lexapro, 15mgs of Buspar, and was also starting to take 7.5 mgs of immediate release adderall (was adderall taking XR before). The reason I went on meds was for anxious depression, OCD, and ADD. things had gotten a bit better (but still had problems with hypervigilance, etc... from anxiety), but then i added in Seroquel. After starting that Seroquel,I did well for about a week, but then I slowly began to notice nighttime agitation and restlessnes... it got worse and worse until I felt like I was back in a high anxiety state. I feel like the cast put on me for my "broken brain" was stripped off and rebroken! I still do not feel well, I stopped taking the Seroquel on Saturday. I'm so upset as I feel like any progress I made went right down the tubes. Maybe it's just me, I think I put alot of hope in the Seroquel for a good night's sleep, and my hopes were dashed, thus sending me into panic mode. Another time this occurred was when I tried to increase my Buspar, I felt so agitated, restless, and panicky that had to drop back down to the lower dose. I've been at this for months and I feel so discouraged, I jsut want a day to come where I peacefully wake up, look around, and say "what a great day!"
>
>
> > > Hi Panda, I was taking a tiny dose of Seroquel for sleep and a dab during the dayfor anxiety. I did well at first, but then after about a week I became very very restless and my anxiety levels really increased. Was this akathisia? I stopped takign the Seroquel Saturday but still have not felt well, what in the world happened?
> > >
> > >
> >
> > Possibly, Akathesia is said to be a feeling of inner agitation which makes you fidgety & unable to sit still. Perhaps there was a drug interaction involved? Some drugs can raise the levels of other drugs & vice versa if they share the same liver enzyme. It's an ideal question for Chemist. :)
> >
> > Cheers,
> > Panda.
> >
>
>
poster:chemist
thread:339744
URL: http://www.dr-bob.org/babble/20040712/msgs/365385.html